Other Codes and Modifiers
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      1. DentalWriter Plus+
      2. Medical Billing in Dentistry
      3. Other Codes and Modifiers

      MARPE Coding

      This article will go over the diagnosis and procedure codes to use when billing out for the MARPE procedure.

      MARPE is a procedure commonly done to widen the upper arch to help open the airway, etc.. It can be done on Adults and Children and uses an appliance (expander) that is attached to the roof of the mouth with mini screws. Below you will find the common ICD diagnosis codes and CPT procedure codes to use when billing to medical insurance. 

       

      Diagnosis Codes:

      Anomalies of Jaw Size (Craniofacial Anomalies that Obstruct the Upper Airway)

      M26.01 – Maxillary hyperplasia

      M26.02 – Maxillary hypoplasia

      M26.09 – Other specified anomalies of jaw size

      Anomalies of Jaw-Cranial Base Relationship (Craniofacial Anomalies that Obstruct the Upper Airway)

      M26.11 – Maxillary asymmetry

      M26.12 – Other jaw asymmetry

      M26.19 – Other specified anomalies of jaw-cranial base relationship

      Childhood Articulation Problems

      F80.0 – Phonological disorder

      R47.9 – Unspecified speech disturbances

      F80.9 – Developmental disorder of speech and language, unspecified

      Symptoms

      G50.1– Atypical Facial Pain,

      R51.9– Headache, Unspecified,

      M54.2– Cervicalgia - Neck Pain

      R68.84– Jaw Pain (excludes TM joint pain)

      M79.11– Myalgia of Muscles of Mastication

      M79.12– Myalgia of Auxiliary Muscles of Head & Neck

       

      Sleep

      G47.33 – Obstructive Sleep Apnea (adult)(pediatric)

       

      Procedure codes:

         

       21141-52– Repair, Revision, and/or Reconstruction Procedures on the Head

        Provider moves Maxilla and associated bones forward, repositioning the teeth

         bearing part of the Maxilla. Reconstructs the patient’s facial bones to correct congenital

         or acquired deformities such as long face syndrome, an elongation of the lower face caused

         by childhood mouth breathing.

       

         21142-52 – Repair, Revision, and/or Reconstruction Procedures on the Head

          Provider moves the Maxilla and associated bones, in two segments, repositioning the

          teeth bearing part of the maxilla. Reconstructs the patient’s facial bones to correct congenital

          or acquired deformities.

       

          21089 – Maxillofacial prosthetic procedure, unlisted (appliance)

       

      Note: Always perform a benefits verification to see if these codes are a covered benefit with the patient's plan before beginning treatment. You can also check the medical insurance company's policy to see if it is a medically necessary procedure that may be covered.