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Just because you have dentures doesn't automatically mean you have a
chewing problem. That being said you should evaluate each situation and
determine if it causes problems with chewing and/or intake of diet. I
would get a diagnosis code for swallowing problems. I have never thought
about a code for chewing problems.
----- Original Message -----
Sent: Wednesday, December 17, 2003 8:05
AM
Subject: CHEWING PROBLEM CODING
The MDS manual Section K1 page 3-149 "Oral Problems" says
to "Code chewing problems even when interventions have been effectively
introduced". In the same paragraph it uses the example of lill
fitting dentures. These are similar instructions that have us
coding swallowing problems with mechanically altered diets.
So are we to count people who have had dentures relined, use denture
adhesives, and/or even residents who use dentures as having a chewing
problem?
Is their an ICD-9 code for chewing problems and a diagnosis we should be
seeking as with a swallow problem?
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