CDA: Prepare for CDT 2020 dental code changes

2016 08 12 15 05 28 688 Doctor Form 400

Is your practice prepared for the additions, revisions, and deletions that will go into effect on January 1, 2020, to the Codes on Dental Procedures and Nomenclature (CDT)? The new year will bring 37 new and five revised codes, plus six deleted codes.

While dental plans are required to recognize current CDT codes, it is important to keep in mind 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 in late October and early November.

New procedure codes

The new procedure codes being introduced in 2020 are listed below.

New CDT 2020 procedure codes
Code Description
D0419 Assessment of salivary flow by measurement
D1551 Recement or rebond bilateral space maintainer -- maxillary
D1552 Recement or rebond bilateral space maintainer -- mandibular
D1553 Recement or rebond unilateral space maintainer -- per quadrant
D1556 Removal of fixed unilateral space maintainer -- per quadrant
D1557 Removal of fixed bilateral space maintainer -- maxillary
D1558 Removal of fixed bilateral space maintainer -- mandibular
D2753 Crown -- porcelain fused to titanium and titanium alloys
D5284 Removable unilateral partial denture -- one piece flexible base (including clasps and teeth) -- per quadrant
D5286 Removable unilateral partial denture -- one piece resin (including clasps and teeth) -- per quadrant
D6082 Implant supported crown -- porcelain fused to predominantly base alloys
D6083 Implant supported crown -- porcelain fused to noble alloys
D6084 Implant supported crown -- porcelain fused to titanium and titanium alloys
D6086 Implant supported crown -- predominantly base alloys
D6087 Implant supported crown -- noble alloys
D6088 Implant supported crown -- titanium and titanium alloys
D6097 Abutment supported crown -- porcelain fused to titanium and titanium alloys
D6098 Implant supported retainer -- porcelain fused to predominantly base alloys
D6099 Implant supported retainer for fixed partial denture (FPD) -- porcelain fused to noble alloys
D6120 Implant supported retainer -- porcelain fused to titanium and titanium alloys
D6121 Implant supported retainer for metal FPD -- predominantly base alloys
D6122 Implant supported retainer for metal FPD -- noble alloys
D6123 Implant supported retainer for metal FPD -- titanium and titanium alloys
D6195 Abutment supported retainer -- porcelain fused to titanium and titanium alloys
D6243 Pontic -- porcelain fused to titanium and titanium alloys
D6753 Retainer crown -- porcelain fused to titanium and titanium alloys
D6784 Retainer crown ¬ĺ -- titanium and titanium alloys
D7922 Placement of intra-socket biological dressing to aid in hemostasis or clot stabilization, per site
D8696 Repair of orthodontic appliance -- maxillary
D8697 Repair of orthodontic appliance -- mandibular
D8698 Recement or rebond fixed retainer -- maxillary
D8699 Recement or rebond fixed retainer -- mandibular
D8701 Repair of fixed retainer, includes reattachment -- maxillary
D8702 Repair of fixed retainer, includes reattachment -- mandibular
D8703 Replacement of lost or broken retainer -- maxillary
D8704 Replacement of lost or broken retainer -- mandibular
D9997 Dental case management -- patients with special health care needs

CDT code revisions

There will be three code revisions (see table below) and two site changes.

CDT code revisions
Code Description
D1510 space maintainer Fixed, unilateral -- per quadrant. Excludes a distal shoe space maintainer.
D1520 space maintainer Removable -- unilateral -- per quadrant
D1575 distal shoe space maintainer Fixed -- unilateral -- per quadrant fabrication and delivery of fixed appliance extending subgingivally and distally to guide the eruption of the first permanent molar. Does not include ongoing follow-up or adjustments, or replacement appliances, once the tooth has erupted.

In addition, there will be periodontal category descriptor revisions.

The site changes include the following:

  • If two contiguous teeth have areas of soft-tissue recession, each area of recession tooth is a single site.
  • Depending on the dimensions of the defect, up to two contiguous edentulous tooth positions may be considered a single site.

CDT code deletions

There are also six code deletions scheduled for 2020.

CDT codes deletions
Code Description
D1550 Recement or rebond space maintainer
D1555 Removal of fixed space maintainer
D8691 Repair of orthodontic appliance
D8692 Replacement of lost or broken retainer
D8693 Recement or rebond fixed retainer
D8694 Repair of fixed retainers, includes reattachment

There are also 15 editorial actions that clarify without changing the CDT Code entry's purpose or scope, such as to syntax and spelling. The CDA encourages all billing dentists to obtain a current copy of the ADA CDT 2020 procedure codes, which are available for purchase through the ADA website. It is recommended that all dental offices have a current copy to assist with proper claim billing.

Additionally, when coding, dentists must code for the work that was done, not for what is covered under the patient's benefit plan.

DrBicuspid.com wishes to thank the California Dental Association (CDA) for allowing us to reprint this article, which originally appeared on the CDA website.

The comments and observations expressed herein do not necessarily reflect the opinions of DrBicuspid.com, nor should they be construed as an endorsement or admonishment of any particular idea, vendor, or organization.

Copyright © 2019 California Dental Association

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