• Sarah Beth Herman

2022 New CDT Codes, Changes, Deletions and pandemic related codes you need to see!!




IT'S HERE!!!


5 Minutes of reading and a year's worth of knowledge to help grow your dental office!


(Well some of this has been out since November 16th, 2021 but we knew more changes were coming so we are launching this in December 2021 with the newest released information on CDT codes!)


Please be sure not to submit claims for the new codes with dates of service prior to January 1, 2022, and do not submit claims for the deleted codes for dates of service on or after January 1, 2022.

We have broken this down to simplify the new changes for 2022 that your dental office needs to prepare for. Effective January 1st, 2022 CDT has 16 additions, 14 revisions, and 6 deletions, including eight codes adopted in March of 2021 for vaccine administration and molecular testing for a public health-related pathogen. In other words, we have pandemic-related codes listed below. Please use the drop-down option for additional descriptions and notes.


D3911 Intraorifice barrier

D3921 Decoronation or submergence of an erupted tooth

D4322 Splint-intra-coronal; natural teeth or prosthetic crowns

D4323 Splint – extra-coronal; natural teeth or prosthetic crowns

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)

D5725 Rebase hybrid prosthesis

D5765 Soft liner for complete or partial removable denture – indirect

D6198 Remove interim implant component

D7298 Removal of temporary anchorage device [screw retained plate], requiring flap

D7299 Removal of temporary anchorage device, requiring flap

D7300 Removal of temporary anchorage device without flap

D9912 Pre-visit patient screening

D9947 Custom sleep apnea appliance fabrication and placement

D9948 Adjustment of custom sleep apnea appliance

D9949 Repair of custom sleep apnea appliance


 

Orthodontic Code Changes


Let's talk about deletions regarding Orthodontics. The Orthodontic Code Action Requests have been approved as noted below.


  1. Deletion of the Interceptive Orthodontic Treatment subcategory nomenclature, descriptor, and codes D8050 and D8060

  2. Revision of the Limited Orthodontic Treatment descriptor

The AAO has stated that new language for Limited Orthodontic Treatment will be written as follows:


Orthodontic treatment utilizing any therapeutic modality with a limited objective or scale of treatment. Treatment may occur in any stage of dental development or dentition.

The objective may be limited by:

  • not involving the entire dentition.

  • not attempting to address the full scope of the existing or developing orthodontic problem.

  • mitigating an aspect of a greater malocclusion (i.e., crossbite, overjet, overbite, arch length, anterior alignment, one phase of multi-phase treatment, treatment prior to the permanent dentition, etc.).

  • a decision to defer or forego comprehensive treatment.

D8010: limited orthodontic treatment of the primary dentition

D8020: limited orthodontic treatment of the transitional dentition

D8030: limited orthodontic treatment of the adolescent dentition

D8040: limited orthodontic treatment of the adult dentition

3. Deletion of D8690 “orthodontic treatment (alternative billing to a contract fee).”


 

Included in CDT 2022 are eight COVID-19 codes relevant to vaccine administration that were approved in CDT 2021. The CDT Code already has entries for documenting antigen and antibody testing. The new pandemic related codes are:

D1701: Pfizer-BioNTech COVID-19 vaccine administration – first dose

D1702: Pfizer-BioNTech COVID-19 vaccine administration – second dose

D1703: Moderna COVID-19 vaccine administration – first dose

D1704: Moderna COVID-19 vaccine administration – second dose

D1705: AstraZeneca COVID-19 vaccine administration – first dose

D1706: AstraZeneca COVID-19 vaccine administration – second dose

D1707: Janssen (Johnson & Johnson) COVID-19 vaccine administration

D0604 antigen testing for a public health-related pathogen, including coronavirus.

D0605 antibody testing for a public health-related pathogen, including coronavirus.

Note: The use of codes related to the AstraZeneca vaccine are contingent upon that vaccine being granted Emergency Use Authorization by the U.S. Food and Drug Administration (FDA). The Ontario Academy of General Dentistry notes that dentists who seek to provide their patients with either COVID-19 testing or vaccination services may want to consider cross-coding for those procedures under patients’ medical insurance.

 

A notable change for CDT 2022 is the revision to the descriptors for various codes, allowing for broader applicable scenarios when treating patients.

