Insurance and billing

CDT codes

Also called procedure codes, ADA codes, dental billing codes

The standard set of codes used in the US to describe dental services on claims.

CDT codes, published by the American Dental Association, are the standard codes used in the US to describe dental procedures on claims and records. Each service billed is matched to a code, and plans use them to decide coverage and payment. Because the code set is copyrighted and updated regularly, offices need a current licensed version in their software. Canadian offices use their own provincial or association coding.

Example at the front desk

The claim was denied because the wrong procedure code was entered.

US and Canada

Canada uses provincial and association fee guide codes rather than the ADA's CDT code set.

Sources

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