Treating TMJ

by  Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
April 4th, 2017

Temporomandibular Joint (TMJ) Syndrome can include a wide variety of conditions that may be characterized as TMJ.  Also there are a wide variety of methods for treating these conditions. Many of the procedures are excluded from coverage in the Medicare program for services or devices.

There are other services and appliances used to treat TMJ that fall within the Medicare program’s statutory exclusion at 1862(a)(12), which prohibits payment “for services in connection with the care, treatment, filling, removal, or replacement of teeth or structures directly supporting teeth....”

For these reasons, a diagnosis of TMJ on a claim is insufficient.  The actual condition or symptom 
must be determined to be considered medically necessary.

References:

Treating TMJ. (2017, April 4). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/treating-tmj-31531.html

© InnoviHealth Systems Inc

Article Tags  (click on a tag to see related articles)


Publish this Article on your Website, Blog or Newsletter

This article is available for publishing on websites, blogs, and newsletters. The article must be published in its entirety - all links must be active. If you would like to publish this article, please contact us and let us know where you will be publishing it. The easiest way to get the text of the article is to highlight and copy. Or use your browser's "View Source" option to capture the HTML formatted code.

If you would like a specific article written on a medical coding and billing topic, please Contact Us.


contact

innoviHealth Systems, Inc.
62 East 300 North
Spanish Fork, UT 84660
Phone: 801-770-4203 (9-5 Mountain)
Email:
free demo
request yours today
pricing
for any budget
sign IN
welcome back!

Thank you for choosing Find-A-Code, please Sign In to remove ads.