Saliva Sample Point-of-Care - CDT Code Guide
Overview
CDT Code D0426 pertains to the collection, preparation, and analysis of a saliva sample at the point-of-care. This diagnostic procedure is essential for assessing various oral health conditions and systemic diseases. It involves obtaining a saliva sample from the patient, which is then prepared and analyzed to provide immediate results. This code is particularly useful in scenarios where rapid diagnostic information is required to guide treatment decisions. Dental professionals often use this procedure to detect biomarkers for periodontal disease, caries risk assessment, and other oral health conditions. The point-of-care nature of this procedure allows for timely interventions and personalized patient care.
When to Use This Code
- Assessing periodontal disease risk through biomarker analysis
- Evaluating caries risk in patients with frequent cavities
- Monitoring oral health in patients with systemic diseases like diabetes
- Quick diagnostic assessment in emergency dental situations
- Pre-treatment evaluation for patients with complex medical histories
Documentation Requirements
- Detailed patient history and reason for saliva analysis
- Consent form signed by the patient
- Description of the method used for saliva collection
- Results of the saliva analysis and interpretation
- Documentation of how results will influence treatment planning
- Record of any follow-up actions based on analysis results
Billing Considerations
When billing for D0426, ensure that the procedure is not performed more frequently than necessary as per the patient's clinical needs. Common modifiers may include those indicating a distinct procedural service. Verify with the patient's insurance provider regarding coverage for diagnostic tests and any pre-authorization requirements. Be aware that some insurers may have specific guidelines for saliva-based diagnostics.
Related CDT Codes
Frequently Asked Questions
Saliva samples can help diagnose periodontal disease, caries risk, and systemic conditions like diabetes.
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