PROSTHODONTICS - American College of Prosthodontists

56 Parameters of Care Tupac et alCoding and NomenclatureDiagnostic and procedural codes have been included in the ACP Parameters of Care only for generalguidance. The codes listed may not be all-inclusive or represent the most current or specific choices. Theinclusion of codes is not meant to supplant the use of current coding books or to relieve practitionersof their obligation to remain current in diagnostic and procedural coding. The ACP Committee onParameters of Care and Committee on Nomenclature do not endorse the use of this document as acoding manual.The diagnostic and procedural codes listed throughout this section may not be all-inclusive and shouldserve only as practice guidelines. ICD-9-CM (International Classification of Diseases, Ninth Revision, ClinicalModification) diagnostic codes may change yearly and must be reviewed and updated annually to ensureaccuracy. Specific diagnoses must be obtained from a current, recognized ICD-9-CM code source andsubstantiated by documentation in the dental record. Procedural codes listed throughout this sectionserve as a guide, which may be applicable to the treatment performed or management modality chosen.These may not be the most recent, applicable, or acceptable codes. Some dental/medical insuranceproviders have billing conventions unique to their organizations. It is the provider’s responsibility to beaware of these unique situations.Current Procedural Terminology (CPT), the recognized codes for dental/medical billing, are revisedyearly and must be reviewed and updated annually to ensure accuracy. The recent codes are acceptedby dental/medical insurance providers and should be obtained from the current year’s version of theAmerican Medical Association (AMA) CPT Manual. Current Procedural Terminology C○ 2005 American MedicalAssociation. All rights reserved.Current Dental Terminology (CDT) codes, the recognized codes for dental/medical billing, are revisedevery 3 years (previously every 5 years) and should be reviewed and updated whenever the most recentversion of the American Dental Association (ADA) CDT Manual is published. Current Dental TerminologyC○ 2002, 2004 American Dental Association. All rights reserved.Parameter Guidelines: Sleep DisordersICD-9-CM780.50 Sleep disturbances, unspecifiedA. Indications for care1. Severe snoring (upper airway resistance syndrome [UARS]) without Hypoxia or Apnea2. UASDs3. Airway restriction during sleep4. Psychosocial factors5. Anatomical abnormalities (obesity, tumors, polyps)B. Therapeutic goals1. Improve sleep quality and quantity2. Maintain airway potency during sleep3. Positive psychosocial response4. Reduction/management of UARS and OSAC. Risk factors affecting quality of treatment1. Restricted opening2. Instability of the stomatognathic systema. Temporomandibular jointb. Neuromuscularc. Dentition3. Periodontal disease4. Preexisting systemic diseases5. Patient noncompliance with prescribed treatment6. Parafunctional habits2010 CDEL Re-recognition of the Specialty Report 96 of 279