AHA Coding Clinic® for ICD-9 - 2007 Issue 4; VOLUMES 1 AND 2 NEW/REVISED CODES
Aseptic Necrosis of Jaw
Effective October 1, 2007, code 733.45, Aseptic necrosis of bone, Jaw, has been created. Aseptic necrosis of the jaw involves severe loss or destruction of the jawbone. This condition is usually associated with the use of biphosphonate medication for treatment of osteoporosis and cancer but can be related to dental pathology, tooth extraction, and trauma. Etiology may even be unknown. There is a higher occurrence in the mandible than the maxilla. Symptoms include pain, swelling and infection of the gum and jaw, loose teeth, numbness of the jaw, drainage and exposed bone. In extremely severe instances, there is...
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Article Overview
This article covers the addition of a jaw-specific diagnosis code for aseptic necrosis, along with brief clinical context and related coding references for drug-associated cases. It is relevant to inpatient and outpatient coders, coding educators, and compliance staff who work with bone disorders, medication-related adverse effects, and ICD diagnosis coding updates.
Why This Topic Matters
The article highlights a new jaw-related diagnosis category and notes related coding linkage for cases involving medication exposure, which can affect accurate diagnosis reporting and claim completeness.
What You Will Learn
- How the jaw-specific diagnosis code fits within the broader bone disorder category
- What general clinical situations are associated with aseptic necrosis of the jaw
- What related diagnosis coding references are mentioned for drug-related cases
- Why the article points readers to additional guidance on medication adverse effects
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation specialists
- Coding educators
- Revenue cycle staff
Codes Discussed
Code Ranges Discussed
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