NEW CDT 2023 Coding Companion: Training Guide for the Dental Team Unravel the complexity of coding with the CDT 2023 Coding Companion: Training Guide for the Dental Team. The Companion is your ally when it comes to handling confusing situations and understanding this year’s code changes. Use this essential tool to train staff, prevent coding errors and maximize reimbursement. This self- guided book answers more than 250 coding questions and walks you through 180 dental coding scenarios, offering practical information necessary to submit complete and accurate claims. This extensive resource covers subjects from many different perspectives to provide guidance for a wide range of common and uncommon scenarios your practice may face. Written by coding experts and vetted by the ADA, the Companion can be trusted as the definitive source of coding information. The CDT 2023 Coding Companion features: • Descriptions and explanations of the code changes for 2023 • More than 180 coding scenarios and 250 questions and answers • Key definitions and concepts for each category of service • Numeric and alphabetic indices J453BT Spiral bound book + e-book, Approx. 450 pages Members $59.95 Retail $92.95 Book ISBN: 978-1-68447-175-1 | e-book ISBN: 978-1-68447-176-8 NEW CDT 2023: Current Dental Terminology Dental practices rely on accurate claims for timely reimbursements. Count on the ADA to give you the correct information you need to prevent reporting errors and maximize reimbursement. CDT 2023: Current Dental Terminology includes updates across eight CDT Code categories, featuring several new codes related to diagnostic imaging. Changes include 22 new codes, 14 revisions and 2 deleted codes, as well as the 7 codes added in March 2022 related to COVID-19 vaccine administration. Code changes include: • 22 additions • 14 revisions • 2 deletions © 2022 American Dental Association 35 Prosthodontics, removable D5222 immediate mandibular partial denture – resin base (including retentive/clasping materials, rests and teeth) Includes limited follow-up care only does not include future rebasing/ relining procedure(s). D5223 immediate maxillary partial denture – cast metal framework with resin denture bases (including retentive/clasping materials, rests and teeth) Includes limited follow-up care only does not include future rebasing/ relining procedure(s). D5224 immediate mandibular partial denture – cast metal framework with resin denture bases (including retentive/clasping materials, rests and teeth) Includes limited follow-up care only does not include future rebasing/ relining procedure(s). • D5227 immediate maxillary partial denture – flexible base (including any clasps, rests and teeth) • D5228 immediate mandibular partial denture – flexible base (including any clasps, rests and teeth) D5282 removable unilateral partial denture – one piece cast metal (including retentive/clasping materials, rests, and teeth), maxillary D5283 removable unilateral partial denture – one piece cast metal (including retentive/clasping materials, rests, and teeth), mandibular D5284 removable unilateral partial denture – one piece flexible base (including retentive/clasping materials, rests, and teeth) – per quadrant D5286 removable unilateral partial denture – one piece resin (including retentive/clasping materials, rests, and teeth) – per quadrant Adjustments to Dentures D5410 adjust complete denture – maxillary D5411 adjust complete denture – mandibular D5421 adjust partial denture – maxillary D5422 adjust partial denture – mandibular © 2022 American Dental Association 27 1 l Code on Dental Procedures and Nomenclature PeriodonticsV.l Periodontics D4000–D4999 V. Periodontics is considered to be part of Periodontal procedures. Surgical Services (Including Usual Postoperative Care) Site: A a single position, or locus. The word “site” is frequently used to indicate an area of tissue recession on a single tooth or an osseous defect adjacent to a single tooth also used to indicate soft tissue defects and/or osseous defects in edentulous tooth positions. • If two contiguous teeth have areas of soft tissue recession, each tooth is a single site. • If two contiguous teeth have adjacent but separate osseous defects, each defect is a single site. • If two contiguous teeth have a communicating interproximal osseous defect, it should be considered a single site. • All non-communicating osseous defects are single sites. • All edentulous non-contiguous tooth positions are single sites. • Up to two contiguous edentulous tooth positions may be considered a single site. Tooth Bounded Space: A space created by one or more missing teeth that has a tooth on each side. D4210 gingivectomy or gingivoplasty – four or more contiguous teeth or tooth bounded spaces per quadrant It is performed to eliminate suprabony pockets or to restore normal architecture when gingival enlargements or asymmetrical or unaesthetic topography is evident with normal bony configuration. D4211 gingivectomy or gingivoplasty – one to three contiguous teeth or tooth bounded spaces per quadrant It is performed to eliminate suprabony pockets or to restore normal architecture when gingival enlargements or asymmetrical or unaesthetic topography is evident with normal bony configuration. D4212 gingivectomy or gingivoplasty to allow access for restorative procedure, per tooth More than 180 real-life coding scenarios! CDT 2023 contains new and revised codes for: • Intraoral tomosynthesis and 3-D