Caries Susceptibility Tests - CDT Code Guide
Overview
CDT code D0425 refers to caries susceptibility tests, which are diagnostic procedures used to assess a patient's risk of developing dental caries. These tests are crucial in preventive dental care, allowing dentists to tailor treatment plans based on individual risk factors. Typically, the procedure involves collecting samples of saliva or plaque to analyze the presence of bacteria that contribute to tooth decay. This code should not be used for procedures involving carious dentin staining. Caries susceptibility tests are particularly beneficial for patients with a history of frequent cavities, those with orthodontic appliances, or individuals with dry mouth conditions.
When to Use This Code
- Patients with a history of frequent cavities
- Individuals undergoing orthodontic treatment
- Patients with dry mouth or reduced salivary flow
- Children with high sugar diets
- Adults with poor oral hygiene habits
Documentation Requirements
- Patient's dental and medical history
- Clinical notes on the rationale for testing
- Results of the caries susceptibility test
- Treatment plan based on test results
- Patient consent for the procedure
Billing Considerations
Caries susceptibility tests may be subject to frequency limitations, often covered once per year by insurance. It's important to check with the patient's insurance provider for specific coverage details. Common modifiers may include those indicating preventive services. Ensure documentation is thorough to support the necessity of the test.
Related CDT Codes
Frequently Asked Questions
The test helps determine a patient's risk of developing cavities, allowing for personalized preventive care.
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