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We did an off hours emergency procedure for a patient. Patient broke off large !! section of filling that lodged into gum and bone. Took an hour to remove and then we need to debride the now gum pocket and infection. This was festering for week so acute gingival infection caused by foreign body. We had to use laser to treat and then did sedative restoration where broken. UC has previously denied laser treatment in other cases. How should we code to get reimbursed?

August 11, 2014 by Admin

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  • We did an off hours emergency procedure for a patient. Patient broke off large !! section of filling that lodged into gum and bone. Took an hour to remove and then we need to debride the now gum pocket and infection. This was festering for week so acute gingival infection caused by foreign body. We had to use laser to treat and then did sedative restoration where broken. UC has previously denied laser treatment in other cases. How should we code to get reimbursed?

We did an off hours emergency procedure for a patient. Patient broke off large !! section of filling that lodged into gum and bone. Took an hour to remove and then we need to debride the now gum pocket and infection. This was festering for week so acute gingival infection caused by foreign body. We had to use laser to treat and then did sedative restoration where broken. UC has previously denied laser treatment in other cases. How should we code to get reimbursed?

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Asked on August 11, 2014 7:40 pm
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This procedure should be billed out as follows:
D9440 for the office visit
D7540 for the removal of foreign body (included bone)
D7550 for the debridement of infection to the gum pocket and bone (laser is included in this code)
D2940 for the sedative restoration

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Answered on August 12, 2014 7:40 pm
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