Find information on Temporomandibular Joint Dysfunction diagnosis, TMJ ICD 10 code, and clinical documentation requirements. Learn about TMD treatment, TMJ symptoms, and medical coding for TMJ disorders. Explore resources for healthcare professionals on temporomandibular joint pain, jaw pain, and TMJ dysfunction management. This resource provides guidance on proper coding and documentation for TMJ related diagnoses in medical records.
Also known as
TMJ disorders
Covers temporomandibular joint dysfunction and related disorders.
Dentofacial anomalies incl. malocclusion
May contribute to or be associated with TMJ dysfunction.
Myalgia
Muscle pain, including masticatory muscles, may be a symptom of TMJ issues.
Somatization disorder
In some cases, TMJ pain might be related to somatization.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the TMJ dysfunction related to arthritis?
Yes
Is it due to rheumatoid arthritis?
No
Is there derangement of the TMJ disc?
When to use each related code
Description |
---|
Jaw pain and clicking |
Myofascial pain syndrome |
Osteoarthritis of TMJ |
Coding TMJ dysfunction without specifying laterality (right, left, or bilateral) when documented can lead to claim denials or inaccurate data.
Confusing disc displacement with other TMJ disorders like arthralgia or myalgia can affect coding accuracy and reimbursement.
Lack of documentation specifying traumatic, degenerative, or other causes for TMJ dysfunction makes accurate coding difficult, impacting data quality and compliance.
Patient presents with complaints consistent with temporomandibular joint dysfunction (TMD), characterized by jaw pain, temporomandibular joint pain (TMJ pain), and limited jaw movement. Symptoms include clicking jaw, popping jaw, and difficulty chewing. Onset of symptoms was reported as [onset timeframe - e.g., two weeks ago] and is associated with [possible precipitating factors - e.g., stress, teeth grinding (bruxism)]. Physical examination reveals [specific findings - e.g., tenderness to palpation of the TMJ, crepitus upon jaw opening, limited range of motion (ROM) of the mandible, pain with lateral jaw movement]. Assessment includes differential diagnosis considerations such as myofascial pain syndrome, ear infection, and dental issues. The diagnosis of TMD is supported by the patient's reported symptoms and clinical findings. Treatment plan includes [conservative management strategies - e.g., patient education on jaw exercises, self-care strategies such as moist heat application, soft diet recommendations] and referral to [specialist if applicable - e.g., oral and maxillofacial surgeon, physical therapist specializing in TMD] for further evaluation and management as indicated. Follow-up scheduled in [timeframe - e.g., two weeks] to assess response to treatment and adjust the plan as necessary. ICD-10 code M26.63 (Temporomandibular joint disorders) is assigned.