How to Code for Dental Cavity – A Condition That May Damage the Tooth
Also called tooth decay or dental caries, dental cavity refers to a hole that forms in the tooth, causing damage to the tooth’s hard outer layer (enamel).
Regarded as one of the common dental problems among children, teenagers and older adults, dental cavity refers to a hole that forms in the tooth. Cavities form when acids in the mouth wear down or erode causing severe damage to the tooth’s hard outer layer (enamel).Also called tooth decay or dental caries, the condition is caused by a combination of factors including bacteria in the mouth; improper cleaning of the teeth, frequent snacking and sipping of sugary drinks. If left untreated, the condition can cause the cavities to get larger and affect deeper layers of the teeth. Dental claim submission is a complex process; dentists can rely upon dental billing services to submit claims on time with accurate ICD-10 and CDT codes.
Reports suggest that dental cavities are one of the most common, chronic diseases that affect people of all age groups. It is estimated that more than 80 percent of Americans have at least one cavity by the time they reach their mid-30s. Usually, the condition does not cause pain or symptoms. In fact, a person is more likely to experience symptoms as the tooth decay progresses into the dentin and root. Common symptoms of cavities include – bad breath or a bad taste in the mouth, toothache or pain, tooth sensitivity, redness around or inside the mouth, bleeding gums and facial swelling. Treatment for this condition depends on the severity of tooth decay and normally includes – dental fillings (also called restorations), tooth extraction, root canals, crowns and fluoride treatments. Regular dental visits and developing good brushing and flossing habits can help protect against cavities and tooth decay.
Medical Codes for Dental Cavity
ICD-10 Codes
• K02 Dental caries
• K02.3 Arrested dental caries
• K02.5 Dental caries on pit and fissure surface
• K02.51 Dental caries on pit and fissure surface, limited to enamel
• K02.52 Dental caries on pit and fissure surface, penetrating into dentin
• K02.53 Dental caries on pit and fissure surface, penetrating into pulp
• K02.6 Dental caries on smooth surface
• K02.61 Dental caries on smooth surface, limited to enamel
• K02.62 Dental caries on smooth surface, penetrating into dentin
• K02.63 Dental caries on smooth surface, penetrating into pulp
• K02.7 Dental root caries
• K02.9 Dental caries, unspecified
CDT Codes
• D1206 topical application of fluoride varnish
• D1208 topical application of fluoride – excluding varnish
• D1351 sealant – per tooth
• D1353 sealant repair – per tooth
• D1352 preventive resin restoration in a moderate to high caries risk patient – permanent tooth
• D1354 interim caries arresting medicament application – per tooth
• D1355 caries preventive medicament application – per tooth
Medical billing, coding and claim submission for dental conditions can be challenging. In fact, a simple error may result in delay in claim processing or even claim denials. For accurate claim submission and a smooth dental billing process, the best option would be to join hands with a professional dental billing company. An experienced billing firm would provide comprehensive support including coding, billing and more with the support from experts.(800) 670 2809
