Oral Pathology

Step 1:  Request Free Biopsy Kit

• Click “Request Free Biopsy Kit” button
• Once at Oral Medicine & Pathology Center home page, click “Click Here to…” button on top right
• Fill out form
• For new clients, you will be called to confirm account / mailing information
• Biopsy supplies, instructions, envelopes, and pre-paid USPS forms will be mailed to you

Step 2:  Biopsy Submission

• Use Requisition Form provided to you
• Add “CBCT sent to Capture 3DR” (ensures expedited collaboration)
• Patient pays via credit card information put on form signed by patient

Step 3:  Package and Mail Biopsy Specimen

• Label and tightly seal container
• Attach pre-paid USPS form to envelope and send off!

Step 4:  Receive Oral Pathology Report

• Sent to you via secure portal within 72 hours of receipt of biopsy

What does “ICD-10-CM” mean?

• It stands for the World Health Organization’s International Statistical Classification of Diseases, Injuries and Cause of Death (ICD), 10th revision (10), with Clinical Modification (CM)

Why does it matter?

• Federal and state laws mandate biopsies & medical/dental insurance claims cannot be processed without them

How do I use them?

• Pathology Report will come back with these listed indicating the specific diagnosis – if insurance reimbursement is sought out after-the-fact by the patient, these codes are used

ICD-10 Codes are listed below in the following format:

