Indications
This occurs every six month and includes:
Changes to Code D4910
Z01.20ICD-10 Code for Encounter for dental examination and cleaning without abnormal findings- Z01. 20- Codify by AAPC.
Use of ICD-10 codes is supported by the American Dental Association. The ADA now includes both dental- and medical-related ICD-10 codes in its “CDT Code Book.” Dental schools have included the use of ICD-10 codes in their curricula to prepare graduating dentists for their use in practice.
818.
Encounter for surgical aftercare following surgery on the teeth or oral cavity. Z48. 814 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
CDT Codes are a set of medical codes for dental procedures that cover oral health and dentistry. Each procedural code is an alphanumeric code beginning with the letter “D” (the procedure code) and followed by four numbers (the nomenclature). It also includes written descriptions for some of the procedural codes.
K04. 7 - Periapical abscess without sinus. ICD-10-CM.
D7210 – surgical removal of erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated. (The code description also includes the minor smoothing of socket bone and closure.)
Code D2391 (one-surface posterior resin-based composite) explicitly states that it should be “used to restore a carious lesion into the dentin.” The rationale for the requirement that the lesion extends into dentin can be questioned.
ICD-10 code Z51. 11 for Encounter for antineoplastic chemotherapy is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
D2393 Resin-based composite - three surfaces, posterior.
Other specified disorders of teeth and supporting structures The 2022 edition of ICD-10-CM K08. 89 became effective on October 1, 2021.
Include narratives with all full mouth debridement claims! And you will want to indicate that excessive plaque and calculus prevented an oral evaluation. You may even want to include the estimated length of time it has been since the patient has received dental care. For example: “Patient has not seen dentist in 8 years.
Dental insurance benefits really vary with this code. Some insurance plans do not cover a full mouth debridement at all! While others have frequency limitations that range from once in a life-time to once every 3-5 years. But remember, this code will not be used very often. It’s rare that this is the level of care patients need today.
Now we can see this patient for a comprehensive exam. And decide the next course of treatment. The patient may or may not need periodontal treatment. So, don’t make any assumptions. It could be that a prophylaxis is really all this particular patient will need. But you definitely want to schedule a full comprehensive exam next.