Caries Arresting Medicament - CDT Code Guide
Overview
CDT code D1354 refers to the application of a caries arresting medicament per tooth. This procedure is a preventive measure aimed at halting the progression of active, non-symptomatic carious lesions without the need for mechanical removal of tooth structure. Typically, a medicament like silver diamine fluoride is applied topically to the affected area. This treatment is especially beneficial for patients who are at high risk of caries, including children, elderly patients, or those with special needs who may have difficulty undergoing more invasive procedures. By using this conservative approach, dental professionals can manage caries effectively while preserving the integrity of the tooth.
When to Use This Code
- When a patient has an active carious lesion that is non-symptomatic.
- In cases where patients are at high risk for caries and require a non-invasive treatment option.
- For pediatric patients who may not tolerate traditional restorative procedures.
- When treating elderly patients with limited access to dental care.
- In situations where a patient has special needs and cannot undergo more complex dental treatments.
Documentation Requirements
- Detailed chart notes indicating the presence of an active carious lesion.
- Documentation of the patient's risk assessment and justification for using a caries arresting medicament.
- Record of the specific medicament used, including brand and concentration.
- Consent form signed by the patient or guardian acknowledging the treatment plan.
- Follow-up plan to monitor the lesion and evaluate the effectiveness of the treatment.
Billing Considerations
When billing for D1354, it is important to note that this code is typically used for preventive purposes and may have frequency limitations imposed by insurance carriers. It is crucial to verify coverage with the patient's insurance provider, as some plans may not cover this procedure. Additionally, consider using appropriate modifiers if the treatment is part of a larger treatment plan. Documentation should clearly justify the medical necessity of the procedure to ensure compliance and reimbursement.
Related CDT Codes
Frequently Asked Questions
The primary purpose of using D1354 is to arrest the progression of active carious lesions in a non-invasive manner, preserving the tooth structure.
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