Caries Risk Assessment - CDT Code Guide
Overview
CDT code D0601 refers to the caries risk assessment and documentation, specifically when a patient is found to be at low risk for dental caries. This diagnostic procedure involves the use of recognized assessment tools to evaluate a patient's risk of developing cavities. Dental professionals conduct this assessment to help guide preventive care plans and ensure appropriate monitoring. Typically, this procedure is part of a comprehensive oral examination, especially for patients with a history of good oral health and minimal risk factors. By identifying low-risk patients, dental practitioners can tailor their advice and treatment plans to maintain oral health effectively.
When to Use This Code
- During a routine dental check-up for a patient with no history of cavities
- When updating a patient's dental records with a comprehensive risk assessment
- For new patients with a history of regular dental visits and good oral hygiene
- As part of a preventive care plan for patients with no significant risk factors
- When evaluating a patient's risk profile to determine the frequency of future visits
Documentation Requirements
- Detailed notes on the assessment tools used
- Patient's oral health history and current status
- Clear documentation of the low-risk finding
- Recommendations for future preventive care
- Patient education provided based on the assessment
- Date and signature of the assessing dental professional
Billing Considerations
When billing for D0601, 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 oral health status. Insurance coverage may vary, so verifying with the patient's provider is recommended. Common modifiers may include those indicating a new patient or a special case scenario.
Related CDT Codes
Frequently Asked Questions
Recognized assessment tools include clinical evaluations, patient interviews, and sometimes digital tools that assess risk factors.
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