2025 ICD-10-CM code M27
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Musculoskeletal disorders - Other diseases of jaws Diseases of the musculoskeletal system and connective tissue (M00-M99) Feed
Other diseases of the jaws encompass various abnormalities affecting the upper or lower jaw, resulting from bone or soft tissue disorders.
Modifiers are not applicable to ICD-10 codes. Modifiers are appended to CPT or HCPCS codes.
Medical necessity for treatment of a specific jaw condition under code M27 is established through the presence of symptoms, signs, and imaging findings that confirm the diagnosis, along with a detailed explanation of why the specific treatment plan is medically necessary, taking into account the patient's overall health status and condition.
The clinical responsibility involves diagnosing the specific jaw condition through patient history and imaging, determining appropriate treatment (medications, dental procedures, surgery), and managing the patient's care.
- Diseases of the musculoskeletal system and connective tissue (M00-M99)
- Dentofacial anomalies [including malocclusion] and other disorders of jaw (M26-M27)
In simple words: This code covers problems with the upper or lower jaw, like infections, bone diseases, or other abnormalities in the jawbone or surrounding tissues.A doctor will need to determine the specific problem to give you the right diagnosis and treatment.
ICD-10-CM code M27, "Other diseases of jaws,"encompasses a range of conditions affecting the upper or lower jaw, or both. These may stem from disorders of the jaw's bone or soft tissues.The specific type of jaw disease must be documented.Conditions included can manifest as bone or soft tissue malformations, inflammation, abscesses, or other pathological processes.These can lead to problems like malocclusion, tooth loss, difficulties with chewing or biting, and abnormal jaw alignment. Diagnosis relies on patient history and imaging studies such as dental X-rays, head and skull X-rays, and CT scans. Treatment approaches are varied and can involve antibiotics, anti-inflammatory drugs, analgesics, braces, tooth repair or extraction, and surgery.
Example 1: A patient presents with a persistent jaw infection (abscess) requiring incision and drainage, antibiotic treatment, and possible dental intervention., A patient with a history of radiation therapy to the head and neck develops osteonecrosis of the jaw, requiring surgical debridement and medication management., A patient experiences chronic jaw pain and limited mobility due to temporomandibular joint (TMJ) dysfunction. The provider will conduct a thorough examination, order imaging studies (if necessary) and recommend conservative or surgical treatment depending on findings.This may involve a splint or medication, or potentially a surgical TMJ adjustment.
Detailed patient history documenting the onset, duration, and characteristics of jaw symptoms, findings from physical examination (including palpation and range-of-motion assessment of the jaw), results of imaging studies (X-rays, CT scans), and complete documentation of the treatment plan, including medications administered, surgical procedures performed, and any referral to other specialists.
** This code is broad and encompasses many conditions.Accurate coding requires a precise diagnosis of the specific jaw condition.Always use the most specific code possible within the M27 range.
- Revenue Code: Revenue codes will vary based on the specific services rendered and the payer.
- RVU: RVUs are not directly assigned to ICD-10 codes. Reimbursement is determined by the procedures and services performed, which would be coded using CPT or HCPCS codes, and these would have associated RVUs.
- Global Days: Not applicable to ICD-10 codes. Global surgical days are associated with CPT codes for surgical procedures.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes. Fee schedules are associated with CPT and HCPCS codes.
- Specialties:Oral and Maxillofacial Surgery, Dentistry, Orthodontics
- Place of Service:Office, Hospital (Inpatient or Outpatient), Ambulatory Surgical Center