Caries Preventive Medicament - CDT Code Guide
Overview
CDT code D1355 represents the application of a caries preventive medicament per tooth, focusing on primary prevention or remineralization. This procedure involves applying a medicament to the tooth surface to prevent the onset of caries or to promote the remineralization of early carious lesions. It is distinct from topical fluoride applications and is typically used in patients who are at high risk for dental caries or have early signs of demineralization. Dental professionals often employ this procedure in a clinical setting to enhance the patient's oral health by preventing the progression of carious lesions.
When to Use This Code
- Patients with early signs of enamel demineralization
- High caries risk patients with a history of frequent cavities
- Children with newly erupted teeth that are vulnerable to decay
- Patients undergoing orthodontic treatment where plaque control is challenging
- Individuals with xerostomia or reduced salivary flow increasing caries risk
Documentation Requirements
- Detailed patient history indicating high caries risk
- Clinical notes describing the condition of the tooth surface
- Description of the medicament used and its intended purpose
- Consent form signed by the patient or guardian
- Follow-up care instructions provided to the patient
Billing Considerations
When billing for D1355, consider the patient's caries risk assessment as justification for the procedure. Frequency limitations may apply, so check with the patient's insurance provider. Common modifiers may include those indicating a specific tooth number. Ensure documentation supports the medical necessity to avoid claim denials.
Related CDT Codes
Frequently Asked Questions
Coverage for D1355 varies by insurance provider. It's important to verify with the patient's insurance plan regarding coverage and frequency limitations.
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