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Dental Codes
CDTs
| Question | Answer |
|---|---|
| Characters and print in the procedure code? And can it be abbreviated? | 5 character(including a D), boldface type, and it cannot be abbreviated |
| Written, literal definition of dental procedure code. May be abbreviated, boldface print | Nomenclature |
| Written narrative that provides further definition and the intended use of a procedure code. Regular type. Cannot be abbreviated | Descriptor |
| D0100 - D0999 | DIAGNOSTIC |
| D1000 - D1999 | PREVENTIVE |
| D2000 - D2999 | RESTORATIVE |
| D3000 - D3999 | ENDO |
| D4000 - D4999 | PERIO |
| D5000 - D5899 | PROSTHODONTICS, REMOVABLE |
| D5900 - D5999 | MAXILLOFACIAL PROSTHETICS |
| D6000 - D6199 | IMPLANT SERVICES |
| D6200 - D6999 | PROSHTODONTICS, FIXED |
| D7000 - D7999 | ORAL & MAXILLOFACIAL SURGERY |
| D8000 - D8999 | ORTHO |
| D9000 - D9999 | ADJUNCTIVE |
| None of the codes accurately describe the service provided? | Unspecified |
| An evaluation performed on a patient of record to determine any changes in the patients dental and medical health status since a previous comprehensive or periodic eval. Includes E&I, perio | D0120 |
| Continous care (recall) appt for established patients with an active chart? | D0120 |
| T or F? A few ins carriers will not pay for any eval code billed at the same time as radiographs or other procedures? | TRUE |
| An eval limited to a specific oral health problem or complaint? | D0140 |
| This code may require interpretation of information acquired through additional diagnostic procedures, reported separately | D0140 |
| Patients receiving this type of eval present with a specific problem and/or dental emergencies, trauma, acute infections, etc. | D0140 |
| Diagnostic services performed for a child under the age of 3, preferably within the first 6 months of the eruption of the first primary tooth. | D0145 |
| Includes oral and physical health, eval caries, OHI, and communication with and counseling of the parents or caregiver. | D0145 |
| Used by a general dentist and/or a specialist when evaluating a patient comprehensively | D0150 |
| This code applies to: established patients who have had a significant change in health conditions or other unusual circumstances or patients who have been inactive from treatment for 3 or more years. | D0150 |
| Some ins carriers will benefit this code only once every 5yrs with many providing a benefit for the patients 1st encounter only | D0150 |
| A detailed and extensive problem focused eval entails extensive diagnostic and cognitive modalties based on the findings of a comprehensive oral eval. | D0160 |
| Periodic Oral Evaluation, established patient | D0120 |
| Limited Oral Evaluation problem focused | D0140 |
| Oral Evaluation for a patient under 3yrs of age and counseling with primary caregiver | D0145 |
| Comprehensive Oral Evaluation, new or established patient | D0150 |
| Detailed and extensive oral evaluation, problem focused by report | D0160 |
| Involves integration of more extensive diagnostic modalities to develop a trmt plan for a specific problem | D0160 |
| Examples of this code: dentofacial anomalies, complicated perio prosthetic conditions, complex temporomandibular dysfunction, facial pain, etc... | D0160 |
| Re-evaluation, limited problem focused(established patient, not post-op visit) | D0170 |
| Assessing the status of a previously existing condition | D0170 |
| Comprehensive Oral Evaluation - new or established patient | D0180 |
| Indicated for patients showing signs or symptoms of periodontal disease and for patients with risk factors such as smoking or diabetes. | D0180 |
| T or F? Radiographs should be taken only for clinical reasons as determined by the hygienist | False - determined by the Dentist |
| Intraoral - complete series (including Bitewings) | D0210 |
| Consist of 14-22 films | D0210 |
| Intraoral periapical first film | D0220 |
| Intraoral - periapical each additional film | D0230 |
| Intraoral - occlusal film | D0240 |
| Extraoral - first film | D0250 |
| Extraoral - each additional film | D0260 |
| Bitewing - single film | D0270 |
| Bitewings - two films | D0272 |
| Bitewings - three films | D0273 |
| Bitewings - four films | D0274 |
| Vertical Bitewings - 7 to 8 films | D0277 |
| Panoramic film | D0330 |
| Cephalometric Film | D0340 |
| Oral/facial photographic images | D0350 |
| Covered every 3-5yrs. If BW or PA taken at same time it is equivalent to a D0210 | D0330 |
| Pulp vitality test, includes multiple teeth | D0460 |
| Diagnostic casts | D0470 |
| Prophoylaxis - adult | D1110 |
| Prophylaxis - child | D1120 |
| Most frequently revised code in the CDT process | D1110 |
| Scaling and polishing procedure for adult(12yrs and older) | D1110 |
| May pay for 2 appts now with no benefits available the rest of the year | D1110 |
| Topical application of flouride - child | D1203 |
| Topical application of flouride - adult | D1204 |
| Topical flouride varnish; therapeutic application for moderate to high caries risk patients | D1206 |
| Nutritional counseling for control of dental disease | D1310 |
| Tobacco counseling for the control and prevention of oral disease | D1320 |
| OHI | D1330 |
| Sealant - per tooth | D1351 |
| How often is OHI covered for ins | once a year, once every 5yrs or once in a lifetime |
| T or F? Local anesthesia is usually considered to be part of periodontal procedures | TRUE |
| Periodontal scaling and root planing - four or more teeth per quad | D4341 |
| Periodontal scaling and root planing - one to three teeth per quad | D4342 |
| This procedure involves intrumentation of the crown and root surfaces of the teeth to remove plaque and calculus from these surfaces. Therapeutic, not prophylactic. | D4341 and D4342 |
| Each quad must be listed separately, payable once every 2 years | D4341 |
| T or F? D4342 and D1110 may be billed together? | True |
| Full mouth debridement to enable comprehensive eval and diagnosis | D4355 |
| The gross removal of plaque and calculus that interfere with the ability of the dentist to perform a comprehensive oral eval. | D4355 |
| Localized delivery of antimicrobial agents via a controlled release vehicle into diseased crevicular tissue, per tooth, by report | D4381 |
| Perio Maintenance | D4910 |
| This procedure is instituted following periodontal therapy and continues at varying intervals, determined by the clinical evaluation of the dentist, for the life of the dentition or any implant replacement | D4910 |
| Unspecified Periodontal procedure, by report | D4999 |
| Local Anesthesia | D9215 |
| Analgesia, anxiolysis, inhalation of nitrous oxide | D9230 |
| Office visit for observation (during regularly scheduled hours) no other services performed | D9430 |
| Application of desensitizing medicament | D9910 |
| Occlusal guard, by reprot | D9940 |
| Fabrication of athletic mouthguard | D9941 |
| Repair and/or reline of occlusal guard | D9942 |
| External bleaching - per arch | D9972 |
| External bleaching - per tooth | D9973 |
| Internal bleaching - per tooth | D9974 |
| Unspecified adjunctive procedure, by report | D9999 |
Created by:
jenbug