Change Request Detail
No.
860
Date
2/26/2004
Submitter
Type of Request
Dental Claim
Status
DSMO Process Completed
Business Reason
Change request #576 for including ICD-9 diagnosis codes in the dental claim for certain procedures was disapproved by the DSMO steering committee with the following language. 

The DSMO recommends the submitter should pursue this action through the Code Revision Committee chaired by the American Dental Association.

Notwithstanding this decision, the requirement for ICD-9 codes for certain pratitioners was added to version 4050 of the 837D implementation guide.
Suggestion
Remove the requirement for ICD-9 codes in a future version of the 837D implementation guide so the Secretary can consider that version of the guide for adoption as a HIPAA transaction.
DSMO Category
D
Recommendation
Disapprove.  The DSMO note that diagnosis codes do not exist for dental codes but the ICD-9-CM diagnosis codes are necessary for reporting certain dental claims, i.e. anesthesia claims.
Appeal Recommendation