Comprehensive Oral Evaluation - CDT Code Guide
Overview
CDT Code D0150 is essential for dental professionals conducting a comprehensive oral evaluation. This code is applicable for both new patients and established patients who have experienced significant changes in their health conditions or have not received active treatment for over three years. The procedure involves a thorough examination and documentation of the patient's oral health, including both extraoral and intraoral hard and soft tissues. It may also involve interpreting additional diagnostic procedures, which should be billed separately. This evaluation includes an oral cancer screening, assessment of dental and medical history, and a general health evaluation. Dental professionals also assess dental caries, missing or unerupted teeth, existing restorations, prostheses, occlusal relationships, and periodontal conditions.
When to Use This Code
- New patient visiting the dental office for the first time
- Established patient with significant changes in health conditions
- Patient returning after a three-year absence from active treatment
- Patient with unusual circumstances requiring a comprehensive evaluation
- Patient requiring a thorough assessment before major dental procedures
Documentation Requirements
- Detailed patient dental and medical history
- Comprehensive recording of extraoral and intraoral examination
- Documentation of oral cancer screening results
- Record of any additional diagnostic procedures performed
- Assessment of periodontal conditions and charting
- Notes on any anomalies or significant findings
Billing Considerations
D0150 is typically billed for comprehensive evaluations and should not be used for routine check-ups. It is important to note the frequency limitations, as insurance may not cover this code if used too frequently. Common modifiers may apply if additional procedures are performed on the same day. Always verify with the patient's insurance for specific coverage details.
Related CDT Codes
Frequently Asked Questions
No, D0150 is intended for comprehensive evaluations, not routine check-ups.
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