DentalWriter Forum

Your central resource for DentalWriter posts, blogs, training resources, faq's, and more.

Notification

Icon
Error

Guest
#1 Posted : Thursday, May 19, 2022 5:04:57 PM(UTC)
Guest

Rank: Guest

Joined: 9/8/2012(UTC)
Posts: 54,136

Was thanked: 16 time(s) in 15 post(s)
Diagnosis code for a sinus lift with implant placed how would you define minimal or moderate? does it determine on vertical
D7952 for sinus lift -is there a modifier

Thank you
courtneydsnow
#2 Posted : Tuesday, May 24, 2022 9:08:44 AM(UTC)
courtneydsnow

Rank: Administration

Joined: 11/21/2012(UTC)
Posts: 1,611

Thanks: 37 times
Was thanked: 46 time(s) in 46 post(s)
Hi Guest!

Yes minimal, moderate & severe atrophy is selected based on bone height.
As for a modifier for sinus lift, if bone substitue is used, modifier 52 for reduced services if CPT code 21210 (Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)) is being used.

Hope this helps!
Guest
#3 Posted : Friday, January 13, 2023 10:28:01 AM(UTC)
Guest

Rank: Guest

Joined: 9/8/2012(UTC)
Posts: 54,136

Was thanked: 16 time(s) in 15 post(s)
What is the Diagnosis Code for Sinus Augmentation (lift) for dental implant?
courtneydsnow
#4 Posted : Friday, March 17, 2023 4:32:53 PM(UTC)
courtneydsnow

Rank: Administration

Joined: 11/21/2012(UTC)
Posts: 1,611

Thanks: 37 times
Was thanked: 46 time(s) in 46 post(s)
Hi Guest!

The most common diagnosis codes we see used for sinus lifts are:

K08.24 - Minimal atrophy of maxilla
K08.25 - Moderate atrophy of the maxilla
K08.26 - Severe atrophy of the maxilla


Hope this helps!
Guest
#5 Posted : Thursday, July 6, 2023 6:32:08 AM(UTC)
Guest

Rank: Guest

Joined: 9/8/2012(UTC)
Posts: 54,136

Was thanked: 16 time(s) in 15 post(s)
Hello,
Having an issue with insurance company as I had a Sinus Augmentation w/bone in preparation for a tooth implant. Dental is denying stating it should be filed under medical. What is the Medical CPT code for a Sinus Augmentation with bone? The insurance is asking for the diagnosis code which is dental to be billed using a CPT medial code. Thank you for your response.
Guest
#6 Posted : Friday, September 8, 2023 12:49:37 PM(UTC)
Guest

Rank: Guest

Joined: 9/8/2012(UTC)
Posts: 54,136

Was thanked: 16 time(s) in 15 post(s)
My dental insurance denied my sinus augmentations/bone graft saying it should be billed by medical
The medical denied say code 21210 modifier 52 is not a billable code for b/c b/s of nc.
What code should a dental provider use when billing for this sinus lift?
Forum Jump  
You cannot post new topics in this forum.
You cannot reply to topics in this forum.
You cannot delete your posts in this forum.
You cannot edit your posts in this forum.
You cannot create polls in this forum.
You cannot vote in polls in this forum.