Using Teledentistry CDT Codes

CDT Codes for Teledentistry

Currently the two most common CDT codes used for teledentistry are:

• D9995 teledentistry – synchronous; real-time encounter. (Reported in addition to other procedures (e.g., diagnostic) delivered to the patient on the date of service.)

• D9996 teledentistry – asynchronous; information stored and forwarded to dentist for subsequent review. (Reported in addition to other procedures (e.g., diagnostic) delivered to the patient on the date of service.)

As Teledentistry is not a specific dental service but a method for treating patients, it’s important to note that these codes should be used in conjunction with another code, typically an exam or consultation code.

When to Use These Codes

The teledentistry codes should be used when a dental evaluation is completed or oral health education is delivered using teledentistry (both synchronous or asynchronous).

Although there are often multiple providers involved in dentistry care, dentists who perform the oral evaluation, make a diagnosis and create a treatment plan should submit the teledentistry CDT code on the claim.

• For example, when a hygienist goes out into the field to provide preventative care (ex: onsite prophylaxis or fluoride treatment) in conjunction with a remote oral evaluation by a dentist, the dentist should submit CDT codes such as D0120 and D9996 for their exam and report that teledentistry was used. The hygienist should submit CDT codes that are in line with the services they provided onsite.

While in some cases, multiple claims may be submitted for the different providers during the same visit, the dentist overseeing the teledentistry evaluation would typically be the appropriate provider to submit the teledentistry CDT codes. As best practice, check your state dental board on specific requirements.

Required Documentation for Teledentistry Claims

A patient’s record needs to indicate when teledentistry is used and which modality (synchronous or asynchronous) was used.

• When submitting to dental insurance, the teledentistry code should be listed under “Record of Services Provided” alongside any all other services rendered on this date of service.
• In addition to the CDT code, you must also complete the “Place of Service” portion (line 38 on an ADA claim form), using place of service code 02 (health services and health related services provided or received through telecommunication technology).