Coding Changes for 2024 Nothing to Snore About!

Coding Changes for 2024 Nothing to Snore About!

Estela Vargas, CRDH, CEO Remote Sourcing

The ADA Code Maintenance Committee at its March, 2023 meeting approved four new codes(numbers not available yet) that reflect ADA policy on the role of dentistry in the treatment of sleep apnea, along with 10 other additions and two revisions to the CDT Code that will go into effect on Jan. 1, 2024.

Jessica Stilley-Mallah, D.M.D., committee chair and chair of the ADA Council on Dental Benefit Programs is quoted saying, “As of January 1, 2024, there will be codes for sleep apnea procedures such as screenings and home sleep apnea tests, as well as fabrication, delivery, and titration of oral appliance therapy devices. These codes expand upon the current CDT codes for custom sleep apnea appliance delivery, adjustment, and repair procedures.”

The CMC also approved clarifying revisions of two existing codes:
• D2335 resin-based composite restoration — four or more surfaces (anterior). The revision deleted mention of the incisal angle, which is not a tooth surface and caused coding confusion as well as claim preparation delays when dentists or practice staff contacted the ADA for clarification.
• D5876 add metal substructure to acrylic, full denture (per arch). The revision added a descriptor stating that this procedure involves addition of a metal substructure to strengthen the prosthesis.

As more information is revealed by the ADA, we will let our readers know the how and why of the changes to the CDT code.  At Remote Sourcing we stay ahead of any changes that effect the success of filing claims and receiving payment.

Resources:

https://www.ada.org/-/media/project/ada-organization/ada/ada-org/files/resources/research/the-role-of-dentistry-in-sleep-related-breathing-disorders.pdf

https://www.ada.org/publications/ada-news/2023/march/code-maintenance-committee-approves-four-new-cdt-codes-for-sleep-apnea

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