surface scans • HPV vaccine administration • Guided tissue regeneration • Intraoral radiograph images • Gingival flap procedures • Full mouth debridement • Gingival irrigation These codes are developed by the ADA and are the only HIPAA-recognized code set for dentistry. You will also find ICD-10-CM codes related to dental procedures. CDT 2023 also includes access to the CDT 2023 App and e-book. In addition to the mobile app, you can use the web-based version of the app to look up a code descriptor or review a coding scenario right on your desktop, right when you need it. J023BTi Spiral bound book + e-book + app, 210 pages Members $69.95 Retail $112.95 Book ISBN: 978-1-68447-173-7 | e-book ISBN: 978-1-68447-174-4 J023i CDT 2023 App for iOS and Android | Members $68.99 Retail $68.99 © 2022 American Dental Association 139 Periodontics Clinical Coding Scenario #2: Periodontitis A 49-year-old male patient presents for periodontal examination with a chief complaint of sore and bleeding gums. His medical history is significant for type II diabetes being treated with Metformin (glucophage) and hypertension, which was being treated with a calcium channel blocker (nifedipine-adalat). He smokes one pack of cigarettes a day. His last dental appointment was five years ago, and there are heavy accumulations of plaque and calculus, both supra-gingival and sub-gingival. Since the amount of calculus and plaque prevented a periodontal evaluation from being performed adequately, the patient was seen by the hygienist that same day. Without using any anesthesia, she utilized an ultrasonic scaler to debride supragingival calculus and plaque in all four quadrants. After reviewing home care instructions and giving the patient chlorhexidine rinse, provided by the office, the patient was scheduled to return in two weeks for a periodontal evaluation and appropriate radiographic images. How would these visits be coded? Visit #1: Assessment and Debridement D0191 assessment of a patient D4355 full mouth debridement to enable a comprehensive evaluation and diagnosis on a subsequent visit D1330 oral hygiene instructions D9630 drugs or medicaments dispensed in the office for home use Visit #2: Evaluation, Diagnosis, and Treatment Planning Two weeks later, the patient returned for radiographic images and a complete periodontal evaluation. The diagnosis is Stage III Grade C periodontitis with pocket depths ranging from 4 to 9 mm, furcation involvement, mobility, and localized recession. There are interproximal papillae that exhibit swelling with a “granulated” surface appearance to the soft tissue resembling hyperplasia possibly caused by the calcium channel- blocking drug. Consultation with the patient’s internist to evaluate possibility of changing the high blood pressure medication was done by the dentist. Continued on next page 72 © 2022 American Dental Association Clinical Coding Scenario #2: An eleven-year-old female patient presents to your for a new patient Per the dental ago in a state. radiographs for patient. findings of a mixed decide capture and bitewing at that visit a How this visit?oral appropriate codes that used are as follows: D0150 comprehensive oral or established patient D0272 – two radiographic images D0330 image D1120 prophylaxis – child D1206 topical application of fluoride varnish What would if the 12 old? the prophylaxis code is determined by how the dentist views the patient’s the or code used for with of not a either or ADA recommends determinations on rather patient to the of ‘Child’” adopted in benefits be based on of “ Resolved, that when dental plans differentiate coverage of specific procedures based on the of the this be on the development of the be it , that for the of eligibility for coverage, chronological age of at be to determine The prophylaxis dentition-specific Some payers have in their contracts’ policies that limit available on age, not of of benefit plans specify age as to when an if only permanent teeth eruption the second permanent Regardless age, are coded using D1110. CODE: TABLE OF CONTENTS SECTION 1 – THE CDT WHAT IT IS AND HOW TO USE IT SECTION 2 – USING THE CDT CODE: DEFINITIONS AND KEY CONCEPTS, CODING SCENARIOS AND CODING Q&A 1 Diagnostic Ralph A. Cooley, D.D.S. 2 Preventive Jim Nickman, D.D.S., M.S. 3 Restorative Fred Horowitz, D.M.D. 4 Endodontics Elizabeth Shin Perry, D.M.D. 5 Periodontics Marie Schweinebraten, D.M.D. 6 Prosthodontics, removable Betsy K. Davis, D.M.D., M.S. 7 Maxillofacial Prosthetics Betsy K. Davis, D.M.D., M.S. 8 Implant Services Linda Vidone, D.M.D. 9 Prosthodontics, fixed Teresa Duncan, M.S. 10 Oral and Maxillofacial Surgery James Mercer, D.D.S. 11 Orthodontics Randall C. Markarian, D.M.D., M.S. 12 Adjunctive General Services Charles Stewart, D.M.D. 13 Dental Benefits: What Every Dentist Should Know ADA Staff SECTION 3 – APPENDICES 1 CDT Code to ICD (Diagnosis) Code Cross-Walk 2 Introduction to Medical Claim Form Completion 3 ADA Guide to Dental Procedures Reported with Area of Oral Cavity on Tooth Anatomy (or Both) (included in e-book) 4 CDT and ICD-10 Coding Recommendations for Smoking Cessation (included in e-book) 5 Understanding and Procedure Coding for Patients with Special Health Care Needs (included in e-book) Numeric Index by CDT Code Alphabetic Index by Topic ORDER BY PHONE: 800.947.4746 6 7 ORDER ONLINE: ADASTORE.ORG 1 l Code on Dental Procedures and Nomenclature l VI. Prosthodontics, removable Chapter 5: D4000–D4999 Periodontics CODING CDT 2023