ICD 10 Code: Diagnosis of Restricted Labial Frenulum (Lip Tie) Q38.0 Procedure CPT Code: Labial or Upper Lip Frenulum / Frenotomy: 40806 or 40819 Procedure CPT Code: Lingual or Lower Tongue Frenulum / Frenotomy: 41010
Procedure codes: 1 41010 - Incision of lingual frenum (frenotomy) 2 41115 - Excision of lingual frenum (frenectomy) 3 40806 - Incision of labial frenum (frenotomy) 4 40819 - Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy)
Congenital malformations of lips, not elsewhere classified. Q38.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM Q38.0 became effective on October 1, 2018.
Q38.1 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 Q38.1 became effective on October 1, 2021. This is the American ICD-10-CM version of Q38.1 - other international versions of ICD-10 Q38.1 may differ. dentofacial anomalies ( M26.-)
Q38. 1 - Ankyloglossia | ICD-10-CM.
ICD-10 code Z98. 890 for Other specified postprocedural states is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
818.
624.3 - Hypertrophy of labia | ICD-10-CM.
Z98. 890 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 Z98. 890 became effective on October 1, 2021.
ICD-10 code G89. 29 for Other chronic pain is a medical classification as listed by WHO under the range - Diseases of the nervous system .
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.
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.
Disorder of teeth and supporting structures, unspecified K08. 9 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 K08. 9 became effective on October 1, 2021.
Labial hypertrophy is a condition in which one or both sides of a girl's labia (sometimes called the vaginal lips) are larger than normal. The condition usually affects the inner labia but it can also affect the outer labia, the two large folds of fatty tissue covering the vagina.
N90. 89 - Other specified noninflammatory disorders of vulva and perineum | ICD-10-CM.
According to the Coder's Desk Reference, you should report 56620 when "the physician removes part of the vulva to treat premalignant or malignant lesions."
Ankyloglossia , or tongue-tie, exists when the inferior lingual frenulum attaches to the bottom of the tongue and restricts its movement. This condition can impair the normal mobility of the tongue and interfere with speech or newborn feeding.
Performing a frenotomy under general anesthesia included extra cost that consisted of an anesthesia fee of $500 to $900 and hospital charges ranging from $500 to $8,000.
Ovental and associates (2014) stated that the Food and Drug Administration (FDA) has said that oral preparations containing benzocaine should only be used in infants under strict medical supervision, due to the rare, but potentially fatal, risk of methemoglobinemia. These investigators determined the analgesic effect of topical application of benzocaine prior to lingual frenotomy in infants with symptomatic ankyloglossia. They hypothesized that the duration of crying immediately following frenotomy with topical benzocaine would be shorter than with no benzocaine. This RCT compared the length of crying after lingual frenotomy in term infants who did, or did not, receive topical application of benzocaine to the lingual frenulum prior to the procedure. These researchers recruited 21 infants to this study. Crying time was less than 1 minute in all of the subjects. The average length of crying in the benzocaine group was not significantly different from the length of crying in the control group (21.6 ± 13.6 versus 13.1 ± 4.0 seconds; p = 0.103). The authors concluded that contrary to their hypothesis, infants who were treated with topical benzocaine did not benefit from topical analgesia in terms of crying time. They stated that the use of benzocaine for analgesia prior to lingual frenotomy in term infants should therefore be discouraged.
Policy. Aetna considers lingual or labial frenectomy, frenoto my, or frenuloplasty medically necessary for ankyloglossia when newborn feeding difficulties or childhood articulation problems exist. Aetna considers prophylactic frenectomy, frenotomy or frenuloplasty to promote speech development experimental and investigational because ...
However, in situations where the inferior lingual frenulum significantly impedes tongue excursion, a frenulectomy may be performed in order to free the tongue.
A frenuloplasty can also be used for ankyloglossia. It is not certain whether it gives a better result. Suter and Bornstein (2010) systematically reviewed the diagnostic criteria, indications, and need for treatment of ankyloglossia (tongue-tie), as well as the various treatment options for patients in different age groups. The MEDLINE databases and the Cochrane Library were searched according to well-defined criteria, resulting in 64 included articles. The evidence regarding the classifications of tongue-tie, epidemiologic data, inheritance, breastfeeding problems, impaired tongue mobility, speech disorders, malocclusion, gingival recessions, therapy, and complications due to surgery was analyzed in detail. The authors found that different classifications for ankyloglossia have been proposed but not uniformly accepted. Breastfeeding problems in neonates could be associated with a tongue-tie, but not enough controlled trials have been performed to identify an ideal treatment option. In children and adults with ankyloglossia, limitations in tongue mobility are present, but the individual degree of discomfort, as well as the severity of an associated speech problem, are subjective and difficult to categorize. There is no evidence supporting the development of gingival recessions because of ankyloglossia. Frenotomy, frenectomy, and frenuloplasty are the main surgical treatment options to release/remove an ankyloglossia. Because of the limited evidence available, no specific surgical method can be favored. The authors concluded that the lack of an accepted definition and classification of ankyloglossia makes comparisons between studies almost impossible. Because almost no controlled prospective trials for surgical interventions in patients with tongue-ties are present in the literature, no conclusive suggestions regarding the method of choice can be made. It also remains controversial which tongue-ties need to be surgically removed and which can be left to observation.
It is best to have a frenectomy, if it is indicated, at a younger age rather than waiting since your baby can form habits and compensations which may require your baby to have additional therapy . In some cases, additional therapy is needed to fully rehabilitate the oral-facial structures regardless of the age.
A frenectomy is a procedure that consists of releasing the frenum, a band of fibrous tissue, under the tongue or upper lip to allow for better range of motion. Children may be born with a combination of conditions called a tongue-tie (ankyloglossia) and/or a lip-tie causing restrictions in movement that can cause difficulty with breastfeeding, ...
An assistant and doctor will be present in the room with your baby at all times. Because this is a surgical procedure involving a laser, protective eyewear is required. Your child’s eyes will be covered with a towel during the procedure.