Consultation with Medical Professional - CDT Code Guide
Overview
CDT code D9311 pertains to a consultation between a treating dentist and a medical health care professional regarding medical issues that could influence a patient's dental treatment plan. This code is essential when a patient's medical condition may impact dental procedures, ensuring comprehensive care. Typically, this involves discussions about conditions like diabetes, heart disease, or other systemic issues that require coordination between dental and medical teams. Such consultations help tailor dental treatments to the patient's overall health, ensuring safety and efficacy.
When to Use This Code
- When a patient has a complex medical history that could affect dental treatment.
- In cases where a patient is on medication that may impact dental procedures.
- When planning dental surgery for a patient with a chronic illness.
- For patients with recent significant medical events, like a heart attack.
- When coordinating care for patients undergoing cancer treatment.
Documentation Requirements
- Detailed notes of the consultation, including date and time.
- Summary of the medical issues discussed and their potential impact on dental treatment.
- Documentation of the medical professional's input and recommendations.
- Patient's medical history and current medications list.
- Consent from the patient for the consultation.
- Any follow-up actions or changes to the treatment plan based on the consultation.
Billing Considerations
D9311 should be billed when a formal consultation occurs, not for informal discussions. Ensure documentation supports the necessity of the consultation. Check with insurance providers for coverage specifics, as some may require pre-authorization. Frequency limitations may apply, and modifiers like -25 may be needed if billed with other services.
Related CDT Codes
Frequently Asked Questions
Use D9311 when the consultation involves a medical professional and impacts dental treatment, while D9310 is for dental-to-dental consultations.
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