Prophylaxis Child - CDT Code Guide
Overview
CDT Code D1120 refers to the prophylaxis procedure for children, which involves the removal of plaque, calculus, and stains from tooth structures and implants in primary and transitional dentition. This preventive measure is crucial for maintaining oral health in children by controlling local irritational factors that can lead to more serious dental issues if left untreated. Typically, this procedure is performed during routine dental visits and is essential for preventing cavities and gum disease in young patients. Dental professionals use this code to document and bill for the cleaning services provided to children, ensuring that their oral hygiene is maintained effectively.
When to Use This Code
- During a routine dental check-up for a child with primary or transitional dentition
- When a child presents with visible plaque or calculus build-up
- As part of a preventive care plan to maintain oral health in children
- Before applying dental sealants to ensure a clean surface
- To address parental concerns about a child's oral hygiene
Documentation Requirements
- Patient's age and dentition type (primary or transitional)
- Detailed notes on the presence of plaque, calculus, and stains
- Description of the prophylaxis procedure performed
- Date of service and duration of the procedure
- Any patient or parent education provided regarding oral hygiene
- Signature of the dental professional performing the procedure
Billing Considerations
D1120 is typically covered by dental insurance plans as part of preventive care. It is important to note the frequency limitations, as many insurance plans cover this procedure once every six months for children. Common modifiers may include age-related modifiers if applicable. Always verify with the patient's insurance provider for specific coverage details.
Related CDT Codes
Frequently Asked Questions
D1120 is applicable for children with primary or transitional dentition, typically up to age 12.
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