Prophylaxis Adult - CDT Code Guide
Overview
CDT code D1110 refers to an adult prophylaxis procedure, which involves the professional cleaning of teeth. This procedure is essential for maintaining oral health by removing plaque, calculus, and stains from the tooth structures and implants. It is typically performed during routine dental visits and is crucial for preventing periodontal disease and other oral health issues. Dental professionals use this procedure to control local irritational factors, ensuring that patients maintain healthy gums and teeth. The procedure is suitable for patients with permanent and transitional dentition, and it plays a vital role in preventive dental care.
When to Use This Code
- During a routine dental check-up for adult patients
- When a patient has visible plaque and calculus buildup
- For patients with a history of periodontal disease to prevent recurrence
- Prior to dental procedures that require a clean oral environment
- For patients with transitional dentition needing preventive care
Documentation Requirements
- Patient's dental and medical history
- Detailed charting of plaque and calculus presence
- Documentation of oral hygiene instructions provided
- Clinical notes on the condition of gums and teeth
- Consent form signed by the patient
- Record of any adverse reactions or complications
Billing Considerations
D1110 is typically covered by dental insurance plans as a preventive service, often with a frequency limitation of twice per year. It is important to verify the patient's insurance benefits and any applicable waiting periods. Common modifiers include those indicating the patient's age or special circumstances. Ensure accurate documentation to avoid claim denials.
Related CDT Codes
Frequently Asked Questions
Most insurance plans cover D1110 twice per year as part of preventive care, but it's important to check the specific plan details.
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