Can D9993 be billed on the same day as a regular dental exam?

Yes, D9993 can be billed on the same day as a dental exam, but ensure proper documentation and use of appropriate modifiers to indicate separate services.

How does motivational interviewing differ from nutritional counseling?

Motivational interviewing is a more interactive and patient-centered approach, focusing on behavior change, while nutritional counseling typically provides dietary advice.

What training is required for a dentist to perform motivational interviewing?

Dentists should undergo specific training in motivational interviewing techniques to effectively engage patients and facilitate behavior change.

Can motivational interviewing be used for pediatric patients?

Yes, motivational interviewing can be adapted for pediatric patients, focusing on age-appropriate behavior changes and involving parents or guardians in the process.

D9993

Motivational Interviewing - CDT Code Guide

Adjunctive General Services/Non-clinical procedures

Overview

CDT Code D9993 refers to dental case management through motivational interviewing, a patient-centered approach aimed at improving oral health outcomes. This procedure involves personalized counseling to help patients identify and change behaviors that negatively impact their oral health. Unlike traditional nutritional or tobacco counseling, motivational interviewing is more interactive and tailored to each patient's unique needs. Dental professionals use this technique to engage patients in discussions that encourage self-motivation and commitment to healthier habits. Typical scenarios include patients struggling with oral hygiene routines, those with high caries risk, or individuals needing support to quit smoking.

When to Use This Code

When a patient is resistant to traditional oral hygiene advice.
For patients with chronic oral health issues linked to behavioral factors.
In cases where a patient needs support to quit smoking or reduce sugar intake.
When a patient is at high risk for dental caries and needs behavior modification.
For patients who have not responded to standard nutritional counseling.

Documentation Requirements

Document the specific behaviors targeted for modification.
Record the patient's responses and level of engagement during the session.
Include a summary of the motivational interviewing session in the patient's record.
Note the goals set with the patient and any follow-up actions planned.
Ensure documentation differentiates this service from other counseling services.

Billing Considerations

When billing for D9993, it's important to note that this code is typically used as an adjunctive service and may not be covered by all insurance plans. Verify with the patient's insurance provider for coverage details. There may be frequency limitations, so check if the service can be billed multiple times. Common modifiers may include those indicating separate and distinct services provided on the same day.

Related CDT Codes

D1310 D1320 D1330 D0145 D0150

Frequently Asked Questions

Coverage for D9993 varies by insurance provider. It's important to verify with the patient's insurance for specific coverage details.

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