Oral Evaluation for Under 3 - CDT Code Guide
Overview
CDT code D0145 refers to an oral evaluation specifically designed for children under the age of three. This evaluation is crucial for early detection of oral health issues and the establishment of a preventive care routine. Ideally, this procedure should be performed within the first six months after the eruption of the child's first primary tooth. During the evaluation, a dental professional will record the child's oral and physical health history, assess the risk of caries, and develop a tailored preventive oral health regimen. Additionally, the dentist will communicate with and counsel the child's parent or primary caregiver about maintaining optimal oral health for the child. This comprehensive approach ensures that both the child and caregiver are informed and equipped to manage oral health effectively.
When to Use This Code
- During the child's first dental visit, typically by age one.
- When the first primary tooth erupts, usually around six months.
- If there are concerns about the child's oral health or development.
- To establish a baseline for the child's oral health history.
- When counseling caregivers on preventive oral health practices.
Documentation Requirements
- Detailed record of the child's oral and physical health history.
- Assessment of caries risk and susceptibility.
- Documentation of the preventive oral health regimen developed.
- Notes on the counseling session with the caregiver.
- Date of the child's first primary tooth eruption, if applicable.
- Any observations or recommendations made during the evaluation.
Billing Considerations
D0145 is typically billed for children under three years old and is often covered by insurance as part of preventive care. It is important to note any frequency limitations set by the insurance provider, as some may only cover this evaluation once per year. Common modifiers may include those indicating the patient's age or special circumstances. Always verify with the patient's insurance for specific coverage details.
Related CDT Codes
Frequently Asked Questions
D0145 is intended for children under the age of three.
Need help with dental coding?
Our AI-powered assistant can answer your CDT code questions instantly.