CPT^® 21215, Under Repair, Revision, and/or Reconstruction Procedures on the Head

The Current Procedural Terminology (CPT^®) code 21215 as maintained by American Medical Association, is a medical procedural code under the range - Repair, Revision, and/or Reconstruction Procedures on the Head.

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Summary

The provider applies bone graft material to the mandible, or lower jaw, to repair deformity of the mandible due to fracture, injury, tumor resection, or congenital defect, such as a thin mandible, to restore functional ability and cosmetic appearance.

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mandible lesion excision with excision and nitrogen in tumor cavity.

I agree with your coding selection of 21046 for excision of the lesion and 21215 for bone graft. It looks like the liquid nitrogen was used for destruction on the same lesion, so you would only bill ... [ Read More ]

mandible lesion excision with excision and nitrogen in tumor cavity.

Hoping for a little clarification. Provider does a benign lesion excision of mandible with bone graft and liquid nitrogen was placed in the tumor cavity, times 3 for less than 1 min each. Prior auth... [ Read More ]

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[b]An Exercise In Coding This Patient's Claim - Please Guide Me?[/b] So: Insurance plans have indicated that reconstructive procedures are considered medically necessary when both SKELETAL DEFORMIT... [ Read More ]

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Bone Graft

Can someone tell me how to bill for a bone graft to reconstruct mandible surgery code on bill reads 21215 but we also have rev code 278 (implant) with L 8699 which Anthem of Va is rejecting. Should I... [ Read More ]

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