Jaw/Teeth¶

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The Teeth

Baby Tooth (Teeth)

Chipped Tooth

Inlays

Occlusal Splint

Orthodontic Appliances (i.e. arch bars, orthodontic wiring, periodontal splints, and occlusal splint)

Orthopantogram

Temporary Crowns/Permanent Crowns

TMJ (Temporomandibular Joint Syndrome)

TMJ Arthroscopy
Orthodontic Appliance
Physical Therapy
TMJ Permanent Rating

Medical Codes and Descriptions

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Medical Tips

Baby Tooth (Teeth) { #TMJ(Temporomandibular_Joint_Syndro_1 }¶

· Humans develop two sets of teeth during their lifetime: deciduous teeth and permanent teeth

· Deciduous teeth are the first set of teeth to develop and are commonly referred to as baby teeth

· To locate via freeform search use the keyword ‘baby teeth’ or ‘deciduous teeth’

· To locate on the Medical Model, click on the mouth and then select Teeth injuries

· The correct selection would be the codes described as ‘Loss of deciduous tooth’

· The root code is 525.1.2

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Chipped Tooth¶

In the system a chipped tooth is considered a broken tooth. Broken tooth can be located under the root code of 873.63

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Inlays¶

An inlay resembles a filling in that it fills space. An inlay is shaped outside of the patient's mouth and then cemented into place. Inlays are conservative alternative to crowns.

Inlay codes are listed under the root code 23.3
Freeform search on keyword 'inlay' as a treatment

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Occlusal Splint¶

· An Occlusal splint or guard is commonly associated with sleep bruxism (teeth grinding or clenching during sleep); it is also used to manage temporomandibular joint conditions

· The code in the system is ’24.7 Application of orthodontic appliance’

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Orthodontic Appliances¶

· The code in the system is ’24.7 Application of orthodontic appliance’

· This code covers application, insertion or fitting of orthodontic appliances such as arch bars, orthodontic wiring, occlusal splint and periodontal splints

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Orthopantogram¶

Entered in the system using ’87.11 Full mouth x-ray of teeth’

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TMJ (Temporomandibular Joint Syndrome) { #TMJ(Temporomandibular_Joint_1 }¶

TMJ is categorized as a ‘complication’ in the system. The medical code is 524.60.
TMJ Arthroscopy medical code is '80.29.B - Arthroscopy - temporomandibular joint'. If a claimant has a ‘bilateral TMJ arthroscopy’ , then enter the code twice. Note: A Warning (in red text) will display in the Medical List on the Medical Details panel since the code has been added more than once. Select “Yes” on the pop-up message, which displays as you navigate away from Medical Details, and this allows the code to display twice in the Medical List and be included in the assessment
Treatment utilizing an oral appliance/guard is classified in the system as an ‘orthodontic appliance’. The medical code and description is: '24.7- Application of orthodontic appliance' , this includes the use of wiring and splints.
The physical therapy code for TMJ is 93.39.1G

5. TMJ permanent condition rating is located on the ‘Prognoses Panel’ under body part 'digestive '

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Temporary Crowns/Permanent Crowns¶

The application of a crown is done in two stages. In the first stage, the tooth is properly prepared, a mold of the tooth is made and then a temporary crown is applied. A permanent crown is constructed from the mold, which typically takes about two weeks. In the second stage, the temporary crown is removed and the permanent crown is cemented into place

The treatment code in the system described as 'Application of crown' covers both states; there is no separate code required for the placement of a temporary crown

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