Can D0412 be used for routine diabetes screening?

D0412 is generally used for patients with symptoms or a history of diabetes. Routine screenings should be discussed with the patient's primary care provider.

How often can D0412 be billed for the same patient?

The frequency of billing D0412 depends on the patient's medical necessity and insurance policy. Check with the insurer for specific limitations.

What should be documented if the test result is abnormal?

If the test result is abnormal, document the result, any symptoms, the patient's medical history, and the recommended follow-up actions.

Are there any patient preparations required before performing D0412?

Typically, no special preparation is needed, but patients should inform the provider of any recent changes in medication or health status.

D0412

Blood Glucose Level Test - CDT Code Guide

Diagnostic/Tests and Examinations

Overview

CDT Code D0412 refers to the in-office blood glucose level test using a glucose meter. This diagnostic procedure is essential for providing immediate insights into a patient's blood glucose levels at the time of sample collection. It is particularly useful in assessing patients with diabetes or those at risk of developing diabetes, allowing for timely intervention and management. The test is performed using a small blood sample, typically obtained via a finger prick, and analyzed on-site, offering rapid results that can inform clinical decisions during the same visit. Dental professionals may use this test to evaluate systemic health conditions that could impact oral health, ensuring comprehensive patient care.

When to Use This Code

When a patient presents with symptoms suggestive of hyperglycemia or hypoglycemia.
During a routine dental examination for patients with a known history of diabetes.
Prior to performing invasive dental procedures in patients with diabetes to assess their current glucose control.
When a patient reports a recent history of unexplained weight loss, fatigue, or increased thirst.
As part of a comprehensive evaluation for patients with periodontal disease, which can be exacerbated by poor glucose control.

Documentation Requirements

Patient's medical history and indication for the test.
Consent from the patient for performing the blood glucose test.
Detailed recording of the test results, including the date and time of the test.
Documentation of any symptoms or conditions prompting the test.
Follow-up plan based on the test results, if applicable.
Verification of the glucose meter calibration and maintenance records.

Billing Considerations

When billing for D0412, it's important to note that this code is typically covered when medically necessary and documented appropriately. Frequency limitations may apply based on the patient's insurance policy. Common modifiers include those indicating the test's necessity due to a specific medical condition. Dental professionals should verify coverage with the patient's insurance provider to ensure compliance and avoid denied claims.

Related CDT Codes

D0150 D0180 D0411 D0601 D0602

Frequently Asked Questions

Coverage for D0412 varies by insurance provider and plan. It's essential to verify with the patient's insurance to ensure coverage.

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