New CDT Codes Available Now


According to the American Dental Association (ADA), the Current Dental Terminology (CDT) codes were implemented to ensure consistency and uniformity in the reporting of dental treatments. They also make the processing of dental claims a lot more efficient. The CDT codes are recognized as the reporting standard under the Health Insurance Portability and Accountability Act (HIPAA).

Each year, the ADA Code Maintenance Committee gets together to discuss changes based on new technologies, practices and regulations in the dental industry.

Changes in the 2014 CDT
The 2014 update to the CDT codes is out, and it features 58 total changes to the existing codes. These include 29 new codes, 18 revised codes, 4 deleted codes and 7 changes to subcategories of the code set.

While reviewing the new codes, keep in mind that the existence of a code (new or established) does not guarantee payment by a third-party payor. Although insurance companies are required to recognize current CDT codes, they are not required to pay for the services described by them. It can take several years for benefit plans to include new codes as payable services. Ultimately, the consumer and the payor must value the service enough to adopt it into the list of payable services.

New Codes for 2014*


D0393 TREATMENT SIMULATION USING 3D IMAGE VOLUME
The use of 3D image volumes for simulation of treatment including, but not limited to, dental implant placement, orthognathic surgery and orthodontic tooth movement.
D0394 DIGITAL SUBTRACTION OF TWO OR MORE IMAGES OR IMAGE VOLUMES OF THE SAME MODALITY
To demonstrate changes that have occurred over time.
D0395 FUSION OF TWO OR MORE 3D IMAGE VOLUMES OF ONE OR MORE MODALITIES
D0601 CARIES RISK ASSESSMENT AND DOCUMENTATION, WITH A FINDING OF LOW RISK Using recognized assessment tools.
D0602 CARIES RISK ASSESSMENT AND DOCUMENTATION, WITH A FINDING OF MODERATE RISK
Using recognized assessment tools.
D0603 CARIES RISK ASSESSMENT AND DOCUMENTATION, WITH A FINDING OF HIGH RISK
Using recognized assessment tools.
D1999 UNSPECIFIED PREVENTIVE PROCEDURE, BY REPORT
D2921 REATTACHMENT OF TOOTH FRAGMENT, INCISAL EDGE OR CUSP
D2941 INTERIM THERAPEUTIC RESTORATION – PRIMARY DENTITION
Placement of an adhesive restorative material following caries debridement by hand or other method for the management of early childhood caries. Not considered a definitive restoration.
D2949 RESTORATIVE FOUNDATION FOR AN INDIRECT RESTORATION
Placement of restorative material to yield a more ideal form, including elimination of undercuts.
D3355 PULPAL REGENERATION – INITIAL VISIT
Includes opening tooth, preparation of canal spaces, placement of medication.
D3356 PULPAL REGENERATION – INTERIM MEDICATION REPLACEMENT
D3357 PULPAL REGENERATION - COMPLETION OF TREATMENT
Does not include final restoration.
D3427 PERIRADICULAR SURGERY WITHOUT APICOECTOMY
D3428 BONE GRAFT IN CONJUNCTION WITH PERIRADICULAR SURGERY – PER TOOTH, SINGLE SITE
Includes non-autogenous graft material.
D3429 BONE GRAFT IN CONJUNCTION WITH PERIRADICULAR SURGERY – EACH ADDITIONAL CONTIGUOUS TOOTH IN THE SAME SURGICAL SITE
Includes non-autogenous graft material.
D3431 BIOLOGIC MATERIALS TO AID IN SOFT AND OSSEOUS TISSUE REGENERATION IN CONJUNCTION WITH PERIRADICULAR SURGERY
D3432 GUIDED TISSUE REGENERATION, RESORBABLE BARRIER, PER SITE, IN CONJUNCTION WITH PERIRADICULAR SURGERY
D4921 GINGIVAL IRRIGATION – PER QUADRANT
Irrigation of gingival pockets with medicinal agent. Not to be used to report use of mouth rinses or non-invasive chemical debridement.
D5863 OVERDENTURE – COMPLETE MAXILLARY
D5864 OVERDENTURE – PARTIAL MAXILLARY
D5865 OVERDENTURE – COMPLETE MANDIBULAR
D5866 OVERDENTURE – PARTIAL MANDIBULAR
D5994 PERIODONTAL MEDICAMENT CARRIER WITH PERIPHERAL SEAL – LABORATORY PROCESSED.
A custom-fabricated, laboratory=processed carrier that covers the teeth and alveolar mucosa. Used as a vehicle to deliver prescribed medicaments for sustained contact with the gingiva, alveolar mucosa and into the periodontal sulcus or pocket.
D6011 SECOND STAGE IMPLANT SURGERY
Surgical access to an implant body for placement of a healing cap or to enable placement of an abutment.
D6013 SURGICAL PLACEMENT OF MINI IMPLANT
D6052 SEMI-PRECISION ATTACHMENT ABUTMENT Includes placement of keeper assembly.
D8694 REPAIR OF FIXED RETAINERS, INCLUDES REATTACHMENT
D9985 SALES TAX

As an additional note, remember that dental carriers review claims data to determine how frequently services are performed. Carriers use this data, as well as evidenced-based support for the service, to help determine if and when a code will be covered. Most PPO contracts require submission of all charges, whether they are covered or not. Always submit all services provided with your full fee to the carrier, even if they have been denied in the past, to demonstrate the need to reimburse the services provided. It is important to always submit any service with your full fee, as carriers review these fees when considering fee schedules.

Dentrix customers running Dentrix G4 Productivity Pack 8 and Dentrix G5 Productivity Pack 1 or higher can check for updates in Dentrix to retrieve the 2014 CDT Code Update now. For more information on CDT codes access the Dentrix Resource Center.

Dr. Charles Blair is a renowned coding expert, and a highly respected author and publisher. His expertise and coding guidance are included in his book “Coding with Confidence.” The online version is called “Practice Booster” which includes a monthly coding newsletter. To order, visit http://www.henryschein.com/us-en/dental and search for item code# 3681214 and #3770006 respectively.

*©2013 CDT 2014 copyright ADA



Author: Dr. Charles Blair
Published: 01/31/2014
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