Is there any verbiage in the codes that state you cannot use code D7321 and D7285 at the same visit? We are being told it is incorrect to do so as it is considered “unbundling”. Is this correct? Thank you in advance for your assistance.

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  • Is there any verbiage in the codes that state you cannot use code D7321 and D7285 at the same visit? We are being told it is incorrect to do so as it is considered "unbundling". Is this correct? Thank you in advance for your assistance.

Is there any verbiage in the codes that state you cannot use code D7321 and D7285 at the same visit? We are being told it is incorrect to do so as it is considered “unbundling”. Is this correct? Thank you in advance for your assistance.

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Asked on May 11, 2015
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D7321 Alveoloplasty not in conjunction with extractions, and D7285 incisional biopsy of oral tissue are considered separate procedures. As long as the documentation supports these codes (i.e. there is in fact an osseous lesion in the area of the Alveoloplasty) it would be appropriate to bill these codes out in the same visit. This would only be considered unbundling if there was no lesion present.

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Answered on May 12, 2015
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