D0120 Periodic oral evaluation – established patient

D0180 Comprehensive periodontal evaluation – new or established patient

D1354 Application of caries arresting medicament – per tooth

D2799 Interim crown – further treatment or completion of diagnosis necessary prior to

final impression

D2971 Additional procedures to customize a crown to fit under an existing partial denture framework

D4265 Biologic materials to aid in soft and osseous tissue regeneration, per site

D4276 Combined connective tissue and pedicle graft, per tooth

D5862 Precision attachment, by report

D5867 Replacement of replaceable part of semi-precision or precision attachment, per attachment

D6012 Surgical placement of interim implant body for transitional prosthesis: endosteal implant

D6051 Interim implant abutment placement

D6085 Interim implant crown

D6091 Replacement of replaceable part of semi-precision or precision attachment of implant/abutment supported prosthesis, per attachment

D6100 Surgical removal of implant body

D6253 Interim pontic - further treatment or completion of diagnosis necessary prior to

final impression

D6793 Interim retainer crown - further treatment or completion of diagnosis necessary prior to final impression

D6950 Precision attachment

D7292 Placement of temporary anchorage device [screw retained plate] requiring flap.

D7293 Placement of temporary anchorage device requiring flap.

D7294 Placement of temporary anchorage device without flap

D9613 Infiltration of sustained release therapeutic drug

D9997 Dental case management – patients with special health care needs


 

That's right. We waited to post these announcements until you could see first-hand the changes many insurance companies are changing for 2022. Please update the verification sheet you use when obtaining patient dental insurance eligibility.


One thing to note is that not ALL insurances will be up to the standards listed below but if they are, you need to be prepared. Coding and aligning with the requirements outlined here will ensure you are paid promptly.


The following oral evaluations performed without an intent to provide dental services to meet the patient’s needs will be processed as a D0190 (screening of a patient):

  • D0120 Periodic oral evaluation – established patient

  • D0150 Comprehensive oral evaluation – new or established patient

  • D0180 Comprehensive periodontal evaluation – new or established patient

Oral evaluations are only a benefit when the elements included in the descriptor are completed.

  • D0140 limited oral evaluation – problem focused

The following codes will be changing with most insurances from non-covered to a covered code under Diagnostic & Preventive once every 12 months (in most cases with insurance companies):

D0190 Screening of a patient

D0191 Assessment of a patient


The age limitation for individuals ages 6 and older, will be removed with most insurances for:

  • D0330 Panoramic radiographic image

Benefits for restorations placed within two (2) months may be denied for:

  • D1354 Application of caries arresting medicament

When D3473, D3501-D3503 are performed on the same tooth by the same dentist/dental office, the fees for scaling and root planning may not be BILLABLE TO THE PATIENT for:

  • D4341 Periodontal scaling and root planning - four or more teeth

  • D4342 Periodontal scaling and root planning – one to three teeth

The fee for D7410 may not be BILLABLE TO THE PATIENT as included in the fee for another surgery in the same area of the mouth on the same day by the same dentist/dental office

  • D7410 Excision of benign lesion up to 1.25 cm

The fee for D7411 may not be BILLABLE TO THE PATIENT as included in the fee for another surgery in the same area of the mouth on the same day by the same dentist/dental office.

  • D7411 Excision of benign lesion greater than 1.25 cm

The fee for D7415 may not be BILLABLE TO THE PATIENT as included in the fee for another surgery in the same area of the mouth on the same day by the same dentist/dental office

  • D7415 Excision of malignant lesion, complicated

The fee for D7450 may not be NOT BILLABLE TO THE PATIENT as included in the fee for another surgery in the same area of the mouth on the same day by the same dentist/dental office

  • D7450 Removal of benign odotogenic cyst or tumor – lesion diameter up to 1.25 cm

The fee for D7451 may not be BILLABLE TO THE PATIENT as included in the fee for another surgery in the same area of the mouth on the same day by the same dentist/dental office.

  • D7451 Removal of benign odotogenic cyst or tumor – lesion diameter up to 1.25 cm

When covered, benefit D9613 once per date of service when submitted with extractions (D7220-D7241), and any additional D9613 submitted on the same date of service may not be BILLABLE TO THE PATIENT.

  • D9613 Infiltration of sustained release therapeutic drug, per quadrant


We trust you found this information helpful and informative for your dental office. If you would like to know more about our incredible team of dental super hero's let's chat, we would love to support your dental office remotely. Click the link below and you will be guided to our calendar for a 30 minute chat. Share with a dental friend!



Disclaimer:


These materials are intended to provide helpful information to dentists and dental team members. They are in no way a substitute for actual professional advice based upon your unique facts and circumstances. This content is not intended or offered, nor should it be taken, as legal or other professional advice. You should always consult with your own professional advisors (e.g. attorney, accountant, insurance carrier). To the extent Dentistry Support, LLC TM has included links to any third party website (s), Dentistry Support, LLC TM intends no endorsement of their content and implies no affiliation with the organizations that provide their content. Further, Dentistry Support, LLC TM makes no representations or warranties about the information provided on those sites.




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