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Can you explain how to appropriately use Z01.20 and Z01.21 as a replacement for V72.2. We do general dentistry. We have used V72.2(dental visit) for all of our visits. This code is straight forward if an dental exam and cleaning are being done. But, the confusing part is for different scenarios when a dental exam and cleaning are not being done. For example, patient presents for sealants only, an operative visit only, an extraction visit only, and stainless steel crowns. In all of these examples the patient is coming back to the office for work that is on their treatment plan, but an exam and cleaning are not being done as it says on the diagnosis code. Would Z01.20 & Z01.21 be appropriate to use in these situations? If not what would be an appropriate ICD 10 diagnosis code to use?

October 1, 2015 by Staylor2964

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  • Can you explain how to appropriately use Z01.20 and Z01.21 as a replacement for V72.2. We do general dentistry. We have used V72.2(dental visit) for all of our visits. This code is straight forward if an dental exam and cleaning are being done. But, the confusing part is for different scenarios when a dental exam and cleaning are not being done. For example, patient presents for sealants only, an operative visit only, an extraction visit only, and stainless steel crowns. In all of these examples the patient is coming back to the office for work that is on their treatment plan, but an exam and cleaning are not being done as it says on the diagnosis code. Would Z01.20 & Z01.21 be appropriate to use in these situations? If not what would be an appropriate ICD 10 diagnosis code to use?

Can you explain how to appropriately use Z01.20 and Z01.21 as a replacement for V72.2. We do general dentistry. We have used V72.2(dental visit) for all of our visits. This code is straight forward if an dental exam and cleaning are being done. But, the confusing part is for different scenarios when a dental exam and cleaning are not being done. For example, patient presents for sealants only, an operative visit only, an extraction visit only, and stainless steel crowns. In all of these examples the patient is coming back to the office for work that is on their treatment plan, but an exam and cleaning are not being done as it says on the diagnosis code. Would Z01.20 & Z01.21 be appropriate to use in these situations? If not what would be an appropriate ICD 10 diagnosis code to use?

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Posted by Staylor2964
Asked on October 1, 2015 12:31 pm
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No Z01.20 and Z01.21 are not appropriate for sealants, crowns, post operative visits. You will now code why the patient is there, the cause of the sealant, crown, extraction.
Example patient comes in for surgical extraction due to gross caries. The provider will now need to tell you "why" he is doing the procedure and you will select the appropriate ICD-10-CM code for each of these procedures.

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Answered on October 2, 2015 12:31 pm
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