• This topic is empty.
Viewing 3 posts - 1 through 3 (of 3 total)
  • Author
    Posts
  • #244239
    Jeremy Hobbs
    Keymaster

    Frenulectomy Diagnosis

    #256149
    niermanpm
    Participant

    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!

    #256150
    niermanpm
    Participant

    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!

Viewing 3 posts - 1 through 3 (of 3 total)
  • You must be logged in to reply to this topic.