Can D9129 be used for the initial session of therapy?

No, D9129 is specifically for subsequent 15-minute increments. The initial session should be billed using the appropriate initial therapy code.

What documentation is required for billing D9129?

Documentation should include detailed treatment notes, patient consent, clinical indications, and progress notes showing patient response to therapy.

Are there any frequency limitations for using D9129?

Frequency limitations may apply depending on the payer. It's important to check with the specific insurance provider for any restrictions.

What are common clinical scenarios for using photobiomodulation?

Common scenarios include post-operative pain management, reducing inflammation, enhancing healing in oral mucositis, and managing TMJ disorders.

D9129

Photobiomodulation - CDT Code Guide

Adjunctive

Overview

CDT Code D9129 refers to photobiomodulation therapy, which is a non-invasive treatment that uses light to promote healing and reduce pain and inflammation. This code specifically covers each subsequent 15-minute increment of the therapy, or any portion thereof, following the initial treatment period. Photobiomodulation is often used in dental settings to assist in the healing of oral tissues, manage pain after surgical procedures, and reduce inflammation. It is a valuable adjunctive therapy that can enhance patient outcomes, especially in cases involving complex oral surgeries or chronic conditions.

When to Use This Code

Post-operative pain management following oral surgery
Reducing inflammation in patients with periodontal disease
Enhancing healing in patients with oral mucositis
Managing temporomandibular joint (TMJ) disorders
Adjunctive therapy for patients with chronic orofacial pain

Documentation Requirements

Detailed treatment notes including duration and frequency of sessions
Patient consent for photobiomodulation therapy
Clinical indication for using photobiomodulation
Progress notes documenting patient response to therapy
Billing records showing initial and subsequent sessions
Any relevant diagnostic codes supporting the use of this therapy

Billing Considerations

When billing for D9129, ensure that the initial session is documented separately as this code applies to subsequent 15-minute increments. Be aware of any payer-specific frequency limitations and consider using modifiers if multiple sessions are performed on the same day. Verify with insurance providers whether photobiomodulation is covered under the patient's plan, as coverage can vary significantly.

Related CDT Codes

D9110 D0140 D0170 D0180 D9310

Frequently Asked Questions

Coverage for photobiomodulation therapy varies by insurance provider. It's important to verify coverage with the patient's insurance plan prior to treatment.

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