Can D1208 be used for adults?

Yes, D1208 can be used for adults, especially those at high risk for dental caries or with specific dental conditions.

How often can D1208 be billed?

Typically, D1208 can be billed once every six months, but this can vary depending on the patient's insurance policy.

What is the difference between D1208 and D1206?

D1208 is for topical fluoride application excluding varnish, while D1206 specifically refers to fluoride varnish application.

Do I need to document the type of fluoride used?

Yes, it's important to document the type and concentration of fluoride used for proper billing and compliance.

D1208

Topical Fluoride Application - CDT Code Guide

Preventive/Topical Fluoride Treatment (Office Procedure)

Overview

CDT code D1208 refers to the topical application of fluoride, excluding varnish, in a dental office setting. This procedure involves the use of a prescription-strength fluoride product applied directly to the teeth under the supervision of a dental professional. It is designed to strengthen tooth enamel and prevent decay. This treatment is typically administered after a dental cleaning and is separate from the use of prophylaxis paste. It is commonly used for patients at higher risk of dental caries, including children and adults with a history of cavities or other risk factors.

When to Use This Code

During routine dental check-ups for children and adolescents to prevent cavities.
For adult patients with a history of dental caries or high caries risk.
In cases where patients have reduced salivary flow or dry mouth conditions.
For patients undergoing orthodontic treatment to protect enamel.
As part of a preventive care plan for patients with poor oral hygiene.

Documentation Requirements

Patient's risk assessment for dental caries.
Detailed record of the fluoride product used, including concentration.
Date and time of application.
Name and credentials of the dental professional supervising the procedure.
Patient's consent for the procedure.
Any patient-specific instructions or follow-up care provided.

Billing Considerations

D1208 is typically covered by dental insurance plans as a preventive service, but frequency limitations often apply, such as once every six months. It's important to verify coverage with the patient's insurance provider. Common modifiers may include those indicating a specific tooth or quadrant. Ensure that the fluoride application is billed separately from prophylaxis to avoid denial of claims.

Related CDT Codes

D1206 D1120 D1110 D0145 D0150

Frequently Asked Questions

Most dental insurance plans cover D1208 as a preventive service, but it's important to check the specific terms of the patient's policy.

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