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Guest
#1 Posted : Monday, May 1, 2017 9:59:13 AM(UTC)
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Guest

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Patient fell and fractured tooth. Had it extracted and now needs implant and crown. Have no idea what codes to use for auto insurance.
mbrzezinski
#2 Posted : Monday, May 1, 2017 3:23:41 PM(UTC)
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mbrzezinski

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No problem, we are happy to help.

Starting off with the diagnosis code(s), i'll need a bit more information to offer you the most specific coding options, so a few questions for you:

1) Where did the patient fall?
2) Did they fall from the same level?
3) Did they strike an object or did an object strike them?

Fracture of tooth (traumatic)
Which only tells a portion of the story :) You will want a code that describes the accident itself, you can also use an activity code, and possibly other diagnosis codes if there were other injuries besides a traumatic fracture of tooth.
Also, S02.5 by itself is not a billable code, as there are more specific codes available, here they are below:
S02.5XXA - Fracture of tooth (traumatic), initial encounter for closed fracture
S02.5XXB - Fracture of tooth (traumatic), initial encounter for open fracture
S02.5XXD - Fracture of tooth (traumatic), subsequent encounter for fracture with routine healing
S02.5XXG - Fracture of tooth (traumatic), subsequent encounter for fracture with delayed healing
S02.5XXK - Fracture of tooth (traumatic), subsequent encounter for fracture with nonunion
S02.5XXS - Fracture of tooth (traumatic), sequel

Look forward to your response.

Hope this helps!
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