Drugs or Medicaments Dispensed - CDT Code Guide
Overview
CDT Code D9630 is used to document the dispensing of drugs or medicaments directly from a dental office for a patient's home use. This code covers a range of medications, including oral antibiotics, oral analgesics, and topical fluoride treatments. It is important to note that this code does not apply to the act of writing prescriptions but rather to the physical dispensing of medications. Dental professionals may use this code when providing patients with necessary medications to manage pain, prevent infection, or maintain oral health following a procedure. This service is an adjunctive general service, meaning it supports the primary dental treatment provided.
When to Use This Code
- Dispensing oral antibiotics to a patient after a surgical procedure to prevent infection.
- Providing oral analgesics to manage post-operative pain following an extraction.
- Supplying topical fluoride for at-home use to a patient with high caries risk.
- Dispensing medicaments for managing oral mucositis in patients undergoing cancer treatment.
- Providing anti-inflammatory drugs to manage swelling after periodontal surgery.
Documentation Requirements
- Record the specific drug or medicament dispensed, including dosage and quantity.
- Include the date of dispensing and the patient's name.
- Document the clinical reason for dispensing the medication.
- Ensure the patient's consent for receiving the medication is recorded.
- Maintain a record of any patient instructions provided regarding medication use.
- Include any relevant patient medical history that justifies the dispensing of the medication.
Billing Considerations
When billing for D9630, ensure that the medication is not covered under another service or code. Be aware of any frequency limitations set by insurance providers for dispensed medications. Common modifiers may not apply, but it is essential to verify with the specific payer. Some insurance plans may not cover the cost of medications dispensed in the office, so it is crucial to inform patients of potential out-of-pocket expenses.
Related CDT Codes
Frequently Asked Questions
No, D9630 is specifically for dispensing medications in the office, not for writing prescriptions.
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