I would like help with the cross coding: D6104, D7952, D7953

I have looked at the case studies for all of these codes and the same code seems to be used for all of them...21210 and 21215. Can this be correct?

Hello, I have a question regarding coding for medical claims. I have a patient that had surgical extractions with bone grafting, sinus lift with implant placement under IV sedation. Which codes would I use for billing on a CMS 1500 claim form? I did some research and it looks like bone grafting would be 21215, Sinus lift is D7951 or D7952 and implant placement is D6010, but done at same time of Implant Placement it is D6104. Also, 21210 graft bone; nasal max (including obtaining graft) "Sinus lift" can be used. Can you please advise?

If you have a damaged teeth or a misaligned teeth, then getting dental implants surgery performed is the best available option for you. Although, you must consult your dentist first before going for any dental implants surgery. Orthodontist Los Angeles provides latest technological dental procedures for your healthy teeth and gums.

Great question about implants for dentures. Once you have a consultation with your dentist, the dentist will evaluate the lower jaw bone to determine the number of dental implants needed to support your denture. A dental implant is not required for each tooth you are replacing on your lower jaw. As a matter of fact, as few as two to four dental implants can make a big difference in securing a denture.

Hi guest!

D9243 - Intravenous moderate (conscious) sedation/analgesia – each 15 minute increment

Here are some coding options for the above:
00170 - Anesthesia for intraoral procedures, including biopsy; not otherwise specified
00172 - Anesthesia for intraoral procedures, including biopsy; repair of cleft palate
00174 - Anesthesia for intraoral procedures, including biopsy; excision of retropharyngeal tumor
00176 - Anesthesia for intraoral procedures, including biopsy; radical surgery
01999 - Unlisted anesthesia procedure(s)

• 99143 - Moderate sedation services (other than those services described by codes 00100-01999) provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; younger than 5 years of age, first 30 minutes intra-service time

• 99144 - Moderate sedation services (other than those services described by codes 00100-01999) provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; age 5 years or older, first 30 minutes intra-service time

• 99145 - Moderate sedation services (other than those services described by codes 00100-01999) provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; each additional 15 minutes intra-service time (List separately in addition to code for primary service)

• 99148 - Moderate sedation services (other than those services described by codes 00100-01999), provided by a physician or other qualified health care professional other than the health care professional performing the diagnostic or therapeutic service that the sedation supports; younger than 5 years of age, first 30 minutes intra-service time

• 99149 - Moderate sedation services (other than those services described by codes 00100-01999), provided by a physician or other qualified health care professional other than the health care professional performing the diagnostic or therapeutic service that the sedation supports; age 5 years or older, first 30 minutes intra-service time

• 99150 - Moderate sedation services (other than those services described by codes 00100-01999), provided by a physician or other qualified health care professional other than the health care professional performing the diagnostic or therapeutic service that the sedation supports; each additional 15 minutes intra-service time (List separately in addition to code for primary service)

Hi Guest!

Great question - yes the insurer may very well be looking for the crosscode. Quick question - was it your medical insurer or your dental insurer that you were looking at?

Hi Lee M!

D7951 - sinus augmentation with bone or bone substitutes via a lateral open approach
D4266 - guided tissue regeneration - resorbable barrier, per site

The ICD-10 diagnosis code(s) for these services will depend on the patient's condition and why the services were done.

For example, if the services are being done due to atrophy, you may end up using one of the following:

K08.21 - Minimal atrophy of the mandible
K08.22 - Moderate atrophy of the mandible
K08.23 - Severe atrophy of the mandible
K08.24 - Minimal atrophy of maxilla
K08.25 - Moderate atrophy of the maxilla
K08.26 - Severe atrophy of the maxilla

If it is being done for another reason (i.e. accident, loss of teeth, etc), let me know and I can offer you some coding options.

Hope this helps!

What is the medical code for D7951 if I had to have an extraction?

i understand that medicare has three months global period for billing. what if I do sinus lift on both sides? can I? If yes, will i be reinbursed for both bone grafts?