Ask the Coder (537)

You would use CPT code 41899 for all 32 teeth and send in a brief narrative of the different extractions and difference in pricing. You should note most medical carriers will not cover extractions unless they are full impaction, you should check your carrier guidelines before claim submission. ICD-9-CM codes based on what was provided (more)

When the dental carrier asks for the "primary carriers explanation of benefits" Here are some of the most commonly sent dental procedures: Frenulectomy, Biopsy, Extraction of Impacted Wisdom Teeth, Alveloplasty, Exostosis removal, Removal Mandibular Tori, and Vestublopasty.

Rule of thumb is to use the primary carriers fees to set the adjustment level.

You may code 00170 for the sedation and still use D9230 for the nitrous oxide to the medical carrier for reimbursement.

Usually there is a slight difference is the amount paid; this is carrier driven so it is best to check the Utilization Review Guidelines for each carrier to determine reimbursement levels.

Without specific information the most common code usage for an endosteal implant would be dental code is D6010 or CPT Medical code 21248

The ADA gives instructions on coding for overdenture. It's not only the overdenture but also each precision attachment that you would code for. Hope that helps! https://www.ada.org/-/media/project/ada-organization/ada/ada-org/files/publications/cdt/cdt_overdenturecodingguidance_naturaltoothborneandimplantborneprostheses_2020nov.pdf

The most appropriate codes for your scenario are as follows: D0220, D0230, D4921

Without specifics(how big is the laceration, was a limited exam performed) the following codes are the most appropriate for the scenario listed above. Dental: D9241, D7530, & D7910

ICD-9-CM code 520.8