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RENEW-YOUR-2019-DUES

​Dental News and Notes

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September 23, 2019

It’s here...CDT 2020
Every year the number of changes to the CDT book differs. It depends on many factors. I truly believe that you should all invest in a new book at least every two years as the language that describes the procedures is crucial to insuring you are reporting properly. As I’ve mentioned before, this year CDT 2020 offers 37 additions, five revisions, six deletions and 15 editorial actions. Let’s review some of the big changes.

*Please note that changes are indicated as strikeouts.

Diagnostic:

ADDITIONS:1

D0419 assessment of salivary flow by measurement

This procedure is for identification of low salivary flow in patients at risk for hyposalivation and xerostomia, as well as effectiveness of pharmacological agents used to stimulate saliva production.

Preventive:

ADDITIONS: 6

D1551 re-cement or re-bond bilateral space maintainer – maxillary

D1552 re-cement or re-bond bilateral space maintainer – mandibular

D1553 re-cement or re-bond unilateral space maintainer – per quadrant

D1556 removal of fixed unilateral space maintainer – per quadrant

D1557 removal of fixed bilateral space maintainer – maxillary

Procedure performed by dentist or practice that did not originally place the appliance.

D1558 removal of fixed bilateral space maintainer – mandibular

Procedure performed by dentist or practice that did not originally place the appliance.

 

REVISED: 3

D1510 space maintainer- fixed, unilateral – per quadrant. Excludes distal shoe space maintainer.

D1520 space maintainer – removable, unilateral – per quadrant

D1575 distal shoe space maintainer-fixed, unilateral – per quadrant

Fabrication and delivery of fixed appliance extending subgingivally and distally to guide the eruption of the first permanent molar. Does not include ongoing follow-up or adjustments, or replacement appliances, once the tooth has erupted.

DELETIONS: 2

D1550 recement or re-bond space maintainer

D1555 removal of fixed space maintainer

Procedure performed by dentist or practice that did not originally pace the appliance.

Restorative:

ADDITIONS: 1

D2753 crown -- porcelain fused to titanium and titanium alloys

Editorial:

D2794 crown – titanium and titanium alloys.

 

Periodontal codes:

2 revisions to the category descriptors:

 Editorial actions regarding the definition of “site”.

If two contiguous teeth have areas of soft tissue recession, each area of recession tooth is a single site.

Depending on the dimensions of the defect, up to two contiguous edentulous tooth positions may be considered a single site.

Site: “A term used to describe a single area, position, or locus. The word “site” is frequently used to indicate an area of soft tissue recession on a single tooth or an osseous defect adjacent to a single tooth, also used to indicate soft tissue defects and/or osseous defects in edentulous tooth positions.”

Change:

If two contiguous teeth have areas of soft tissue recession, each tooth is a single site.

If two contiguous teeth have adjacent but separate osseous defects, each defect is a single site.

If two contiguous teeth have a communicating interproximal osseous defect, it should be considered a single site.

All non-communicating osseous defects are single sites

All edentulous non-contiguous tooth positions are single sites

Up to two contiguous edentulous tooth positions may be considered a single site

Tooth Bounded Space: A space created by one or more missing teeth that has a tooth on each side.


Prosthodontics (Removable)

ADDITIONS: 2

D5284 removable unilateral partial denture-one-piece flexible base (including clasps and teeth) – per quadrant

D5286 removable unilateral partial denture – one-piece resin (including clasps and teeth)-per quadrant

Editorial: 6 changes

D5213 maxillary partial denture – cast metal framework with resin denture bases (including any conventional clasps, retentive/clasping materials, rests and teeth)

D5214 mandibular partial denture - cast metal framework with resin denture bases (including any conventional clasps retentive/clasping materials, rests and teeth)

D5221 immediate maxillary partial denture – resin base (including any conventional clasps retentive/clasping materials, rest and teeth) Includes limited follow-up care only; does not include future rebasing/relining procedure(s).

D5222 immediate mandibular partial denture – resin base (including any conventional clasps retentive/clasping materials, rest and teeth) Includes limited follow-up care only; does not include future rebasing/relining procedure(s).

D5223 immediate maxillary partial denture – cast metal framework with resin denture bases (including any conventional clasps retentive/clasping materials, rests and teeth)

Includes limited follow-up care only; does not include future rebasing/relining procedure(s).

D5224 immediate mandibular partial denture – cast metal framework with resin denture bases (including any conventional clasps retentive/clasping materials, rests and teeth)

Includes limited follow-up care only; does not include future rebasing/relining procedure(s).

Implant Services:

ADDITIONS: 16

D6097 abutment supported crown --  porcelain fused to titanium or titanium alloys

A single metal-ceramic crown restoration that is retained, supported, and stabilized by an abutment on an implant.

