D9975

External Bleaching for Home - CDT Code Guide

Adjunctive General Services/Drugs

Overview

CDT code D9975 refers to the procedure of external bleaching for home application, per arch, which includes the materials and fabrication of custom trays. This procedure is designed to help patients achieve a brighter smile by allowing them to apply bleaching agents at home under professional guidance. Typically, this involves taking impressions of the patient's teeth to create custom-fitted trays that ensure even distribution of the bleaching agent. Dental professionals may recommend this treatment for patients seeking cosmetic improvements in tooth coloration, especially those with extrinsic stains from dietary habits or smoking. The custom trays are an essential component as they enhance the effectiveness and safety of the bleaching process by minimizing contact with the gums.

When to Use This Code

  • Patients with extrinsic tooth stains seeking cosmetic improvement
  • Individuals with a history of tooth discoloration due to dietary habits
  • Patients who prefer at-home whitening solutions under professional supervision
  • Individuals preparing for significant life events who desire a brighter smile
  • Patients with minimal intrinsic staining that can be managed with external bleaching

Documentation Requirements

  • Patient's dental and medical history
  • Clinical notes detailing the need for bleaching
  • Records of the impressions taken for custom tray fabrication
  • Documentation of the bleaching materials provided to the patient
  • Patient consent forms acknowledging understanding of the procedure
  • Follow-up notes on patient progress and any reported sensitivity issues

Billing Considerations

When billing for D9975, it's important to note that insurance coverage for cosmetic procedures like bleaching may be limited. Verify with the patient's insurance provider regarding coverage policies. Frequency limitations may apply, and it's crucial to document the necessity of the procedure. Common modifiers are not typically required for this code, but always check for any specific payer requirements.

Related CDT Codes

Frequently Asked Questions

D9975 is often considered a cosmetic procedure, and coverage varies by insurance provider. It's best to verify with the patient's insurance company.

Source: CDT 2023 © American Dental Association

Need help with dental coding?

Our AI-powered assistant can answer your CDT code questions instantly.