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COMMON ICD-10 DENTAL CODESSERVICE PROVIDERS SHOULD BE AWARE THAT AN ICD-10 CODE IS A DIAGNOSTIC CODE. i.e. A CODE GIVING THE REASON FOR A PROCEDURE; SO THERE MIGHT BEMORE THAN ONE ICD-10 CODE FOR A PARTICULAR PROCEDURE CODE AND THE SERVICE PROVIDER NEEDS TO SELECT WHICHEVER IS THE MOST APPROPRIATE.ICD10 CodeICD-10 DESCRIPTOR FROM WHO (complete)OWN REFERENCE / INTERPRETATION/ CIRCUMSTANCES IN WHICH THESE ICD-10 CODES MAY BE USEDTIP:If you are viewing this electronically, in order to locate any word in the document, click CONTROL-F and type in word you are looking for.K00Disorders of tooth development and eruptionNot a valid code. Heading only.K00.0AnodontiaCongenitally missing teeth - complete or partialK00.1Supernumerary teethMesiodensK00.2Abnormalities of tooth size and formMacr/micro-dontia, dens in dente, cocrescence,fusion, gemination, pegK00.3Mottled teethFluorosisK00.4Disturbances in tooth formationEnamel hypoplasia, dilaceration, TurnerK00.5Hereditary disturbances in tooth structure, not elsewhere classifiedAmylo/dentino-genisis imperfectaK00.6Disturbances in tooth eruptionNatal/neonatal teeth, retained deciduous tooth, premature, lateK00.7Teething syndromeTeethingK00.8Other disorders of tooth developmentColour changes due to blood incompatability, biliary, porphyria, tetyracyclineK00.9Disorders of tooth development, .4K02.8K02.9K03K03.0K03.1Embedded and impacted teethEmbedded teethImpacted teethDental cariesCaries limited to enamelCaries of dentineCaries of cementumArrested dental cariesOdontoclasiaOther dental cariesDental caries, unspecifiedOther diseases of hard tissues of teethExcessive attrition of teethAbrasion of teethNot a valid code. Heading only.Distinguish from impacted toothImpacted tooth (in contact with another tooth)Not a valid code. Heading only.Filling, restoration, amalgam, composite, resin,Filling, restoration, amalgam, composite, resin,Filling, restoration, amalgam, composite, resin, crownFilling, restoration, amalgam, composite, resin, crownInfantile meladontiaNot a valid code. Heading only.
K03.2K03.3K03.4K03.5K03.6K03.7K03.8K03.9Erosion of teethPathological resorption of teethHypercementosisAnkylosis of teethDeposits [accretions] on teethPosteruptive colour change of dental hard tissuesOther specified diseases of hard tissue of teethDiseases of hard tissue or teeth, unspecifiedK04Diseases of the pulp and periapical tissuesPulpitisNecrosis of pulpPulp degenerationAbnormal hard tissue formation in pulpAcute apical periodontitis of pulpal originChronic apical periodontitisPeriapical abscess with sinusPeriapical abscess without sinusRadicular cystOther and unspecified diseases of the pulp and periapical 6.0K06.1K06.2K06.8K06.9K07K07.0Gingivitis and periodontal diseasesAcute gingivitisChronic gingivitisAcute PeriodontitisChronic PeriodontitisPeriodontosisOther periodontal diseasePeriodontal disease, unspecifiedOther disorders of the gingiva and edentulous alveolar ridgesGingival recessionGingival enlargementGingiva and edentulous alveolar ridge lesions associated with traumaOther specified disorders of the gingiva and edentulous alveolar ridgeDisorder of the gingiva and edentulous alveolar ridge, unspecifiedDento-facial anomalies including malocclusionMajor anomalies of jaw sizeVomiting, anorexia, bulhemia, acid, dietPink spotPigmentation, tobacco, betel, plaque, calculus, scaling and polishingMetal, pulpal bleeding, betel, tobaccoSensitive dentineNot a valid code. Heading only.Pulp cap, root canal treatment,sedative dressing, endodontic,obturateGangrene, root canal treatment,sedative dressing, endodontic,obturatePulp stones, sclerosis2ndary dentine - excludes pulp stones(K04.2)Root canal treatment,endodontic,obturate, abcessGranuloma, root canal treatment,endodontic,obturate,abcessRoot canal treatment,endodontic,obturate,abcessRoot canal treatment,endodontic,obturate,abcessApical cyst, enucleate,apicectomy, apicoectomyNot a valid code. Heading only.Gingivitis, bleeding gums, scalingGingivitis, bleeding gums, scaling, ulcerative - excludes Vincent's (A69.10)Gingivitis, bleeding gums, scalingGingivitis, chronic pericoronitis, bleeding gums, scalingJuvenile,gingivitis, bleeding gums, scaling,curettageGingivitis, bleeding gums, scaling,curettageNot a valid code. Heading only.Gingiva, recessionFibromatosisDenture hyperplasia occlusion, toothbrushingGingival cyst, epulis, pyogenic granulomaNot a valid code. Heading only.