D6082 implant supported crown – porcelain fused to predominantly base alloys

A single metal-ceramic crown restoration that is retained, supported and stabilized by an implant.

D6083 implant supported crown – porcelain fused to metal alloys

A single metal-ceramic crown restoration that is retained, supported and stabilized by an implant.

D6084 implant supported crown – porcelain fused to titanium or titanium alloys

A single metal-ceramic crown restoration that is retained, supported and stabilized by an implant.

D6086 implant supported crown – predominantly base alloys

A single metal crown restoration that is retained, supported and stabilized by an implant.

D6087 implant supported crown – noble alloys

A single metal crown restoration that is retained, supported.

D6088 implant supported crown – titanium and titanium alloys

A single metal crown restoration that is retained, supported and stabilized by an implant.

D6195 abutment supported retainer – porcelain fused to titanium and titanium alloys

A metal-ceramic retainer for a fixed partial denture that gains retention, support, and stability from an abutment on an implant.

D6098 implant supported retainer – porcelain fused to predominantly base alloys

A metal-ceramic retainer for a fixed partial denture that gains retention, support, and stability from an abutment on an implant

D6099 implant supported retainer for FPD -porcelain fused to noble alloys

A metal-ceramic retainer for a fixed partial denture that gains retention, support, and stability from an implant.

D6120 implant supported retainer- porcelain fused titanium and titanium alloys

A metal ceramic retainer for a fixed partial denture that gains retention, support, and stability from an implant.

D6121 implant supported retainer for metal FPD – predominantly base alloys

A metal retainer for a fixed partial denture that gains retention, support, and stability from an implant.

D6122 implant supported retainer for metal FPD – noble alloys

A metal retainer for a fixed partial denture that gains retention, support, and stability from an implant.

D6123 implant supported retainer for metal FPD – titanium and titanium alloys

A metal retainer for a fixed partial denture that gains retention, support, and stability from an implant.

Editorial:

D6094 abutment supported crown titanium and titanium alloys

A single crown restoration that is retained, supported and stabilized by an abutment on an implant.

D6066 implant supported crown – porcelain fused to (titanium, titanium alloy, high noble metal   alloys

A single metal-ceramic crown restoration that is retained, supported and stabilized by an implant.

D6067 implant supported metal crown – (titanium, titanium alloy high noble metal alloys

A single metal crown restoration that is retained, supported and stabilized by an implant.

D6194 abutment supported retainer crown for FPD (titanium) – titanium and titanium alloys May be cast or milled

A retainer for a fixed partial denture that gains retention, support and stability from an abutment on an implant.

D6076 implant supported retainer for FPD porcelain fused to metal– porcelain fused to (titanium, titanium alloy, or high noble alloys

A metal-ceramic retainer for a fixed partial denture that gains retention, support and stability from an implant.

D6077 implant supported retainer for cast metal FPD – (titanium alloy, or high noble metal alloys

A cast metal retainer for a fixed partial denture that gains retention, support and stability from an implant.

Prosthodontics, fixed

ADDITION: 1

D6243 pontic – porcelain fused to titanium and titanium alloys

D6753 retainer crown – porcelain fused to titanium and titanium alloys

D6784 retainer crown 3/4 – titanium and titanium alloys

Editorials:

D6214 pontic – titanium and titanium alloys

D6794 retainer crown – titanium and titanium alloys

 

Oral & Maxillofacial Surgery

ADDITIONS: 1

D7922 placement of intra-socket biological dressing to aid in hemostasis or clot stabilization, per site

This procedure can be performed at time and/or after extraction to aid in hemostasis. The socket is packed with a hemostatic agent to aid in hemostasis and or clot stabilization.

Orthodontics

ADDITIONS: 8

D8696 repair of orthodontic appliance – maxillary

Does not include bracket and standard fixed orthodontic appliances. It does include functional appliances and palatal expanders.

D8697 repair of orthodontic appliance – mandibular

Does not include bracket and standard fixed orthodontic appliances. It does include functional appliances and palatal expanders.

D8698 re-cement or re-bond fixed retainer – maxillary

D8699 re-cement or re-bond fixed retainer – mandibular

D8701 repair of fixed retainer, includes reattachment – maxillary

D8702 repair of fixed retainer, includes reattachment- mandibular

D8703 replacement of lost or broken retainer – maxillary

D8704 replacement of lost or broken retainer – mandibular

 

DELETIONS: 4

D8691 repair of orthodontic appliance

Does not include bracket and standard fixed orthodontic appliances. It does include functional appliances and palatal expanders.

D8692 replacement of lost or broken retainer

D8693 re-cement or re-bond fixed retainer

D8694 repair of fixed retainers, include reattachment

"State":"NJ"