ICD-10...Where To Find Help
Resources on ICD-10:
- ADA FAQ About ICD-10-CM
- CDC: ICD-10-CM Tabular List of Diseases and Injuries, 2017 release
- World Health Organization (WHO): ONLINE version of ICD-10
- DentistryIQ: Dental Coding ICD-10...Time to Prepare Your Practice Now
- Dental Products Report: Top 10 Things You Need To Know About ICD-10
- Workgroup for Electronic Data Interchange (WEDI) Training Module for Dental Practitioners
- Maine DHHS ICD-10 Preparation for Dental Providers
- Vermont HHS ICD-10 Dental Diagnosis Codes, Quick Reference
- Dentrix and ICD-10
- OpenDental and ICD-10
- The Coding Institute: 2016 ICD-10 Quick Reference Charts for Dental
- AAO: ICD-10 Codes for Orthodontics
ICD Overview:
- ICD means International Classification of Diseases.
- ICD contains codes for diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases.
- ICD is maintained and updated by the World Health Organization (WHO).
- Affects everyone covered by HIPAA, not just those submitting Medicare or Medicaid claims.
- ICD codes were originally created for purpose of compiling mortality statistics.
Dental Implications:
- Dental CDT codes tell what procedure was done. ICD-10 codes tell why it was done.
- Dental providers will continue to use CDT codes for reporting procedures on dental claims.
- The 2012 ADA Dental Claim Form has four blocks where practitioners can report ICD-10-CM diagnosis codes (see graphic below).
- ICD-10-CM codes can be used on both dental and medical claim forms.
- Most of the ICD-10 codes that apply to dentistry are on Chapter 11, Diseases of the Digestive System (K00-K95).
- More and more states are requiring ICD-10-CM codes on Medicaid claims, and will reject dental claims that don't include the ICD code. The reason for rejection might not be clear that it was because of a missing ICD code. ICD codes are also required by some private third-party payors and ACA plans.
- ICD codes can facilitate claims related to oral-systemic connection.
Where to enter the ICD-10 code on the dental claim form:
Different ICD Code Sets:
- ICD-10-CM
- It is a US national variant of the ICD, developed by CDCP in conjunction with NCHS.
- Intended for clinical and outpatient medical coding and reporting.
- Useful for physicians, dentists, and other health care providers.
- Contains diagnostic codes.
- Used in US since October 1, 2015.
- CM stands for Clinical Modification
- ICD-10-PCS
- It is a US national variant of the ICD, developed by CDCP in conjunction with NCHS.
- It contains procedure codes.
- It is intended for inpatient hospital settings.
More free Dental Practice Management Free goodies:
Dr. O's Dental Consultant Management Downloads
Dr. O's Dental Office Sample Letters
Dr. O's Dental Insurance and Coding Documents