K07.1K07.2K07.3K07.4K07.5K07.6K07.8K07.9Anomalies of jaw-cranial base relationshipAnomaliies of dental arch relationshipAnomalies of tooth positionMalocclusion, unspecifiedDento-facial functional abnormalitiesTemporo-mandibular joint disorders (dislocations, clicks, pain)Other dento-facial anomaliesDento-facial anomaly, UnspecifiedK08Other disorders of the teeth and supporting structuresExfoliation of teeth due to systemic disordersLoss of teeth due to extraction, accident or local periodontal diseaseAtrophy of edentulous alveolar ridgeRetained dental rootOther specified disorders of teeth and supporting structuresDisorders of teeth and supporting structures, .9K11K11.0K11.1K11.2K11.3K11.4K11.5K11.6Cysts of oral origin, not elsewhere classifiedDevelopmental odontogenic cystsDevelopmental (non-odontogenic) cysts of oral regionOther cysts of jawsOther cysts of oral region, not elsewhere classifiedCysts of oral region, unspecifiedOther diseases of jawsDevelopmental disorders of jawsGiant cell granuloma, centralInflammatory conditions of jawsAlveolitis of jawsOther specified diseases of jawsDisease of jaws, unspecifiedDiseases of the salivary glandsAtrophy of salivary glandHypertrophy of salivary glandSialoadenitisAbscess of salivary glandFistula of salivary glandSialolithiasisMucocoele of salivary glandAsymetry, pro/retrognathic, Cl 2, Cl 3, osteotomy, orthognathic, orthodonticOverjet, overbite, crossbite,midline deviation, orthodontic, bandingCrowding, rotation, distema, transpositionMouth breathing, abnormal swallowing, habitsDislocation, TMJ, click, painNot a valid code. Heading only.Hypophosphatasia, scurvyDenture, bridge, implant, space maintainergingival mucosal graftRoot restToothache NOSNot a valid code. Heading only.cyst, eruption, gingival, Kerato, dentigerous,lateral periodontalNasopalatine cystAneurysmal bone cystDermoid cystNot a valid code. Heading only.ToriOsteomyelitis, sequestraDry socketNot a valid code. Heading only.Salivary calculus, stone
K11.7K11.8K11.9Disturbances of salivary secretionOther diseases of salivary glandsDisease of salivary gland, unspecifiedXerostoma, dry mouthK12Stomatitis and related lesionsRecurrent oral aphthaeOther forms of stomatitisCellulitis and abscess of mouth. Excludes periapical abscess (K04.6-K04.7)and periodontal abscess (K02.5)Other diseases of the lip and oral mucosaDiseases of lipsCheek and lip bitingLeukoplakia and other disturbances of the oral epitheliumincluding tongueHairy LeukoplakiaGranuloma and granuloma-like lesions of oral mucosaOral submucous fibrosisIrritative hyperplasia of oral mucosaOther and unspecified lesions of oral mucosaNot a valid code. Heading 6K14.8K14.9Diseases of the tongueGlossitisGeographic TongueMedian Rhomboid GlossitisHypertrophy of papillaeAtrophy of papillaePlicated tongueGlossodyniaOther diseases of the tongueDisease of the tongue, unspecifiedZ l examinationother procedures for purposes other than remedying health stateOther specified prophylactic proceduresFitting and adjusting of dental prosthetic deviceFitting and adjusting of dental prosthetic deviceFitting and adjusting of dental orthodontic deviceAttention to surgical dressings or suturesAdjustment and management of other implanted devicesMiculicz'Not a valid code. Heading only.Angular chelitisPyogenic granuomaNot a valid code. Heading only.Ulcer, abscessBlack hairy tongueScrotal, fissured tongueReplace amalgams with composites in absence of clinical need; teeth whiteningFLUORIDE Rx, FISSURE SEALANT, MOUTH GUARD, PROPHYLACTIC ANTIOBAll prosthetic laboratory procedures , Facing replacementDenture repair or adjustmentAll orthodontic laboratory proceduresRemoval of sutures when original surgery not done by person removing.Replacement of implant or implant-supported components, implant maintenence
