TMJ Dysfunction Therapies - CDT Code Guide
Overview
CDT Code D9130 pertains to non-invasive physical therapies aimed at alleviating temporomandibular joint (TMJ) dysfunction. This condition often results in muscle spasms, inflammation, or pain, affecting a patient's ability to move their jaw freely. The therapies under this code include massage, diathermy, ultrasound, or cold application, all designed to improve joint function and relieve discomfort. Typically, these treatments are administered in a dental or physical therapy setting and are reported on a per-session basis. Dental professionals often encounter TMJ dysfunction in patients experiencing jaw pain or restricted movement, making these therapies a critical component of comprehensive care.
When to Use This Code
- Patients presenting with TMJ pain and limited jaw movement
- Cases of muscle spasms associated with TMJ dysfunction
- Inflammation in the temporomandibular joint area
- Post-operative care following TMJ surgery
- Patients with chronic TMJ disorders requiring ongoing therapy
Documentation Requirements
- Detailed patient history and diagnosis of TMJ dysfunction
- Description of the specific therapy provided during the session
- Duration and frequency of therapy sessions
- Patient's response to the treatment
- Clinical notes supporting the necessity of the therapy
- Any relevant imaging or diagnostic test results
Billing Considerations
When billing for D9130, it's important to note that this code is reported on a per-session basis. Frequency limitations may apply depending on the patient's insurance plan. Common modifiers may include those indicating the specific location of treatment or bilateral procedures. Insurance coverage for TMJ therapies can vary, so verifying benefits and obtaining prior authorization when necessary is recommended.
Related CDT Codes
Frequently Asked Questions
D9130 includes non-invasive therapies such as massage, diathermy, ultrasound, and cold application aimed at relieving TMJ dysfunction symptoms.
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