Clean/Inspect Occlusal Guard - CDT Code Guide
Overview
CDT code D9936 refers to the cleaning and inspection of an occlusal guard, performed per appliance. This procedure is essential for maintaining the hygiene and functionality of occlusal guards, which are commonly used to prevent teeth grinding or clenching. During this process, the dental professional will thoroughly clean the guard to remove any buildup of plaque or debris and inspect it for any signs of wear or damage. This ensures that the appliance continues to provide effective protection and comfort for the patient. Typically, this service does not include any adjustments to the appliance, focusing solely on its maintenance and assessment. Dental professionals often perform this procedure during regular check-ups or when a patient reports issues with their occlusal guard.
When to Use This Code
- During routine dental check-ups for patients using occlusal guards
- When a patient reports discomfort or issues with their occlusal guard
- Prior to replacing an occlusal guard to assess its current condition
- As part of a comprehensive treatment plan for patients with bruxism
- To ensure the occlusal guard is free from damage or excessive wear
Documentation Requirements
- Detailed record of the cleaning and inspection process
- Notes on the condition of the occlusal guard
- Patient's report of any issues or discomfort with the appliance
- Date of service and identification of the appliance inspected
- Confirmation that no adjustments were made during the procedure
Billing Considerations
When billing for D9936, it's important to note that this code is used for the cleaning and inspection of the occlusal guard only and does not include any adjustments. Insurance coverage for this procedure may vary, and it is advisable to verify the patient's benefits beforehand. Typically, this service can be billed once per appliance per visit, and it may not be covered if performed too frequently. Common modifiers may not apply, but it's crucial to ensure accurate documentation for compliance.
Related CDT Codes
Frequently Asked Questions
Coverage for D9936 varies by insurance plan. It's best to verify with the patient's provider before performing the procedure.
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