May 2019 Volume LIV Number 3


Behind the Code

Sneak Peek at CDT 2017

July 2016 Volume LI Number 4

A few new codes for CDT 2017 that are pertinent to pediatric dentists. A complete lists of new and revised codes will follow in the September PDT. Note that the NEW Dental Case Management codes were approved based on a submission from the AAPD.

D9991 Dental Case Management – addressing appointment compliance barriers
Individualized efforts to assist a patient to maintain scheduled appointments by solving transportation challenges or other barriers.

D9992 Dental Case Management – care coordination
Assisting in a patient’s decisions regarding the coordination of oral health care services across multiple providers, provider types, specialty areas of treatment, health care settings, health care organizations and payment systems. This is the additional time and resources expended to provide experience or expertise beyond that possessed by the patient.

D9993 Dental Case Management – motivational interviewing
Patient-centered, personalized counseling using methods such as Motivational Interviewing (MI) to identify and modify behaviors interfering with positive oral health outcomes. This is a separate service from traditional nutritional or tobacco counseling.

D9994 Dental Case Management – patient education to improve oral health literacy
Individual, customized communication of information to assist the patient in making appropriate health decisions designed to improve oral health literacy, explained in a manner acknowledging economic circumstances and different cultural beliefs, values, attitudes, traditions and language preferences, and adopting information and services to these differences, which requires the expenditure of time.

D4346 Scaling in presence of generalized moderate or severe gingival inflammation – full mouth, after oral evaluation
The removal of plaque, calculus and stains from supraand sub-gingival tooth surfaces when there is generalized moderate or severe gingival inflammation in the absence of periodontitis. It is indicated for patients who have swollen, inflamed gingiva, generalized suprabony pockets, and moderate to severe bleeding on probing. Should not be reported in conjunction with prophylaxis, scaling and root planing, or debridement procedures.

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