Occlusal Adjustment Limited - CDT Code Guide
Overview
CDT code D9951 refers to a limited occlusal adjustment, a procedure that involves reshaping the biting surfaces of teeth to improve the contact between the upper (maxillary) and lower (mandibular) teeth. This adjustment, also known as equilibration, aims to create a harmonious occlusion, which can alleviate discomfort and prevent further dental issues. The procedure often includes techniques such as discing, odontoplasty, or enamoplasty. It is typically reported on a per-visit basis and is not applicable for routine bite adjustments following the delivery of restorations or prosthodontics.
When to Use This Code
- When a patient experiences discomfort due to uneven bite surfaces.
- To alleviate symptoms of temporomandibular joint disorder (TMJ).
- When there is a need to adjust the occlusion after orthodontic treatment.
- To correct minor occlusal discrepancies that do not require extensive treatment.
- In cases where occlusal interferences are causing wear on the teeth.
Documentation Requirements
- Detailed patient history and symptoms related to occlusal issues.
- Clinical notes describing the occlusal discrepancies observed.
- Records of diagnostic tests or imaging used to assess occlusion.
- Description of the specific adjustments made during the procedure.
- Patient consent and understanding of the procedure and its goals.
Billing Considerations
D9951 is typically billed on a per-visit basis. It is important to document the clinical necessity for the adjustment to ensure coverage. Be aware that insurance may not cover this code if it is used for routine post-delivery care of restorations. Modifiers may be necessary if the procedure is part of a larger treatment plan.
Related CDT Codes
Frequently Asked Questions
No, D9951 should not be reported for routine bite adjustments following the delivery of restorations.
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