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Home/Diagnosis/ICD-10 Coding for Temporomandibular Joint Syndrome

ICD-10 Coding for Temporomandibular Joint Syndrome

M26.61
M26.62
M26.64

Complete ICD-10-CM coding and documentation guide for icd-10 coding for temporomandibular joint syndrome includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
TMJ Syndrome
Temporomandibular Disorder
TMD
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Key Information: ICD-10 Coding for Temporomandibular Joint Syndrome

Essential facts and insights about ICD-10 Coding for Temporomandibular Joint Syndrome

Use ICD-10 code M26.61 for internal derangement of temporomandibular joint, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Internal derangement of temporomandibular joint

Non-Billable
M26.61
Non-Billable

Diagnostic Criteria

  • • Presence of joint noise and limited movement

Applicable To

  • • Disc displacement with reduction

Important Notes

  • • Ensure imaging supports the diagnosis of internal derangement.

Disc displacement without reduction

Non-Billable
M26.62
Non-Billable

Diagnostic Criteria

  • • MRI confirming non-reducing disc displacement
  • • Clinical signs of jaw locking

Applicable To

  • • Locked jaw

Important Notes

  • • Document MRI findings clearly to support diagnosis.

Myofascial pain

Non-Billable
M26.64
Non-Billable

Diagnostic Criteria

  • • Presence of trigger points
  • • Pain reproducible on palpation

Applicable To

  • • Pain in masseter or temporalis muscles

Important Notes

  • • Ensure documentation of trigger points and pain characteristics.
Ancillary Codes

Additional codes that may be used with this diagnosis

M25.521

Pain in joint

Use to specify pain if not inherent to the disorder.

K08.89

Other specified disorders of teeth and supporting structures

Use if dental issues contribute to TMJ disorder.

F45.8

Other somatoform disorders

Use if psychological factors contribute to TMJ disorder.

Frequently Asked Questions

What is the ICD-10 code for TMJ syndrome?

The ICD-10 code for TMJ syndrome includes M26.61 for internal derangement and M26.62 for disc displacement without reduction.

How is TMJ syndrome documented?

TMJ syndrome documentation should include specific details about pain, imaging findings, and any contributing factors like bruxism.

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