Comprehensive Periodontal Evaluation - CDT Code Guide
Overview
CDT code D0180 refers to a comprehensive periodontal evaluation, which is essential for both new and established patients showing signs or symptoms of periodontal disease. This procedure is particularly crucial for patients with risk factors such as smoking or diabetes. The evaluation includes a thorough assessment of periodontal conditions, probing and charting, and an evaluation for oral cancer. Additionally, it involves reviewing and recording the patient's dental and medical history, as well as a general health assessment. This comprehensive approach ensures that any periodontal issues are identified early and managed effectively. Dental professionals use this code to document a detailed examination that may also include evaluating dental caries, missing or unerupted teeth, restorations, and occlusal relationships.
When to Use This Code
- A new patient presents with signs of periodontal disease.
- An established patient with a history of smoking requires a periodontal evaluation.
- A diabetic patient shows symptoms indicating potential periodontal issues.
- A patient reports symptoms such as bleeding gums or loose teeth.
- During a routine check-up, risk factors for periodontal disease are identified.
Documentation Requirements
- Detailed periodontal charting and probing results.
- Patient's dental and medical history documentation.
- General health assessment notes.
- Evaluation for oral cancer findings.
- Record of any identified risk factors such as smoking or diabetes.
Billing Considerations
When billing for D0180, it is important to note that this code is typically used once per patient per year unless there are significant changes in the patient's periodontal health. Insurance providers may have specific frequency limitations, so it's essential to verify coverage details. Common modifiers may include those indicating a new patient or specific risk factors. Always ensure that documentation supports the necessity of the comprehensive evaluation.
Related CDT Codes
Frequently Asked Questions
D0180 should be used when a patient shows signs of periodontal disease or has risk factors, while D0150 is for a comprehensive oral evaluation without specific periodontal focus.
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