Microbial Specimen Processing - CDT Code Guide
Overview
CDT Code D0414 pertains to the laboratory processing of microbial specimens, which includes culture and sensitivity studies, preparation, and transmission of a written report. This diagnostic procedure is crucial in identifying bacterial, viral, or fungal infections in the oral cavity. By analyzing microbial specimens, dental professionals can determine the most effective treatment plan based on the sensitivity of the microorganisms to various antibiotics or antifungal agents. Typically, this procedure is utilized when a patient presents with persistent oral infections that do not respond to standard treatments. The results from these studies aid in tailoring specific therapeutic interventions, ensuring optimal patient care and outcomes.
When to Use This Code
- When a patient presents with recurrent oral infections that are unresponsive to initial treatments.
- In cases where there is suspicion of a specific bacterial or fungal infection in the oral cavity.
- To determine the appropriate antibiotic therapy for a patient with a confirmed oral infection.
- When a patient has systemic conditions that may complicate oral infections, requiring precise microbial identification.
- In preparation for complex dental surgeries where infection risk assessment is crucial.
Documentation Requirements
- Detailed clinical notes indicating the necessity for microbial analysis.
- Record of the specimen collection procedure, including date and time.
- Documentation of the laboratory's findings and the written report.
- Evidence of communication of the results to the patient and any subsequent treatment plans.
- Verification of the laboratory's credentials and compliance with relevant regulations.
Billing Considerations
When billing for D0414, ensure that the procedure is medically necessary and well-documented. Check for any frequency limitations imposed by insurance providers. Common modifiers may include those indicating a repeat procedure or additional testing. Be aware that some insurance plans may require pre-authorization for laboratory testing, and coverage can vary significantly.
Related CDT Codes
Frequently Asked Questions
The primary purpose is to identify the specific microorganisms causing an oral infection and determine their sensitivity to antibiotics, aiding in effective treatment planning.
Need help with dental coding?
Our AI-powered assistant can answer your CDT code questions instantly.