Encounter for dental examination and cleaning with abnormal findings
ICD-10 Z01.21 is a billable code used to indicate a diagnosis of encounter for dental examination and cleaning with abnormal findings.
Z01.21 is used to indicate an encounter for a dental examination and cleaning where abnormal findings were noted. This code is crucial for capturing preventive care efforts in dentistry, highlighting the importance of regular dental check-ups in identifying potential oral health issues early. Factors influencing health status, such as socioeconomic status, access to dental care, and education about oral hygiene, play a significant role in the frequency and outcomes of dental visits. This code is often used in conjunction with other codes that reflect the specific abnormal findings, such as caries or periodontal disease, emphasizing the need for comprehensive documentation. Preventive care is essential in reducing the incidence of dental diseases, and this encounter serves as a critical point for patient education and intervention. Social determinants of health, including income level, insurance coverage, and community resources, can significantly impact a patient's ability to seek and receive dental care, making this code relevant in assessing population health and access to services.
Documentation should include details of the dental examination, findings, and any recommendations for follow-up care or referrals.
Routine checkups where abnormal findings such as cavities or gingivitis are identified, leading to further treatment.
Consideration of social determinants such as access to dental care and patient education on oral hygiene practices.
Documentation should focus on population-level data, including prevalence of dental issues and access to preventive services.
Epidemiological studies assessing the impact of dental health initiatives in communities.
Tracking health disparities related to dental care access and outcomes.
Used for adult patients receiving a dental cleaning where abnormal findings are noted.
Documentation of the cleaning procedure and any abnormal findings must be included.
Primary care providers should ensure that dental referrals are documented when necessary.
Documentation must include details of the dental examination, any abnormal findings, and recommendations for follow-up care. It is essential to link these findings to the appropriate treatment plan.
