One thing that stays constant is change—and there is no exception to this rule when it comes to CDT codes! The ADA’s code maintenance Committee (CMC) approved changes for 2019 based on the best interests of the profession, patients, and payers.

There are:

  • 15 new codes
  • 4 deleted codes
  • 5 revised codes

It is important to remember a new or revised code does not dictate reimbursement from insurance providers. In fact, codes may be recognized but not reimbursed at all. Consider it a language of sorts that providers and insurance companies understand; it helps communicate the services provided in numerical terms.

Updating your system annually with code revisions:

  • Helps clarify treatment for team members, patients, and third party payers
  • Provides accurate estimates for your patient base
  • Enables proper reimbursement from third-party payers

Most carriers notified in-network providers as to their requirements and reimbursement protocols prior to the end of 2018. We encourage you to follow a two-part protocol annually:

  • Reach out to insurance companies you deal with on a regular basis to prepare for changes that occur to CDT definitions on January 1 of each year.
  • Facilitate a team meeting to discuss CDT changes and how their impact may shift chart note records, posting, and patient communication for the procedures you offer.
    • For 2019, the most impactful changes are the addition of a blood glucose test to reflect the role overall health has in maintaining oral health and a code requested by the American Association of Oral and Maxillofacial Surgeons for a sustained release therapeutic infiltrated drug to reduce the need for narcotic pain medications.

15 New Codes

D0412 Blood Glucose Level Test—using a glucose meter
D1516 Space Maintainer—fixed—bilateral, maxillary
D1517 Space Maintainer—fixed—bilateral, mandibular
D1526 Space Maintainer—removable—bilateral, maxillary
D1527 Space Maintainer—removable—bilateral, mandibular
D5282 Removable unilateral partial denture—one piece case – metal—maxillary
D5283 Removable unilateral partial denture—one piece case – metal—mandibular
D5876 Add metal substructure to acrylic full denture (per arch)
D9130 TMD—non-invasive physical therapies
D9613 Infiltration of sustained release therapeutic drug
D9944 Occlusal guard—hard appliance, full arch
D9945 Occlusal guard—soft appliance, full arch
D9946 Occlusal guard—hard appliance, partial arch
D9961 Duplicate/copy patient’s records
D9990 Certified translation or sign-language services—per visit


4 Deleted Codes

D1515 Space Maintainer—fixed, bilateral
D1525 Space Maintainer—removable, bilateral
D5281 Removable unilateral partial denture
D9940 Occlusal Guard, by report


5 Revised Codes

D5211 Maxillary partial denture—resin base (including any conventional clasps, rests and teeth retentive/clasping materials, rests, and teeth)
D5212 Mandibular partial denture—resin base (including any conventional clasp, retentive/clasping materials, rests and teeth)
D5630 Repair or replace broken clasp retentive/clasping materials—per tooth
D7283 Placement of device to facilitate eruption of impacted tooth
Placement of an orthodontic bracket, band or other device attachment on an un-erupted tooth, after its exposure, to aid in its eruption. Report the surgical exposure separately using D7280.
D9219 Evaluation for moderate sedation, deep sedation or general anesthesia.


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Burkhart Dental Supply – Practice Support Team

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