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Is there a D-code that fits the following scenario: Pediatric dental office, pt (6 years old) presents with dental anxiety/hesitation; Dr would like to see him every 4 months for what he calls a "desensitizing appointment" which aims to make the pt feel more at ease in the dental office. Thank You

Is there a D-code that fits the following scenario: Pediatric dental office, pt (6 years old) presents with dental anxiety/hesitation; Dr would like to see him every 4 months for what he calls a “desensitizing appointment” which aims to make the pt feel more at ease in the dental office. Thank You

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Asked on February 11, 2013 12:31 pm

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While "desensitizing appointments" are a common occurance in Pediartic offices this is usually done at the doctors expense. There is no specific dental code for this type of appointment and most carriers will not pay for this type of visit. You may try to bill with CDT code D9999 and send a supportive narrative giving "medical necessity" for this type of visit. However, chances are this will not be a covered benefit and therefore not payable by the insurance carrier.

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Answered on January 1, 1970 12:00 am

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