Limited Oral Evaluation - CDT Code Guide
Overview
CDT Code D0140 is designated for a limited oral evaluation that focuses on a specific oral health problem or complaint. This procedure is crucial for addressing acute dental issues, such as emergencies, trauma, or infections. During this evaluation, the dentist may need to interpret information from additional diagnostic procedures, which should be reported separately. Often, definitive procedures are performed on the same day to address the identified issue. This code is typically used when a patient presents with a specific concern that requires immediate attention and resolution.
When to Use This Code
- Patient presents with a dental emergency, such as a toothache or injury.
- Evaluation of acute oral infections requiring immediate attention.
- Assessment of trauma to the teeth or oral structures.
- Follow-up evaluation for a previously diagnosed specific problem.
- Patient has a specific complaint that needs focused evaluation.
Documentation Requirements
- Detailed patient history and chief complaint documentation.
- Clinical findings and diagnostic tests performed.
- Interpretation of diagnostic results related to the specific problem.
- Treatment plan or recommendations based on the evaluation.
- Documentation of any definitive procedures performed on the same day.
Billing Considerations
When billing for D0140, it's important to note that this code is typically used for problem-focused evaluations and may be subject to frequency limitations by insurance providers. Ensure that any additional diagnostic procedures are billed separately. Common modifiers may include those indicating emergency treatment. Verify with the patient's insurance for specific coverage details and any pre-authorization requirements.
Related CDT Codes
Frequently Asked Questions
No, D0140 is specifically for evaluations focused on a specific problem or complaint, not routine check-ups.
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