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My patient had cancer of the oropharynx followed by chemo and radiation.
Patient now has xerostomia which caused moderate atrophy of maxilla
resulting in loss of teeth, need for sinus lift, need for dental implants.
What ICD 10 codes and diagnosis codes do I use for the sinus lift via
lateral approach with bone and PRP?
Thanks for your help!!!
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Rank: Administration
Joined: 11/21/2012(UTC)
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Hi Guest!
Based on what you described, here are some coding options for you:
ICD-10 diagnosis:
K08.25 - Moderate atrophy of the maxilla
K08.491 - Partial loss of teeth due to other specified cause, class I
K08.492 - Partial loss of teeth due to other specified cause, class II
K08.493 - Partial loss of teeth due to other specified cause, class III
K08.494 - Partial loss of teeth due to other specified cause, class IV
K08.499 - Partial loss of teeth due to other specified cause, unspecified class
Z85.818 - Personal history of malignant neoplasm of other sites of lip, oral cavity, and pharynx
Z92.3 - Personal history of irradiation
K11.7 - Disturbances of salivary secretion
Procedure codes:
21210 - graft, bone; nasal, maxillary, or malar areas
*use -52 modifier for reduced services when bone is not obtained from the patient
21248 - Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial(3or less)
21249 - Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete (4 or more)
0232T — Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed.
Hope this helps!
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