Can D1301 be billed on the same day as other preventive services?

Yes, D1301 can be billed on the same day as other preventive services, but ensure that the counseling session is separately documented and justified.

What should be included in the counseling session for D1301?

The session should include information on the benefits of immunizations, specific vaccines relevant to the patient, and address any questions or concerns the patient may have.

How long should an immunization counseling session last?

The duration can vary, but it should be long enough to thoroughly cover the necessary information and address patient concerns, typically around 15-30 minutes.

Are there any age restrictions for using D1301?

D1301 can be used for patients of all ages, as immunization counseling is relevant for both pediatric and adult patients.

D1301

Immunization Counseling - CDT Code Guide

Preventive

Overview

CDT code D1301 refers to immunization counseling, a preventive service aimed at educating patients and caregivers about the importance and benefits of vaccinations. This counseling session is crucial in helping patients understand the role of immunizations in preventing oral and systemic diseases. Typically, dental professionals provide this service during routine check-ups or when discussing overall health strategies with patients. The session may cover the types of vaccines recommended, their schedules, and address any concerns or misconceptions patients might have about immunizations.

When to Use This Code

During routine dental check-ups to educate patients about vaccines.
When a patient expresses concerns or questions about immunizations.
For patients with a history of systemic conditions that may benefit from specific vaccines.
In pediatric dental visits to discuss childhood vaccination schedules.
When updating a patient's medical history to include recent vaccinations.

Documentation Requirements

Document the date and duration of the counseling session.
Include a summary of the topics discussed during the session.
Record any specific vaccines discussed and their relevance to the patient.
Note any patient or caregiver questions and the responses provided.
Include the patient's consent to receive counseling and any follow-up actions.

Billing Considerations

When billing for D1301, ensure that the counseling session is distinct from other services provided on the same day. Check with insurance providers regarding coverage for preventive counseling services, as some may have specific criteria or frequency limitations. Common modifiers may not be necessary unless the counseling is part of a more complex treatment plan.

Related CDT Codes

D0120 D0150 D0180 D1110 D1206

Frequently Asked Questions

Coverage for D1301 varies by insurance provider. It's important to verify with the patient's insurance plan to determine if preventive counseling services are included.

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