Nierman Practice Management (Home) Forums Dental to Medical Billing, Coding & Documentation Diagnosis code for restoration after extraction due to S02.5XXA

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  • #243923
    Jeremy Hobbs
    Keymaster

    Not sure if I should use a different diagnosis code

    #255349
    niermanpm
    Participant

    Hi Lauren Hunte! Great question. Based on what you”re describing, I would consider using the partial loss of teeth due to trauma code for your services since they are now missing, as S02.5XXA/B are for Fracture of tooth (traumatic), initial/subsequent encounter for closed fracture. However, instead of using K08.419 (Partial loss of teeth due to trauma, unspecified class) You may consider a more specific code: K08.411 – Partial loss of teeth due to trauma, class I K08.412 – Partial loss of teeth due to trauma, class II K08.413 – Partial loss of teeth due to trauma, class III K08.414 – Partial loss of teeth due to trauma, class IV And instead of: W10.9XXA – Fall (on) (from) unspecified stairs and steps, initial encounter You may consider either: W10.9XXD – Fall (on) (from) unspecified stairs and steps, subsequent encounter or W10.9XXS – Fall (on) (from) unspecified stairs and steps, sequela Hope this helps!

    #255353
    niermanpm
    Participant

    Hi, We have a patient who had 8 & 9 extracted after a fall (W10.9XXA) should I used diagnosis pointer S02.5XXA(b) for all restorative services related to this injury or switch to K08.419 as the pointer for restoring the implants? FYI The periodontist who extracted the teeth and placed the implants used S02.5XXA for all of his services including subsequent encounters and the claims were (eventually) successful.

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