Encounter for prophylactic fluoride administration. Z29.3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM Z29.3 became effective on October 1, 2018.
Valid for Submission Z29.3 is a billable diagnosis code used to specify a medical diagnosis of encounter for prophylactic fluoride administration. The code Z29.3 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
Bill on a professional claim (CMS-1500 or electronic equivalent) using the CDT procedure code (D1206-Topical Fluoride Varnish) and ICD-9 diagnosis code V07.31 (Prophylactic Fluoride Administration). As of January, 2015, you may bill the CDT code 99188 for fluoride varnish in a medical home.
Medicaments applied do not include topical fluorides. Examples include SDF, silver mitrate (SN), thymol-chlorhexidine varnish, and topical povidone iodine (PVP-1)
Fluoride Codes D1208 and D1206.
ICD-10 Code for Encounter for prophylactic fluoride administration- Z29.
Application of fluoride varnish by a primary care provider (PCP) during an EPSDT visit must be billed using CPT code 99188 and ICD-10 code Z41. 8.
Encounter for other prophylactic measures "Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
99188When submitting claims for payment, CPT code 99188 is used to report the application of topical fluoride varnish by a physician or other qualified health professional.
Fluoride varnish helps prevent decay and is recommended by the U.S. Preventive Task Force and the American Academy of Pediatrics for privately insured children. Coverage with no cost-share for families is mandatory under the Affordable Care Act.
Child and Teen Checkups (C&TC) requirements Fluoride varnish application is now required at all C&TC visits, starting at the eruption of the first tooth or no later than 12 months of age, and continuing through 5 years of age. This can be done as often as 4 times per year in the clinic setting.
D1354 interim caries arresting medicament application – per tooth. Conservative treatment of an active, non-symptomatic carious lesion by topical application of a caries arresting or inhibiting medicament and without mechanical removal of sound tooth structure.
ICD-10 Code for Encounter for prophylactic measures, unspecified- Z29. 9- Codify by AAPC.
Code Z23, which is used to identify encounters for inoculations and vaccinations, indicates that a patient is being seen to receive a prophylactic inoculation against a disease. If the immunization is given during a routine preventive health care examination, Code Z23 would be a secondary code.
Acute embolism and thrombosis of unspecified deep veins of unspecified lower extremity. I82. 409 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM I82.
Z29.3 is a billable diagnosis code used to specify a medical diagnosis of encounter for prophylactic fluoride administration. The code Z29.3 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.#N#The code Z29.3 describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.
Z29.3 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.