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Introducing New CDT Codes for Oral Appliance Therapy and Sleep-Related Procedures

We’re pleased to announce key updates from the American Dental Association (ADA) regarding new Current Dental Terminology (CDT) codes. These updates are vital for accurate billing of oral appliance therapy and sleep-related procedures. By incorporating these new codes, you can enhance documentation precision and billing accuracy as you continue to deliver exceptional care to your patients.

New CDT Codes for 2024

D9955: Oral Appliance Therapy (OAT) Titration Visit
This code applies to post-delivery visits where adjustments are made to a mandibular advancement device. It ensures the device’s optimal fit and effectiveness in treating sleep apnea.
Note: This code is frequently not covered by dental insurance plans.

D9956: Administration of Home Sleep Apnea Test
This code covers the administration of a home sleep apnea test, enabling patients to be evaluated in their natural sleep environment.
Note: This code is often not covered by dental insurance plans.

D9957: Screening for Sleep-Related Breathing Disorders
This code is used for screening patients to identify potential sleep-related breathing disorders that may require further diagnostic testing or treatment.
Note: This code is often not covered by dental insurance plans.

D9938: Fabrication of a Custom Removable Clear Plastic Temporary Aesthetic Appliance
This code pertains to creating a custom, clear, removable plastic appliance designed to temporarily enhance dental aesthetics while awaiting permanent restorative work.
Note: This code is often not covered by dental insurance plans.

D9939: Placement of a Custom Removable Clear Plastic Temporary Aesthetic Appliance
This code covers the placement of the custom-made clear plastic temporary aesthetic appliance, as fabricated under D9938.
Note: This code is often not covered by dental insurance plans.

D9954: Fabrication and Delivery of Oral Appliance Therapy (OAT) Morning Repositioning Device
This code includes both the fabrication and delivery of a morning repositioning device used in oral appliance therapy to ensure proper jaw alignment after using a mandibular advancement device overnight.
Note: This code is often not covered by dental insurance plans.

Why These Codes Matter

Accurate Billing: These codes allow for precise billing of the specific procedures performed in your practice.

Insurance Clarity: Although these codes may not always be covered benefits, their use ensures clear communication with insurance companies regarding the services provided.

Enhanced Documentation: Proper coding supports comprehensive patient records, which are essential for ongoing care and future treatments.

What You Should Do

  1. Educate Your Team: Make sure both your administrative and clinical teams are familiar with these new codes and understand their proper application.

  2. Update Billing Practices: Incorporate these codes into your billing systems to accurately reflect the services you provide.

  3. Communicate with Patients: Inform patients that while these procedures might not always be covered by insurance, using these codes is essential for accurate billing and documentation of their treatment.

By integrating these new CDT codes, you can improve billing accuracy and documentation practices, ensuring the highest standard of care for your patients. We have also included Dental codes frequently used with the Vivos Method for your reference.

For more detailed information on these codes, please consult the ADA’s official publications or their website.

Stay up-to-date with Tip Tuesday for the latest in dentistry and Sleep Medicine. This article aims to help you refine your billing practices and continue delivering top-quality care. If you have any questions or need further assistance, don’t hesitate to reach out.

Click Here to Download the 2024 Orthodontic-Dental Procedure Codes

References:

  • Delta Dental, “Consultants Corner: 2024 CDT Code Additions, Revisions & Deletions” (Delta Dental)
  • Burkhart Dental, “CDT Code Changes for 2024” (Burkhart Dental Supply)
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Antoinette Smith

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