I need to code- get ICD-9 codes for a pharmacy for arestin- the conditions would be: Chronic Advanced periodontitis, and generalized marginal pappillary severe gingivitus. I am also trying to figure out what the correct bonegrafting codes we should be using. WE do them often, sometimes prior to implant, and soemtimes just for obtaining a level of bone for a prosthetic placment at some point. WE always do them with extractions and most of the time we also place the tissue- Mucograft. Is there a code for placing arestin when the patient gets it through a pharmacy? Either medical or dental?

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Asked on January 22, 2013
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ICD-9-CM:
523.40 Chronic periodontitis, unspecified
The code for generalized marginal pappillary severe gingivitis would depend on if the gingivitis was Acute or Chronic and if it was plaque induced or non-plaque induced your options would range from 523.00 to 523.11/ in order to give the correct code this needs to be more specific.

Bone grafts depend on the size your options would be
CPT 20900 - small dowel bone graft / usually used for a tooth area of an implant site
CPT 21215 - large area mandible

Periodontal mucosal grafting
CPT 41870

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Answered on January 23, 2013
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