Post-Op Office Visit - CDT Code Guide
Overview
CDT Code D0171 is used for re-evaluation during a post-operative office visit. This diagnostic code is crucial for assessing the progress of healing after a dental procedure. Typically, a dentist or dental specialist will use this code to document a follow-up visit where they evaluate the surgical site, check for any complications, and ensure that the patient is healing as expected. This evaluation helps in identifying any issues early and provides an opportunity to address patient concerns post-surgery. It is a vital part of post-operative care, ensuring optimal recovery and patient satisfaction.
When to Use This Code
- Following a surgical extraction to assess healing
- After periodontal surgery to evaluate tissue response
- To check the integration of a dental implant post-surgery
- After a complex restorative procedure to ensure proper function
- To monitor healing after oral biopsy
Documentation Requirements
- Detailed notes on the patient's healing progress
- Description of any complications or concerns observed
- Patient-reported symptoms or issues since the procedure
- Clinical findings and any additional treatment recommendations
- Date and specifics of the original procedure
Billing Considerations
D0171 is typically billed as part of post-operative care and may not be reimbursed separately if included in a global surgical package. Check with specific insurance policies for coverage details. Use appropriate modifiers if the visit is outside the standard post-op period.
Related CDT Codes
Frequently Asked Questions
Coverage for D0171 varies by insurance plan. It may be included in a global surgical package, so check with the patient's insurer.
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