Z53.2Procedure not carried out because of patient's decision for other and unspecified reasonsFailed or cancelled appouintmentGUIDE TO CODING FOR MISCELLANEOUS PROCEDURESTIP: If you are viewing this electronically, in order to locate any word in the document,clck CONTROL F and type in word you are looking for.COMMON DESCRIPTIONCODEICD-10 DESCPRIPTORAnaesthetic - local - injectionDental examinationSpecific consultationScaling and polishingFluoride treatmentFissure sealantMouth guardCusp oth fracture resulting from injuryS02.51/------Fracture of toothFracture of mandibleS02.6-Fracture of mandibleAvulsion, luxation or extrusion of toothS03.21Dislocation of toothForeign body in alimentary tractForeign body in respiratory tractCrown - newBridge newT18.T17.#K08.1Foreign body in alimentary tractForeign body in respiratory tractDental examinationDeposits [accretions] on teethOther specified prophylactic proceduresOther specified prophylactic proceduresOther specified prophylactic proceduresFracture of toothLoss of teeth due to extraction, accidentNOTESUse the primary code for the procedure being done.Routine check-up (Not for use with specific consultationUse the primary code for the procedure being doneNote that this is a 5 character code. The fifth character : 0 or 1 indicates"open" or "closed" fracture.Also requires secondary code, indicating where, when and how occurred.Primary and secondary codes must be separated by a forward slash.Y34 indicates unspecified event,undetermined event. .9 indicatesunspecified place. .-9 indicates during unspecified activityNote that this is a 5 character code. The fifth character : 0 or 1 indicates"open" or "closed" fracture.Also requires secondary code, indicating where, when and how occurred.Primary and secondary codes must be separated by a forward slash.Example: Tooth farcatured by hocky stick - S02.51W21.30, where W21 indicates"strikinor by sports equipment' .3 indicates venue as "sports or athletics arena and .-0 indicatesduring sports activityNote that this is a 5 character code. The fifth character : 0 or 1 indicates"open" or "closed" fracture.Also requires secondary code, indicating where, when and how occurred.Example: S02.61/V43.42, where V43 indicates car occupant injured in collision with car,pick-up truck or van.4 indicates street and highway.-2 indicates while working for incomPrimary and secondary codes must be separated by a forward slash.Note that this is a 5 character code and requires a secondary externalcause code.Example : S03.21/Y04.28 Use for avulsed tooth from fight at schoolY.04 assault by bodily force; .2 at school; .-8 during unspecified activity.Example 2: SO3.21/W01.99 Avulsed tooth from fall while playing at homeWO1 Fall on same level from tripping, slipping and stumbling.; 0 at home; .-9 during uSee 4 character codes in volume 1or BHF disc for full listSee 4 character codes in volume 1or BHF disc for full listUse code showing reason for crown e.g. prev. caries/endo/fracture
Recementation of crown/bridge,Z46.3Denture - new - full or partialK08.1Denture claspsK08.1Denture easeZ46.3Denture repairZ46.3Facing replacementZ46.3Post extraction/surgery haemmorhageT81.0Reaction to local anaestheticY48.3Fractured endodontics instrumentY61.0Fractured post - removalT88.8/Y88.29Fractured filling in absence of cariesT88.8/Y88.29Implant damage to inf. alveolar nerveT85.8Cut tongue/cheek while operatingY60.-Anaesthesia/numbness of tongue or lipParaesthesia/tingling of tongue or lipBroken/failed appointmentR 20.0R 20.2Z53.2Suture or dressing removal or replacement for another dentistOrthodontic treatmentOrtho device adjustment or repairImplant adjustment managementBruxismT M Joint painSinusitis - acute maxillaryToothache of uncertain originImplantZ48.0Implant - failed,T85.9Graft - failedT85.9#Z46.4Z45.8F45.8M25.58J01.0K08.8K08.1or local periodontal diseaseFitting and adjusting of dental prostheticdeviceFitting and adjusting of dental prostheticdeviceFitting and adjusting of dental prostheticdeviceFitting and adjusting of dental prostheticdeviceFitting and adjusting of dental prostheticdevicedeviceFitting and adjusting of dental prostheticdeviceHaemmorhage and haematoma complicating aprocedure, not elsewhere classifiedComplications of of medical and surgicalcare - Local anaestheticsForeign body accidentally left in bodyduring surgical operationOther specified complications of surgicaland medical care, not elsewhere specifiedOther specified complications of surgicaland medical care, not elsewhere specifiedOther complications of internal prostheticdevicesUnintentional cut,puncture,perforation orhaemorrhage during surgical