New Dental Implants with Built-in Reservoir Fights against Infection

by | Last updated May 24, 2023 | Published on Feb 3, 2017 | Specialty Billing

Dental Implants
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Dental implants serve as the best possible replacement option for missing teeth. However, mouth infections are often cited as the main reason why dental implants fail. Micro-organisms such as bacterial and fungal pathogens inside the mouth can quickly form biofilms in traditional dental implants. These biofilms are hard to treat and are extremely resistant to antimicrobial drugs like antibiotics.

A team of researchers at KU Leuven (University of Leuven, Belgium) has developed a dental implant that gradually releases drugs from a built-in reservoir underneath the crown of the tooth. This helps prevent and fight infections.
This particular implant is made of a porous composite material, so that the drugs gradually diffuse from the reservoir to the outside of the implant, which is in direct contact with the bone cells.

The implant that was filled with an antimicrobial mouthwash known as chlorhexidine has undergone several lab tests. It was found that the implant is effective in terms of both preventing and curing infections, as:

  • Streptococcus mutans, a type of mouth bacteria that affect the teeth, can no longer form biofilms on the outside of the implant when the reservoir is filled with the mouthwash, and
  • Biofilms that were grown beforehand on the implant could also be eliminated.

Dental Implant Medical Coding

While few dental policies classify an implant as a cosmetic procedure, some dental plans cover surgical and restorative aspects of dental implants. Comprehensive dental insurance verification and accurate claim submission are crucial for dental practices to minimize claim denials. Dental offices should include the right CDT codes and dental ICD-10 diagnostic codes when submitting claims to maximize their reimbursement.

The entry of diagnosis codes on the medical claim is as important as the procedure coding (CPT codes). While the ICD diagnostic codes show the condition, disease, or symptoms, CPT procedure codes specify the services you offered.

ICD 10 codes

  • M27.61 – Osseointegration failure of dental implant
  • M27.62 – Post-osseointegration biological failure of dental implant
  • M27.63 – Post-osseointegration mechanical failure of dental implant
  • M27.69 – Other endosseous dental implant failure
  • T85.79XA – Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, initial encounter
  • T85.738A – Infection and inflammatory reaction due to other nervous system device, implant or graft, initial encounter

CPT Code

D6010 – surgical placement of implant body: endosteal implant

The D6010 code is to be used for full-size implants only, while mini implants should be reported with code D6013.

D6010 can be cross-coded to:

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

Experienced professionals in a reliable medical billing company will ensure claim submission with the latest dental codes, and speed up and improve the verification process.

Meghann Drella

Meghann Drella possesses a profound understanding of ICD-10-CM and CPT requirements and procedures, actively participating in continuing education to stay abreast of any industry changes.

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