Occlusal Guard Soft Appliance - CDT Code Guide
Overview
CDT code D9945 refers to the provision of a soft occlusal guard, a removable dental appliance designed to protect teeth from the effects of bruxism or other occlusal factors. This full arch appliance is crafted from soft materials to ensure comfort while providing a protective barrier against the wear and tear caused by teeth grinding. It is important to note that this code should not be used for appliances intended to treat sleep apnea, snoring, or temporomandibular disorders (TMD). Typically, patients who suffer from bruxism, which can lead to tooth damage, jaw pain, and headaches, benefit from this type of appliance. Dental professionals often recommend this guard as a preventive measure to preserve dental health and alleviate discomfort associated with excessive occlusal forces.
When to Use This Code
- When a patient exhibits signs of bruxism and requires a protective appliance
- To prevent further enamel wear in patients with a history of grinding
- For patients experiencing jaw discomfort due to occlusal stress
- When a patient has been diagnosed with occlusal trauma
- As a preventive measure for patients with a high risk of dental attrition
Documentation Requirements
- Detailed patient history indicating bruxism or occlusal issues
- Clinical notes describing the need for an occlusal guard
- Impressions or digital scans used to fabricate the appliance
- Patient consent and understanding of the appliance's purpose
- Follow-up care instructions and maintenance advice provided to the patient
Billing Considerations
When billing for D9945, it is crucial to verify the patient's insurance coverage for occlusal guards, as some plans may have specific limitations or exclusions. Typically, this code is not covered for appliances used for sleep apnea or TMD. Frequency limitations may apply, so check the patient's benefit plan for details. Common modifiers might include those indicating the arch treated or specific patient conditions.
Related CDT Codes
Frequently Asked Questions
No, D9945 is specifically for bruxism-related appliances and should not be used for sleep apnea devices.
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