ICD-10 Code – Diagnosis – Qualifier

• K12.2 – Abscess – Oral
• M27.2 – Abscess – Jaw
• L02.01 – Abscess – Skin / Neck
• L81.8 – Amalgam Tattoo
• D16.5 – Ameloblastoma – Mandible
• D16.4 – Ameloblastoma – Maxilla / Skull
• M27.49 – Aneurysmal Bone Cyst (Traumatic, Hemorrhagic)
• D10.0 – Benign Neoplasm – Lip
• D10.1 – Benign Neoplasm – Tongue
• D11.0 – Benign Neoplasm – Parotid
• D11.7 – Benign Neoplasm – Other Major Salivary Gland
• D11.9 – Benign Neoplasm – Major Salivary Gland, Unspecified
• D10.2 – Benign Neoplasm – Floor of Mouth
• D10.30 – Benign Neoplasm – Unspecified Mouth
• D10.39 – Benign Neoplasm – Other Parts of Mouth
• D10.4 – Benign Neoplasm – Tonsil
• D14.0 – Benign Neoplasm – Middle Ear and Nasal Sinus
• M27.9 – Bone Marrow Defect – Hematopoietic
• M27.8 – Bone Marrow Defect – Osteoporotic
• I77.9 – Caliber Persistent Artery
• B37.9 – Candidiasis
• M27.1 – Central Giant Cell Granuloma (CGCG)
• M27.40 – Cyst of Undetermined Origin
• M27.49 – Cysts, Bone (Aneurysmal, Traumatic, Hemorrhagic)
• M27.0 – Dental Follicle (Enlarged)
• K09.0 – Dentigerous Cyst
• K09.0 – Developmental Cyst NOS
• K13.29 – Dysplasia – Mild
• K13.29 – Dysplasia – Moderate
• K13.29 – Dysplasia – Severe
• K09.9 – Epidermoid Cyst – Mouth
• L72.0 – Epidermoid Cyst – Skin
• K13.70 – Epulis Fissuratum
• K09.0 – Eruption Cyst
• K14.1 – Erythema Migrans
• L51.8 – Erythema Multiforme
• M27.8 – Exostosis
• D16.5 – Fibro-osseous Lesion – Mandible
• D16.4 – Fibro-osseous Lesion – Maxilla
• K13.70 – Fistula – Mouth
• K11.4 – Fistula – Salivary Gland
• L98.8 – Fistula – Cutaneous
• K13.29 – Focal Epithelial Hyperplasia (Heck’s)
• K13.4 – Foreign Body Granuloma / Reaction
• K14.1 – Geographic Tongue
• K09.0 – Gingival Cyst
• K14.0 – Glossitis
• M27.2 – Granuloma (Dental)
• B00.2 – Herpes Lip
• K14.3 – Hairy Tongue
• D18.09 – Hemangioma – Oral
• D18.01 – Hemangioma – Lip / Skin
• K13.21 – Hyperkeratosis
• K13.29 – Hyperkeratosis (with Dysplasia)
• M27.9 – Hyperplastic Dental Follicle
• M27.9 – Incisive Canal Contents
• K09.1 – Incisive Canal Cyst / Structures
• M27.2 – Inflammation (Acute and/or Chronic) – Jaw
• K12.2 – Inflammation (Acute and/or Chronic) – Oral Soft Tissue
• K13.79 – Inflammatory Papillary Hyperplasia
• C46.2 – Kaposi Sarcoma – Palate
• C46.91 – Kaposi Sarcoma – NOS
• L91.0 – Keloid
• D48.5 – Keratoacanthoma
• K09.0 – Lateral Periodontal Cyst
• L43.9 – Lichen Planus
• K13.21 – Lichenoid Keratosis
• D18.1 – Lymphangioma
• K09.9 – Lymphoepithelial Cyst
• R59.9 – Lymphoid Hyperplasia
• L93.2 – Lupus
• D17.79 – Lipoma – Oral
• D17.30 – Lipoma – Skin
• K14.2 – Median Rhomboid Glossitis
• L81.8 – Melanin Incontinence
• L81.8 – Melanoacanthoma
• L81.8 – Melanotic Macule
• K13.21 – Morsicatio Buccarum (Chronic Cheek Biting)
• K11.6 – Mucocele – Oral
• J34.1 – Mucocele – Sinus
• K12.2 – Mucocele – NOS
• K11.8 – Mucous Duct Cyst
• K09.8 – Nasolabial Cyst
• K09.1 – Nasopalatine Duct Cyst (Incisive Canal Cyst)
• K11.8 – Necrotizing Sialometaplasia
• D22.0 – Nevus – Lip
• D22.30 – Nevus – Skin of Face
• D22.4 – Nevus – Scalp / Neck
• D22.20 – Nevus – Ear
• K13.24 – Nicotinic Stomatitis
• K12.39 – Nonspecific Ulcer
• D16.4/16.5 – Odontoma
• D16.4/16.5 – Odontogenic Keratocyst (OKC)
• K13.70 – Oro-Antral Fistula
• I99.8 – Organizing Thrombus
• D16.5 – Osteoma – Mandible
• D16.4 – Osteoma – Maxilla
• K13.79 – Ossifying Fibroma – Peripheral
• D16.4/16.5 – Ossifying Fibroma – Central
• M27.2 – Osteomyelitis (Acute / Chronic)
• M27.2 – Osteonecrosis – Acute
• M87.180 – Osteonecrosis – Due to Medication
• M27.8 – Osteonecrosis – Due to Radiation
• D10.0 – Papilloma – Lip
• D10.1 – Papilloma – Tongue
• D10.39 – Papilloma – Other Oral
• D14.1 – Papilloma – Laryngeal
• D14.0 – Papilloma – Nostril
• D10.5 – Papilloma – Oropharynx
• D10.6 – Papilloma – Nasopharynx
• K04.7 – Parulis
• L12.1 – Pemphigoid
• L10.0 – Pemphigus
• M27.2 – Periapical Scar
• K13.79 – Peripheral Giant Cell Granuloma
• K13.79 – Peripheral Ossifying Fibroma
• I87.8 – Phlebolith
• J33.8 – Polyp – Aural / Otic
• J33.8 – Polyp – Maxillary Sinus
• K13.4 – Pyogenic Granuloma
• K12.33 – Radiation Changes
• K11.6 – Ranula
• K04.8 – Radicular Cyst
• K00.4 – Regional Odontodysplasia
• M27.40 – Residual Cyst
• J34.1 – Retention Cyst Sinus
• K13.79 – Retrocuspid papilla
• K08.3 – Root Fragment / Root Tip
• K11.8 – Salivary Gland Defect
• K13.70 – Scar
• K11.20 – Sclerosing Sialadenitis
• L82.1 – Seborrheic Keratosis
• M27.2 – Sequestrum Jaw
• K11.21 – Sialadenitis – Acute
• K11.20 – Sialadenitis – Chronic
• K11.5 – Sialolith
• M35.00 – Sjögren’s Syndrome
• L57.9 – Solar Elastosis
• K00.1 – Supernumerary Tooth
• J34.1 – Surgical Ciliated Cyst
• K13.4 – Suture Granuloma
• I86.0 – Thrombosed Varix – Sublingual
• I86.8 – Thrombosed Varix – Other Sites
• K00.4 – Tooth Anomaly
• K03.3 – Tooth Fragment
• I77.9 – Tortuous Labial Artery
• M27.8 – Torus Mandibularis
• M27.8 – Torus Palatinus
• M27.49 – Traumatic Bone Cyst (Aneurysmal, Hemorrhagic)
• K13.70 – Traumatic Neuroma Mouth
• K13.70 – Traumatic Ulcerative Granuloma with Stromal Eosinophilia (TUGSE)
• K12.30 – Ulcer NOS
• I86.0 – Varix – Sublingual
• I86.8 – Varix – Other Sites
• I99.8 – Vascular Anomaly
• B07.9 – Verruca Vulgaris
• K13.70 – Verruciform Xanthoma

Fees

• $325 per site (hard or soft tissue)

Fee for Service / Credit Card only

• Once Biopsy Kit arrives for analysis, patient credit card information on the Requisition Form will be used for payment
• If patient desires insurance reimbursement after-the-fact, a “super bill” with appropriate ICD-10-CM Diagnostic Codes can be provided – reimbursements will be sent directly to the patient (if approved by the insurance company)

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