2025 ICD-10-CM code Z97.2
(Active) Effective Date: N/A Revision Date: N/A Factors influencing health status and contact with health services - Persons with potential health hazards related to family and personal history and certain conditions influencing health status Chapter 21: Factors influencing health status and contact with health services Feed
Presence of a complete or partial dental prosthetic device (dentures).
Modifiers are not applicable to ICD-10 codes like Z97.2. Modifiers are used with procedural codes.
Medical necessity for coding Z97.2 isn't about the denture itself but the relevance of its presence to the patient's encounter.For example, if the patient's chief complaint is denture-related, or if its presence influences the treatment plan, it becomes medically necessary to document.
The clinical responsibility for coding Z97.2 lies with the dentist or healthcare professional documenting the presence of the dental prosthetic.This code is typically used for documentation purposes to provide a complete picture of the patient's health status, potentially impacting treatment planning or other aspects of care.
- Chapter 21: Factors influencing health status and contact with health services
- Z97.2 falls under the broader category of Z codes (Factors influencing health status and contact with health services), specifically within the subcategory of conditions influencing health status (Z77-Z99).
In simple words: This code means the patient has dentures (either full or partial).It's used to note that they have dentures, which might be important information for their healthcare.
This ICD-10-CM code, Z97.2, signifies the presence of a complete or partial dental prosthetic device, such as dentures, in a patient.It's used to document the presence of this device as a factor influencing the patient's health status, and it is not a diagnosis of a disease or injury itself.A corresponding procedure code is required if a procedure related to the dental prosthetic device is performed. This code is included in the broader category of factors influencing health status and should be used when relevant to the patient's encounter with healthcare services.
Example 1: A patient presents for a routine dental checkup. The dentist notes the presence of complete dentures (Z97.2) and documents this as part of the overall assessment. No procedures are performed during this visit., A patient with partial dentures experiences discomfort and seeks evaluation.The dentist assesses the fit and adjusts the dentures (a procedure requiring a separate procedural code) and documents the presence of the partial dentures (Z97.2)., A patient is admitted to the hospital for an unrelated medical condition.During the admission process, the presence of complete dentures is noted (Z97.2) as relevant patient information for overall care, such as managing the dentures while the patient is hospitalized.
Documentation should include a clear statement indicating the presence of the dental prosthetic, specifying whether it is complete or partial. Any clinical notes regarding the device's fit, function, or impact on the patient's health should also be documented.In cases where a procedure is performed, detailed documentation of the procedure is mandatory, with supporting clinical indicators.
** Remember that Z97.2 is only used when documenting the presence of a dental prosthetic and is not a diagnosis.Always code appropriately to reflect the reason for the patient's visit.Using Z97.2 alone is not enough for billing; a procedural code is required if a procedure is performed.
- Payment Status: Active
- Modifier TC rule: Not applicable to this ICD-10 code.
- Specialties:Dentistry, General Practice
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Nursing Facility, Other Place of Service