FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)
Z97.2 is a billable diagnosis code used to specify a medical diagnosis of presence of dental prosthetic device (complete) (partial). The code Z97.2 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.#N#The ICD-10-CM code Z97.2 might also be used to specify conditions or terms like able to clean own dentures, able to perform mouthcare activities, complete dental peri-implantitis, complete denture with increase in vertical dimension of occlusion, dental peri-implantitis , dental peri-implantitis, etc. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.#N#The code Z97.2 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.
Diagnosis was not present at time of inpatient admission. Documentation insufficient to determine if the condition was present at the time of inpatient admission. Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.
Z97.2 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.
M27.62 is a billable diagnosis code used to specify a medical diagnosis of post-osseointegration biological failure of dental implant. The code M27.62 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)
M27.62 is a billable ICD code used to specify a diagnosis of post-osseointegration biological failure of dental implant. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
Failure of dental implant due to occlusal trauma (caused by poor prosthetic design)
D6081: Scaling and debridement in the presence of inflammation or mucositis of a single implant, including cleaning of the implant surfaces, without flap entry.
This is fairly straight forward and not that different from endodontic access. The main thing to watch out for is implants in less than ideal position. A CBCT would allow you to know if the implant is in the center of the crown or not. Probing and PA could give you a really good idea and is arguably just as good. If it’s an anterior crown and esthetics are very critical then take the CBCT . This method would be more favorable to those that do not do surgical work. We also use it if the implant hasn’t lost any bone or the esthetics of the access are not critical. If you really, really need help you could fabricate an access guide based off of the CBCT . Lee JPD 2016
D6101 – debridement of a peri-implant defect or defects surrounding a single implant, and surface cleaning of the exposed implant surfaces, including flap entry and closure
If an implant is losing bone and was cemented on the first thing that should come to mind is cement sepsis. For years the dental industry has sold dental implant cement that was resin. I think that is the worst choice. It flows like water before set. Resin cement is radiolucent and is very difficult to remove. It is almost like the cement was designed to cause cement sepsis.
D6103 -bone graft for repair of peri-implant defect – does not include flap entry and closure
We can use another set of codes for bone grafting and membrane placement. However, I don’t know the membrane code.
The appropriate 7th character is to be added to each code from block Complications of internal prosth dev/grft (T85). Use the following options for the aplicable episode of care:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code T85.79XA its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.