Hi Briana!

Great question. Typically dental practices performing an evaluation for TMD and OSA will have the documentation to support a level 1 or 2, sometimes a level 3 (i.e. 99201-99203 for new patients, 99211-99213 for established patients).

The level of code should be selected based on three items:
1) the level of history collected from the patient (problem focused, expanded problem focused, detailed, or comprehensive)
2) the level of examination performed (problem focused, expanded problem focused, detailed or comprehensive) **keep in mind a comprehensive oral exam does not qualify on it's own as a comprehensive medical evaluation
3) the level of medical decision made (complexity that is straightforward, low, moderate high)

Of course, the level 4 and 5 codes require detailed or comprehensive history taking and exams, and medical decision making of moderate and high complexity, which is why many dental practices will fall into the level 1-3 visits.

Hope this helps!

Hi Guest!

Great question. Most practices we work with choose to bill follow up TMD appointments using established patient E&M codes (i.e. 99211, 99212, 99213).

TENS does have its own code you can use, although heads up, most medical insurers will not offer coverage for TENS for a diagnosis of TMD as is it currently considered "experimental & investigational" for TMD by many medical insurer. That codes is 64550 - Application of surface (transcutaneous) neurostimulator.

Hope this helps!