Is sedation always required for this procedure?

No, sedation is only necessary if muscle relaxation is needed for effective adjustment.

How does occlusal adjustment relate to orthodontics?

It is often used in conjunction with orthodontic treatments to ensure optimal occlusion and bite function.

Can this procedure be repeated?

Yes, but frequency should be limited and justified by clinical necessity to ensure insurance coverage.

What are common signs that a patient might need an occlusal adjustment?

Common signs include jaw pain, tooth wear, and difficulty chewing due to misalignment.

D9952

Occlusal Adjustment Complete - CDT Code Guide

Adjunctive General Services/Drugs

Overview

CDT code D9952 refers to a complete occlusal adjustment, a procedure aimed at correcting the alignment of the teeth to improve bite function and relieve discomfort. This process may involve multiple appointments, and in some cases, sedation is required to ensure muscle relaxation. The procedure is often used in conjunction with other dental treatments such as restorative procedures, orthodontics, or jaw surgery. By addressing occlusal disharmony, this adjustment enhances the healing of tissues affected by occlusal trauma and improves overall masticatory efficiency.

When to Use This Code

When a patient exhibits symptoms of occlusal trauma such as jaw pain or tooth wear.
In preparation for restorative dental treatments to ensure proper bite alignment.
As part of orthodontic treatment plans to achieve optimal occlusion.
Following orthognathic surgery to adjust the bite for functional efficiency.
After jaw trauma to restore proper occlusal relationships.

Documentation Requirements

Detailed patient history and symptoms related to occlusal issues.
Clinical notes on the necessity of occlusal adjustment and expected outcomes.
Records of study casts or articulating instrument analysis if used.
Documentation of sedation use, if applicable, including type and dosage.
Progress notes from each appointment detailing adjustments made.
Post-procedure evaluation notes on patient response and tissue healing.

Billing Considerations

When billing for D9952, ensure that the procedure is not being performed too frequently as insurance may have limitations on coverage. It's important to document the medical necessity clearly. Common modifiers may include those indicating sedation use. Verify with the patient's insurance for specific coverage details and any pre-authorization requirements.

Related CDT Codes

D0150 D0180 D9951 D9944 D9945

Frequently Asked Questions

The purpose is to correct bite alignment, relieve discomfort, and enhance masticatory efficiency.

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