Repair/Reline Occlusal Guard - CDT Code Guide
Overview
CDT Code D9942 pertains to the repair and/or reline of an occlusal guard, a dental device used to protect teeth from grinding or clenching, often during sleep. This procedure involves either repairing a damaged guard or relining it to ensure a proper fit, which is crucial for the device's effectiveness. Dental professionals may perform this service when a patient's occlusal guard shows signs of wear, damage, or no longer fits correctly due to changes in the patient's dental structure. The procedure ensures that the occlusal guard continues to provide adequate protection and comfort.
When to Use This Code
- When an occlusal guard is damaged and needs repair.
- When the occlusal guard no longer fits due to dental changes.
- If the occlusal guard lining has worn out over time.
- When a patient reports discomfort or ineffectiveness of the guard.
- During routine dental check-ups if the guard shows signs of wear.
Documentation Requirements
- Detailed description of the damage or reason for relining.
- Patient's dental history and previous occlusal guard use.
- Clinical notes on the assessment of the occlusal guard condition.
- Documentation of the repair or reline process.
- Patient consent for the procedure.
- Photographic evidence of the guard's condition, if applicable.
Billing Considerations
When billing for D9942, ensure that the procedure is not performed too frequently, as insurance companies may have limitations on how often repairs or relines are covered. Common modifiers may include those indicating the specific nature of the repair or reline. Verify with the patient's insurance provider for coverage details and any pre-authorization requirements.
Related CDT Codes
Frequently Asked Questions
Repairing involves fixing specific damages, while relining adjusts the fit by adding new material to the inner surface.
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