Teledentistry Coding: Dental Case Scenarios during Covid-19

Are you new to teledentistry and trying to decide how you may use and appropriately code for services provided to your patients during Covid-19?

Here are 4 common scenarios in teledentistry between provider(s) and/or patients with coding guidance based on updates from the ADA: 

Scenario 1: Patient contact with dentist who provides the consultation using audio means only

  • CODING: D0190 (screening) or D0999

Scenario 2: Patient contact with dentist who provides the problem focused evaluation using audio and visual means

  • CODING: D0140 or D0170 or D0171

Scenario 3: Patient contact with triage call center who then forwards to dentist who provides the problem focused evaluation using audio and visual means

  • CALL CENTER CODING: D0190 (screening) or D0999
  • DENTIST CODING: D0140 or D0170 or D0171

Scenario 4: Patient contact with dentist who then forwards to specialist who provides the problem focused evaluation using audio and visual means

The referring dentist can be a GP or a specialist who is referring to another specialists.

  • GP DENTIST CODING: D0190 (screening) or D0999
  • GP OR SPECIALIST CODING: D0140 or D0170 or D0171

Combine Scenarios 1-4 with Teledentistry Codes

In all scenarios above, the relevant teledentistry code should be included.

  • D9995: Real-time synchronous, live audio and video communication.
  • D9996: Asynchronous, or ‘store and forward’ communication such as secure patient portal messages or cloud-based asynch review of diagnostic imagery.

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