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
  • (CDC source page)
• 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