Rank: Member
Joined: 10/16/2013(UTC)
Posts: 20
|
We performed a Frenulectomy on a patient which was causing gingival recession. I submitted to her medical insurance as procedure code 40819 and diagnosis code K06.0. However, the claim was returned as "the claim is being disallowed because the diagnosis code requires a fourth or fifth digit to provide appropriate specificity". Wondering what other code I should be using for gingival recession?
Thanks!
|
|
|
|
|
|
Rank: Administration
Joined: 11/21/2012(UTC)
Posts: 1,611
Thanks: 37 times
Was thanked: 46 time(s) in 46 post(s)
|
Hi jbublik!
Here they are below!
K06.010 - Localized gingival recession, unspecified
K06.011 - Localized gingival recession, minimal
K06.012 - Localized gingival recession, moderate
K06.013 - Localized gingival recession, severe
K06.020 - Generalized gingival recession, unspecified
K06.021 - Generalized gingival recession, minimal
K06.022 - Generalized gingival recession, moderate
K06.023 - Generalized gingival recession, severe
Also, diagnosis coding options for frenum issues:
Q38.1 - Ankyloglossia
Q38.0 - Congenital malformations of lips, not elsewhere classified
Hope this helps!
|
|
|
|
|
|
Forum Jump
You cannot post new topics in this forum.
You cannot reply to topics in this forum.
You cannot delete your posts in this forum.
You cannot edit your posts in this forum.
You cannot create polls in this forum.
You cannot vote in polls in this forum.