As we know the new year is coming soon. Along with new year, comes new changes. The CDA has recently announced changes, additions and revisions to CDT dental codes that need to be noted! Check out the full article below and be prepared to bill accordingly beginning in January.
Every year, CDA encourages all dentists to prepare for dental code additions, revisions and deletions. The ADA has released the CDT 2019 with 15 additions, five revisions and four deletions that will go into effect January 1, 2019.
It is recommended that all dental offices have a current copy of the CDT to assist with proper claim billing. While dental plans are required to recognize new and current CDT codes, they are not required to pay for or provide benefits for the new or revised codes. Dentists should review each dental plan’s payment and processing guidelines to determine whether benefits will be payable. Typically, plans will start sending updates about policy changes for the new year during the fourth quarter. Some offices have already contacted CDA Practice Support inquiring about the notices they have received from dental benefit plans.
New CDT 2019 procedure codes:
CDT 2019 Revisions:
CDT 2019 Deletions:
When coding, remember to code for what you have done, not what is covered under the patient’s benefit plan. If you can’t find a code to describe a procedure, use the appropriate unspecified procedure, by report code, commonly known as the 999 code, e.g., D4999 unspecified periodontics procedure, by report, but do not forget to include the supporting narrative describing the service provided.
Copies of the CDT 2019 are available for purchase through the ADA Store.