By Jim Philhower
The ADAs Code Maintenance Committee (CMC) is responsible for maintaining the Code on Dental Procedures and Terminology (CDT) code set. The Committee meets annually to review that year's submitted change requests and votes to accept, amend, or decline each request based on the best interests of the profession, patients and payers.
Dental practices use CDT Codes to document, report, and bill for dental services they perform. Reporting old or outdated codes can lead to claims being denied or delayed. The 2019 CDT code set became effective January 1st 2019.
This article will review the four deleted codes and a few of the new codes for 2019.
Having a code for each broad type of occlusal guard brings greater specificity to the code and eliminates the need for a "by report" procedure.
This procedure provides an immediate finding of the patients' blood glucose level at the time of sample collection for the point of service analysis.
Diabetes is one of the most common chronic diseases. Therefore, dentists are likely to encounter patients with the disease. Current blood sugar levels cannot be obtained from an A1c test; you must use a glucometer. The findings must be documented in the patient's record and provided to the patient.
In all the A.D.A. C.M.C. added 15 codes, deleted 4 codes and revised five codes for 2019.
It is essential that dental teams stay up to date on the latest changes and additions made to the CDT code set. Always report the current dental code that most accurately represents the treatment rendered. This will help speed reimbursement and reduce administrative time handling additional requests for information.
To stay current on the CDT codes, contact your Henry Schein representative to order Dr. Charles Blair's Coding with Confidence Book and subscribe to Dr. Blair's Practice Booster on-line coding and insurance resource which includes the bi-monthly Insurance Solutions Newsletter.
Jim Philhower is the Director of North America Dental Sales Leadership & Development for Henry Schein. Jim is a 28-year veteran of the dental industry. His career includes six years as a Regional Manager and 12 years as a Field Sales Consultant.
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