Hi Guest! No problem. First, only ICD diagnosis codes changed with ICD-10, procedural codes did not change (CPT/HCPCS codes). So, what we are finding is that the code that is most commonly accepted by medical insurers currently for TMD appliances since the S8262 discontinuation (which is the code that was commonly used for TMD appliances for several years, but was discontinued as of June of this year) is D7880. However, some insurers are accepting D7899, or E1399. D7880 – occlusal orthotic device, by report D7899 – unspecified TMD therapy, by report Or, if the medical insurer says they won’t process the “D” codes (most will these days, but you will run into a few that won’t), you can try: E1399 – Durable medical equipment, miscellaneous A narrative report accompanying the claim is recommended since they are all “by report” or “miscellaneous” codes. You can also check the insurers TMD medical policy on their website, and many of them will list accepted codes right in their policies. For example, here is a link to BCBS of MS”s TMD medical policy that lists the currently accepted code as D7880 for TMD appliances in the coding section of the policy: Now, as for the ICD-10 diagnosis codes for temporomandibular disorders, they are as follows: M26.61 – Adhesions and ankylosis of temporomandibular joint M26.62 – Arthralgia of temporomandibular joint M26.63 – Articular disc disorder of temporomandibular joint M26.69 – Other specified disorders of temporomandibular joint Hope this helps, have a great day!
