D9944

Occlusal Guard Hard Appliance - CDT Code Guide

Adjunctive General Services/Drugs

Overview

CDT code D9944 refers to the provision of a hard occlusal guard, a full-arch removable dental appliance. This appliance is primarily used to protect the teeth from the effects of bruxism, which is the involuntary grinding or clenching of teeth. Bruxism can lead to tooth wear, fractures, and other dental issues. The occlusal guard is custom-fitted to the patient's mouth and is typically worn during sleep to prevent damage. It is important to note that this code should not be used for appliances intended to treat sleep apnea, snoring, or temporomandibular joint disorders (TMD). Dental professionals should ensure that the patient is properly diagnosed with bruxism or other occlusal factors before recommending this appliance.

When to Use This Code

  • Patient diagnosed with bruxism experiencing tooth wear
  • Patient with a history of night-time teeth grinding
  • Patient requiring protection for dental restorations from occlusal forces
  • Patient with occlusal trauma not related to TMD
  • Patient needing a preventive measure for occlusal wear

Documentation Requirements

  • Detailed patient diagnosis indicating bruxism
  • Clinical notes on the necessity of the occlusal guard
  • Documentation of the appliance fitting process
  • Patient education on use and care of the appliance
  • Verification of appliance delivery to the patient
  • Records of follow-up visits to assess appliance effectiveness

Billing Considerations

When billing for D9944, ensure that the diagnosis supports the need for an occlusal guard due to bruxism. This code should not be used for appliances related to sleep apnea or TMD. Frequency limitations may apply, so check with the patient's insurance provider for coverage details. Common modifiers may include those indicating the arch treated (upper or lower).

Related CDT Codes

Frequently Asked Questions

No, D9944 is specifically for occlusal guards related to bruxism, not TMD appliances.

Source: CDT 2023 © American Dental Association

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