Fluoride Varnish Application - CDT Code Guide
Overview
CDT code D1206 refers to the topical application of fluoride varnish, a preventive dental procedure designed to strengthen tooth enamel and prevent decay. This procedure involves applying a prescription-strength fluoride product directly to the teeth in a dental office setting, under the supervision of a dental professional. The fluoride varnish is distinct from prophylaxis paste and must be applied separately. Typically, this procedure is used for patients at higher risk of dental caries, including children and adults with a history of tooth decay. The application is quick and painless, making it a preferred choice for preventive care.
When to Use This Code
- During routine dental check-ups for children to prevent cavities
- For adult patients with a high risk of dental caries
- Following orthodontic treatment to protect enamel
- For patients with reduced salivary flow or dry mouth conditions
- As part of a comprehensive preventive care plan for patients with a history of dental decay
Documentation Requirements
- Patient's dental and medical history indicating risk of caries
- Detailed record of the fluoride varnish application, including date and product used
- Documentation of patient's consent for the procedure
- Clinical notes on the condition of the patient's teeth prior to application
- Billing records showing the separate application from prophylaxis paste
Billing Considerations
Fluoride varnish application under code D1206 is typically covered by dental insurance for patients at risk of caries. Frequency limitations may apply, often restricted to twice per year. It's important to verify with the patient's insurance provider for specific coverage details. Common modifiers may include those indicating the patient's age or risk category.
Related CDT Codes
Frequently Asked Questions
Yes, most dental insurance plans cover fluoride varnish for patients at risk of cavities, but coverage can vary.
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