Is D9410 reimbursable by all insurance providers?

Reimbursement for D9410 varies by insurance provider. It is important to verify coverage and any specific requirements with the patient's insurance company.

Should D9410 be reported for each visit?

Yes, D9410 should be reported for each professional visit to a facility, in addition to the specific procedures performed.

What documentation is needed to support billing D9410?

Documentation should include the location and date of the visit, patient condition, procedures performed, and any relevant communication with facility staff.

Are there any modifiers commonly used with D9410?

Modifiers may be required to indicate the location of service or type of facility. Check with the payer for specific requirements.

D9410

House/Extended Care Facility Call - CDT Code Guide

Adjunctive General Services/Professional Visits

Overview

CDT Code D9410 is designated for dental professionals who provide services in non-traditional settings such as nursing homes, long-term care facilities, hospice sites, and other institutions. This code is used to report the professional visit itself and should be billed in addition to the specific dental procedures performed during the visit. This ensures that dental care is accessible to patients who are unable to visit a dental office due to health or mobility issues. Typically, this code is utilized when a dentist or dental hygienist travels to a facility to perform necessary dental treatments, ensuring continuity of care for patients in extended care environments.

When to Use This Code

When visiting a nursing home to provide routine dental care to residents.
During a hospice visit to address urgent dental needs for palliative care patients.
Providing dental services in a long-term care facility for patients with limited mobility.
Visiting a rehabilitation center to perform dental evaluations and treatments.
When conducting a professional visit to an institution where patients cannot travel to a dental office.

Documentation Requirements

Document the date and location of the visit.
Include detailed notes on the patient's condition and the necessity of the visit.
Record all procedures performed during the visit with corresponding CDT codes.
Maintain a travel log if required by the payer for verification purposes.
Ensure patient consent forms are completed and filed appropriately.
Include any communication with the facility's staff regarding patient care.

Billing Considerations

When billing for D9410, it is important to note that this code is used in addition to the specific procedures performed during the visit. Check with the patient's insurance provider for any frequency limitations or specific documentation requirements. Common modifiers may include those indicating the location of service or the type of facility visited. Ensure that all services are clearly documented to avoid claim denials.

Related CDT Codes

D0140 D0150 D1110 D0120 D0210

Frequently Asked Questions

Yes, D9410 can be used for home visits if the patient is unable to visit a dental office due to health or mobility issues.

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