Can D9912 be used for every patient visit?

D9912 should be used when there is a specific need to assess the risk of infectious disease transmission. Routine use without justification may not be covered.

What should be included in the documentation for D9912?

Documentation should include the patient's health history, any recent exposures, and the rationale for conducting the screening.

How does D9912 differ from a regular health history update?

D9912 specifically focuses on assessing infectious disease risks, whereas a regular health history update may not address these concerns in detail.

Are there any modifiers commonly used with D9912?

Modifiers may be used depending on the specific circumstances and payer requirements. It's important to check with the payer for any applicable modifiers.

D9912

Pre-Visit Patient Screening - CDT Code Guide

Miscellaneous Services/Drugs

Overview

CDT Code D9912 pertains to the pre-visit patient screening process, which is essential for evaluating the risk of infectious disease transmission within a dental practice. This procedure involves capturing and documenting a patient's health status either prior to or on the scheduled date of service. This step is crucial in ensuring the safety of both patients and dental staff by identifying potential health risks that could affect treatment or increase the likelihood of disease transmission. Typically, this screening includes a review of the patient's medical history, current health conditions, and any recent exposure to infectious diseases. In the clinical context, this code is particularly relevant in situations where there is a heightened concern for infectious diseases, such as during flu season or in the context of a pandemic.

When to Use This Code

When a patient has a known exposure to an infectious disease prior to their appointment.
During a pandemic or outbreak of a contagious illness.
For patients with compromised immune systems requiring additional precautions.
When there is a change in the patient's health status that could affect dental treatment.
Prior to invasive dental procedures where infection risk is a concern.

Documentation Requirements

Detailed patient health history and current health status.
Documentation of any recent exposure to infectious diseases.
Records of communication with the patient regarding their health status.
Notes on any additional precautions taken based on the screening results.
Date and time of the screening relative to the scheduled dental service.

Billing Considerations

D9912 is typically billed when there is a justified need for pre-visit screening due to potential infectious risks. It is important to document the necessity of the screening thoroughly. Insurance coverage may vary, and some plans may require prior authorization. Be aware of any frequency limitations and ensure the screening is not billed in conjunction with other codes that include similar assessments.

Related CDT Codes

D0150 D0180 D0191 D9992 D9993

Frequently Asked Questions

Coverage for D9912 varies by insurance provider. It's important to verify with the patient's insurance plan and obtain any necessary pre-authorizations.

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