Current Dental Terminology( CDT)

 


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                Medical Coding is converting a diagnosis or symptoms, procedures, and drugs into codes and Medical billing is billing insurance companies and patients for procedures and office visits. Their work is submitted to insurance companies for payment purposes, data collection, research, billing and quality improvement purposes.



Current Dental Terminology( CDT)

                            CDT Codes are a set of medical codes for dental procedures that cover oral health and dentistry. Each procedural code is an alphanumeric code beginning with the letter “D” (the procedure code) and followed by four numbers (the nomenclature). It also includes written descriptions for some of the procedural codes.

                Current Dental Terminology (CDT) was updated once every two years. Now, the CDT Code is revised every year, and the revisions are significant. CDT 2015 introduced 16 new procedural codes, revised 52 codes and deleted five.


 Level I CPT codes are the numerical codes used primarily to identify medical services and procedures furnished by qualified healthcare professionals (QHPs). CPT does not include codes regularly billed by medical suppliers other than QHPs to report medical items or services.

The Importance of CDT Codes

The CDT codes are important to describe procedures in claims (“Code on Dental Procedures and Nomenclature (CDT Code)”). However, Patti DiGangi, “a certified Health Information Technology trainer,” says “The existence of a code does not mean a patient has coverage under a policy. Yet without a code, no coverage can be offered. This is where the confusion lies. Codes and coverage are related but are not the same. It is the obligation of the practice to use the code that most accurately describes the procedure” (2015). When there are no codes for a procedure, the clinic must describe it (“Frequent General Questions Regarding Dental Procedure Codes”). Fortunately, the ADA (American Dental Association) amends the codes every year in order to account for the changes and developments of dental procedures, taking “requests for additions and revisions” from people and organizations, such as dentists, “the ADA’s Council on Dental Benefit Programs, dental specialty organizations, third-party payers, and others in the dental community” (“Frequent General Questions Regarding Dental Procedure Codes”). The clinics’ staff must write the correct and accurate codes on claims for insurance companies in order to avoid fraud.



Clinics must train their staff members about the CDT codes and their updates. According to Ann-Marie C. DePalma, “a Fellow of the American Academy of Dental Hygiene,” and Christine Taxin, “the founder and president of Links2Success,” clinics should train many people, such as billing staff and hygienists, on these codes and their updates (DePalma 2016; Taxin 2016). By doing so, employees “can identify situations when the new codes might apply, understand when it’s necessary to gather more information on medical conditions related to a procedure, and document procedures fully so that they can be eligible for medical billing whenever possible” (Taxin 2016). An alternative to training one’s staff would be to outsource insurance to another company, whose employees would check the claims’ codes (Hatch 2017).
However, when clinics send claims with inaccurate codes, they may be convicted of fraud. Some employees commit fraud “for the purpose of gaining unauthorized benefits” (Lewis Jr. and Farragher 2013). Fraud includes using the wrong code, up-coding, which means “‘reporting a more complex and/or higher cost procedure than was actually performed,’” and “unbundling of procedures,” which means “‘the separating of a dental procedure into component parts with each part having a charge…” (Lewis Jr. and Farragher 2013). These reportages of inaccurate codes may lead to higher bills for the patients (Lewis Jr. and Farragher 2013). Dentists must “[run] background checks on all employees prior to hire,” closely supervise them and the clinics’ accounts, and hire “qualified certified public accountants, lawyers, trainers, and advisors” to investigate fraud (Lewis Jr. and Farragher 2013).
Many people in dental clinics must be updated on the CDT codes annually in order to use them correctly. Unfortunately, some employees may use these codes to swindle patients out of their money. Dentists need to make sure that their employees use the CDT codes correctly.

 purpose of the CDT codes

The purpose of the CDT Code is to achieve uniformity, consistency and specificity in accurately documenting dental treatment. One use of the CDT Code is to provide for the efficient processing of dental claims, and another is to populate an Electronic Health Record.

            The code on Dental Procedures and Nomenclature (CDT Code) is a set of standardized descriptions of dental procedures paired with a 5-character code. CDT Codes are a standard Health Insurance Portability and Accountability Act (HIPAA) code set, and the American Dental Association (ADA) releases annual updates for these codes.Carestream Dental software uses CDT Codes to provide a consistent description of the procedures performed at your office to insurers and other interested parties. For additional information, see the ADA CDT Code website.Please find the appropriate update utility for the Carestream Dental product used in your office. It is important to note that some Carestream Dental practice management software does not require an update utility and uses other methods to perform CDT Code updates each year.

CS SoftDent


The CDT 2021 update for SoftDent contains 28 new codes, 7 revised codes, deletes 4 codes and 22 editorial actions, which clarify without changing the coded procedure's purpose.

CS WinOMS

The CDT 2022 Update for CS WinOMS contains 28 new codes, 7 revised codes, deletes 4 codes and 22 editorial actions, which clarify without changing the coded procedure's purpose.” to “The CDT 2022 Update for CS WinOMS  contains 16 new codes, 22 revised codes, deletes 5 codes.


CS PracticeWorks: 

 CS PracticeWorks (Version 9.0 or higher) uses the CDT Injector to prompt you to update CDT codes annually. If you have not been prompted to make this update for CDT 2021, please contact support at 800.603.4438 for assistance. If you're using a version of CS PracticeWorks earlier than v9.0, you must update the CDT codes manually. See CDT 2021 Manual Update Instructions for additional information.


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