Behavior Management - CDT Code Guide
Overview
CDT code D9920 refers to behavior management, a service that may be necessary when treating patients who require additional attention to manage their behavior during dental procedures. This code is particularly relevant for patients with special needs, anxiety, or those who are unable to cooperate due to age or cognitive impairments. The procedure involves implementing strategies to ensure the patient remains calm and cooperative, allowing the dental professional to perform necessary treatments effectively. Behavior management is reported in 15-minute increments and can be added to the primary treatment code to reflect the additional time and resources spent on managing the patient's behavior.
When to Use This Code
- When treating pediatric patients who are unable to cooperate due to age
- For patients with special needs requiring additional time and attention
- In cases where a patient exhibits severe dental anxiety or phobia
- When managing behavior in patients with cognitive impairments
- During procedures where sedation or restraint is not an option
Documentation Requirements
- Detailed notes on the patient's behavior and the management techniques used
- Time spent on behavior management, reported in 15-minute increments
- Description of any special equipment or personnel required
- Justification for the necessity of behavior management
- Documentation of the patient's response to the management techniques
Billing Considerations
D9920 should be billed in addition to the primary treatment code. It is important to document the time spent in 15-minute increments. Some insurance plans may have limitations on the frequency of billing for behavior management, and it may require prior authorization. Common modifiers include those indicating unusual circumstances or additional time required.
Related CDT Codes
Frequently Asked Questions
Yes, D9920 can be used for adult patients who require behavior management due to anxiety, cognitive impairments, or other special needs.
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