Dental Implants

Bone grafting CPT codes

21210 - Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)

21215 - Graft, bone; mandible (includes obtaining graft)

**use modifier -52 for reduced services when bone is not obtained from patient

So, for the bone graft codes 21210 & 21215, if bone was not harvested from the patient, you'll want to use modifier 52 for reduced services.
Also for 21210 & 21215, if they were performed on the same date of service, you'll want to add modifier 51 on the lower priced of the two, to indicate multiple surgeries/procedure on the same date of service.

Also, if 99203 is billed on the same date as the 21210 & 21215, you'll want to add modifier 25 to indicate it is a separately identifiable E&M service performed on the same date as the procedure(s).

Implant CPT Codes

21248 - Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial(3or less)
21249 - Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete (4 or more)

 
 

ICD Code for 21210, 21215, 21248, 21249

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

K08.21 - Minimal atrophy of the mandible
K08.22 - Moderate atrophy of the mandible
K08.23 - Severe atrophy of the mandible

K08.3 - Retained dental root

K12.2 - Cellulitis and abscess of mouth

G89.1 - Acute pain, not elsewhere classified.

Partial loss of teeth, due to trauma:
o K08.411 - Partial loss of teeth due to trauma, class I
o K08.412 - Partial loss of teeth due to trauma, class II
o K08.413 - Partial loss of teeth due to trauma, class III
o K08.414 - Partial loss of teeth due to trauma, class IV
o K08.419 - Partial loss of teeth due to trauma, unspecified class

Partial loss of teeth, due to periodontal diseases:
o K08.421 - Partial loss of teeth due to periodontal diseases, class I
o K08.422 - Partial loss of teeth due to periodontal diseases, class II
o K08.423 - Partial loss of teeth due to periodontal diseases, class III
o K08.424 - Partial loss of teeth due to periodontal diseases, class IV
o K08.429 - Partial loss of teeth due to periodontal diseases, unspecified class

Partial loss of teeth, due to caries:
o K08.431 - Partial loss of teeth due to caries, class I
o K08.432 - Partial loss of teeth due to caries, class II
o K08.433 - Partial loss of teeth due to caries, class III
o K08.434 - Partial loss of teeth due to caries, class IV
o K08.439 - Partial loss of teeth due to caries, unspecified class

Partial loss of teeth, due to other specified cause:
o K08.491 - Partial loss of teeth due to other specified cause, class I
o K08.492 - Partial loss of teeth due to other specified cause, class II
o K08.493 - Partial loss of teeth due to other specified cause, class III
o K08.494 - Partial loss of teeth due to other specified cause, class IV
o K08.499 - Partial loss of teeth due to other specified cause, unspecified class

Partial loss of teeth, unspecified cause:
o K08.401 - Partial loss of teeth, unspecified cause, class I
o K08.402 - Partial loss of teeth, unspecified cause, class II
o K08.403 - Partial loss of teeth, unspecified cause, class III
o K08.404 - Partial loss of teeth, unspecified cause, class IV
o K08.409 - Partial loss of teeth, unspecified cause, unspecified class


Classification System for Partial Edentulism

K05.211 - Aggressive periodontitis, localized, slight
K05.212 - Aggressive periodontitis, localized, moderate
K05.213 - Aggressive periodontitis, localized, severe
K05.219 - Aggressive periodontitis, localized, unspecified severity
K05.221 - Aggressive periodontitis, generalized, slight
K05.222 - Aggressive periodontitis, generalized, moderate
K05.223 - Aggressive periodontitis, generalized, severe
K05.229 - Aggressive periodontitis, generalized, unspecified severity

ICD 10 code for failed dental implant

55M27.61 - Osseointegration failure of dental implant

M27.62 - Post-osseointegration biological failure of dental implant

M27.63 - -Post-osseointegration mechanical failure of dental implant