or medical careAnaestesia of skinParaesthesia of skinProcedure not carried out because of patient'sdecision for other and unspecified reasons.Attention to surgical dressings or suturesMust be preceded by a primary codeMust be preceded by a primary codeRequires secondary code and separated by a forward slashRequires secondary code and separated by a forward slashUse applicable code from category K07Fitting and adjusting of orthodontic deviceAdjustment and management of other implanted devicesOther somatoform disorders. Teeth grindingPain in joint.Head.Acute maxillary sinusitisLoss of teeth due to extraction, accidentor local periodontal diseaseUnspecified complication of internal prostheticdevice, implant and graftUnspecified complication of internal prosthetic
Failed prosthetic deviceT85.9Prophylactic antibiotic therapyFrenectomy of lipZ29.8Q38.0Frenectomy of tongue - ankyloglossisSnoring deviceReplace amalgams with compositesin absence of clinical needTooth whiteningQ38.1R06.5Z41.8Facial injury in overturned carS09.90/V48.5Z41.8device, implant and graftUnspecified complication of internal prostheticdevice, implant and graftOther unspecified prophylactic measuresCongenital malformations of lips, not elsewhereclassifiedAnkyloglossiaMouth breathing . SnoringOther procedures for purposes other thanremedying health state.Other procedures for purposes other thanremedying health state.S09.90 Unspecified injury of head. V48.5 Caroccupant injured in noncollision transport accidentLUXATION OFTOOTH, SWIMMING POOLS03.21/W00.0THUMB SUCKING APPLIANCEF98.8LABORATORY SERVICES-LABORATORY SERVICESZ46.3SEDATIONOther specified behavioral and emotional disorders with onset usually occuring in childhood or adolescenceSEE BELOWFitting and adjustment of dental prosthetic deviceSame code as procedure being doneLABORATORY PROCEDURESThe Council for Medical Schemes issued Circular 29 of 2010 on 22 June 2010,clarifying the requirements for ICD-10 coding of laboratory accounts. To see thefull text of the circular, click on the following link: Circular 29 of 2010:Clarification of ICD-10 coding for dental laboratory and technician claimsIn summary, regardless of the method of submission of a claim, the requirementsare:a. The dentist must enter his or her diagnostic code (e.g. K08.1) on each lab slipsent to the technician.b. The technician must include in his or her account:i. The referral ICD-10 code supplied by the dentist, in the appropriate place(e.g. K08.1).ii. The ICD-10 code (Z46.3 or Z46.4, as appropriate) for each line itemon the lab invoice.c. When the dentist submits a claim on behalf of the technician, the accountmust include:i. The procedure code (e.g. 8231) plus the ICD-10 code (e.g. K08.1) for thedentist’s professional service provided, on each coding line, including the line8099.ii. The appropriate laboratory ICD-10 code (e.g. Z46.3) for each laboratory
on the lab invoice.c. When the dentist submits a claim on behalf of the technician, the accountmust include:i. The procedure code (e.g. 8231) plus the ICD-10 code (e.g. K08.1) for thedentist’s professional service provided, on each coding line, including the line8099.ii. The appropriate laboratory ICD-10 code (e.g. Z46.3) for each laboratoryprocedure code (e.g. 9331) listed beneath 8099b. When a technician submits a claim directly to a patient or medical scheme,the claim must include:i. The referring diagnosis ICD-10 code given by the dentist.ii. The technician’s own ICD-10 code (Z46.3 or Z46.4) per line item.
MIGHT BEPRIATE.SEDpegyracycline
gaterateA69.10)
hodontic
eth whiteningACTIC ANTIOBIOTICving.maintenence
catescurred.sh.catescurred.sh.1 indicates"striking against or struck by sports equipment; .3 indicates at sports or athletics arena and .-0 ondicates during sports activityand .-0 indicatescatescurred.collision with car,working for income.sh.nalctivity.meome; .-9 during unspecified activitye
Arrested dental caries Excessive attrition of teeth Odontoclasia Other dental caries Dental caries, unspecified Abrasion of teeth STANCES IN WHICH THESE ICD-10 CODES MAY BE USED SERVICE PROVIDERS SHOULD BE AWARE THAT AN ICD-10 CODE IS A DIAGNOSTIC CODE. i.e. A CODE GIVING THE REASON FOR A PROCEDURE; SO THERE MIGHT BE
