What ADA CDT Dental Code is D0190?
The D0190 dental code is used for a screening, which is a preliminary assessment to identify potential oral health problems. This code applies to an initial, often quick, evaluation of a patient’s oral health to determine if a more comprehensive examination or treatment is needed. It’s typically used in community health settings or initial assessments, rather than detailed evaluations.
What Procedure Does D0190 Refer To?
D0190 involves a visual assessment of the patient’s mouth, gums, and teeth to screen for any obvious signs of issues like decay, infection, or other abnormalities. This screening helps the dentist or hygienist determine whether a more detailed evaluation or immediate treatment is necessary.
Documentation Requirements and Best Practices for D0190
- Document Screening Findings: Record any visible issues or areas of concern, such as cavities, gum inflammation, or other abnormalities.
- Specify Recommendation for Further Evaluation: If additional evaluation or treatment is recommended, document the suggested next steps.
- Record Patient Information and Screening Purpose: Note the purpose of the screening and relevant details, especially if performed in a community or outreach setting.
How Can I Verify Patient Eligibility and Coverage for D0190?
To verify eligibility and coverage for D0190, contact the patient’s insurance provider. Coverage for screenings varies, especially if performed outside a clinical setting. Checking eligibility beforehand helps avoid any unexpected costs.
How Should D0190 Be Submitted on an Insurance Claim, and Should a Site Be Included?
Submit D0190 with a description of the screening purpose and any findings. Since this is a general screening code, detailing the need for the screening (e.g., community health program, school screening) can help clarify the claim.
D0190 Dental Code Cost
The cost of D0190 is generally low, ranging from $10 to $50 without insurance, depending on the setting and provider. Patients should consult their dental office or clinic for an accurate estimate based on their insurance.
ADA D0190 Guidelines
The ADA recommends D0190 for initial screenings to identify potential oral health issues quickly. It is typically used in non-clinical or outreach settings where a basic assessment is sufficient to identify if further evaluation is necessary.
What is the Difference Between D0190 and Other Similar Codes?
| Code | Description | Purpose |
|---|---|---|
| D0120 | Periodic oral evaluation – established patient | Routine check-up for existing patients |
| D0140 | Limited oral evaluation – problem focused | Exam focused on a specific oral issue |
| D0150 | Comprehensive oral evaluation – new or established patient | Full evaluation for new patients or significant health changes |
| D0190 | Screening of a patient | Basic screening to identify potential issues |
Why Was D0190 Specifically Used for My Treatment, and Are There Alternative Treatments with Different Codes and Costs?
D0190 is used for quick assessments, often in community health or outreach settings, to identify any immediate need for a more detailed evaluation. Alternatives include D0120 for a routine exam or D0150 for a full evaluation if more detailed information is required. The choice depends on the level of assessment needed and the context of the screening.
How Often Can You Bill D0190?
D0190 can be billed as needed, especially in outreach settings or initial screenings. Insurance policies may have specific limitations on screenings, so it is recommended to verify guidelines with the patient’s insurance provider.
