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extractions due to medical necessity - extraction
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Guest
#1 Posted : Thursday, September 28, 2017 10:00:13 AM(UTC)
Guest

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Hey!
I usually bill medical for sleep but our dental team had a patient who had 21 extractions completed and has medicare. the patient's cardiologist sent over a letter stating extractions were medically necessary.
Cardiologists words were "poor dentition represents a health hazard and therefore treatment of his condition is medically necessary"
I am trying to find the right ICD - 10 code.
Please help
Thanks
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courtneydsnow
#2 Posted : Friday, September 29, 2017 8:02:32 AM(UTC)
courtneydsnow

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Hi Guest!

The diagnosis code(s) will depend on the patient & their condition - basically - what issues with the patient's dentition is the reason the patient receiving these services?

For example, here are some coding options:

• K05.211 - Aggressive periodontitis, localized, slight
• K05.212 - Aggressive periodontitis, localized, moderate
• K05.213 - Aggressive periodontitis, localized, severe
• K05.219 - Aggressive periodontitis, localized, unspecified severity
• K05.221 - Aggressive periodontitis, generalized, slight
• K05.222 - Aggressive periodontitis, generalized, moderate
• K05.223 - Aggressive periodontitis, generalized, severe
• K05.229 - Aggressive periodontitis, generalized, unspecified severity
• K05.311 - Chronic periodontitis, localized, slight
• K05.312 - Chronic periodontitis, localized, moderate
• K05.313 - Chronic periodontitis, localized, severe
• K05.319 - Chronic periodontitis, localized, unspecified severity
• K05.321 - Chronic periodontitis, generalized, slight
• K05.322 - Chronic periodontitis, generalized, moderate
• K05.323 - Chronic periodontitis, generalized, severe
• K05.329 - Chronic periodontitis, generalized, unspecified severity
• K05.10 - Chronic gingivitis, plaque induced
• K05.11 - Chronic gingivitis, non-plaque induced
• K02.3 - Arrested dental caries
• K02.51 - Dental caries on pit and fissure surface limited to enamel
• K02.52 - Dental caries on pit and fissure surface penetrating into dentin
• K02.53 - Dental caries on pit and fissure surface penetrating into pulp
• K02.61 - Dental caries on smooth surface limited to enamel
• K02.62 - Dental caries on smooth surface penetrating into dentin
• K02.63 - Dental caries on smooth surface penetrating into pulp
• K02.7 - Dental root caries
• K02.9 - Dental caries, unspecified



If these above don't fit the bill for you patient, let me know some details on their condition and I am happy to help you with come additional coding options.

Hope this helps!

Edited by user Friday, September 29, 2017 8:04:08 AM(UTC)  | Reason: Not specified
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