ICD-10 Coding for Bruxism(G47.63, F45.8)
Complete ICD-10-CM coding and documentation guide for Bruxism. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bruxism
G47.6-G47.69Primary Range
Sleep disorders related to bruxism
This range includes codes for sleep-related bruxism, which is the primary focus when bruxism is associated with sleep disturbances.
Somatoform disorders including psychogenic bruxism
This range includes codes for psychogenic bruxism, which is relevant when bruxism is linked to psychological factors without sleep involvement.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| G47.63 | Sleep-related bruxism | Use when bruxism is confirmed to be sleep-related through PSG or clinical signs. |
|
| F45.8 | Other somatoform disorders | Use when bruxism is linked to psychological factors and occurs during wakefulness. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for sleep-related bruxism
Essential facts and insights about Bruxism
Primary ICD-10-CM Codes for bruxism
Decision Criteria
clinical Criteria
- Presence of nocturnal grinding confirmed by PSG or clinical signs
Applicable To
- Nocturnal teeth grinding
Excludes
- F45.8 (Psychogenic bruxism)
Clinical Validation Requirements
- PSG showing >4 episodes/hour
- Clinical signs such as abnormal tooth wear and temporal headache
Code-Specific Risks
- Incorrectly using with F45.8 due to Excludes1 note
Coding Notes
- Ensure PSG or clinical evidence is documented to support G47.63.
F45.8 - Other somatoform disorders
Use when bruxism is linked to psychological factors and occurs during wakefulness.
Applicable To
- Psychogenic bruxism
Excludes
- G47.63 (Sleep-related bruxism)
Clinical Validation Requirements
- Self-reported clenching during wakefulness
- Association with stress or anxiety
Coding Notes
Document psychological factors contributing to bruxism.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Bruxism to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G47.63.
Impact
Clinical: Leads to misdiagnosis and inappropriate treatment., Regulatory: Fails to meet coding standards., Financial: Results in claim denials due to lack of specificity.
Mitigation Strategy
Ensure detailed documentation of symptoms and diagnostic tests.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Violates Excludes1 note in ICD-10 guidelines., Data Quality: Leads to inaccurate clinical data representation.
Mitigation Strategy
Use G47.63 for sleep-related bruxism and F45.8 for psychogenic bruxism, not together.
Impact
Using G47.63 and F45.8 together despite Excludes1 note.
Mitigation Strategy
Educate coders on proper code selection and Excludes1 rules.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Bruxism, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bruxism
Use these documentation templates to ensure complete and accurate documentation for Bruxism. These templates include all required elements for proper coding and billing.
Sleep-related bruxism with TMD
Specialty: NeurologyRequired Elements
- PSG results
- Clinical signs of bruxism
- TMD symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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