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2023 CDT code updates

Q4 Word of Mouth newsletter 2022

The American Dental Association® (ADA) releases new and updated Current Dental Terminology (CDT®) codes annually. We review the codes, determine which codes will be covered under our standard Dental Preferred Provider Organization (DPPO) plans, and retire deleted codes. This information is used to update our system, products and fee schedules to maintain compliance with the Health Insurance Portability and Accountability Act (HIPAA).

Understanding the chart

The following chart will help you and your staff efficiently serve your patients.

  • Complete list of codes added, updated, covered and retired in 2023
  • 2023 CDT codes should be used for services provided from Jan. 1, 2023, through Dec. 31, 2023
  • The reference columns in the 2023 CDT codes chart display:
    • Limitation reference code
    • Clinical review reference code
    • Price reference code
    • Fee factor to reference code percentage calculated from an existing CDT code and applied to the 2023 code
2023 CDT codes chart
Codes added, covered and updated in 2023¹
CDT code Nomenclature Covered under standard plans Coverage reference (cover if DXXXX is covered) Limitation reference code Clinical review reference code Price reference code Fee factor to reference code
D0372 Intraoral tomosynthesis – comprehensive series of radiographic images Y D0210 D0210 D0210 D0210 100%
D0373 Intraoral tomosynthesis – bitewing radiographic image Y D0274 D0274 D0274 D0274 100%
D0374 Intraoral tomosynthesis – periapical radiographic image Y D0220 D0220 D0220 D0220 100%
D0387 Intraoral tomosynthesis – comprehensive series of radiographic images – image capture
only
Y D0210 D0210 D0210 D0210 100%
D0388 Intraoral tomosynthesis – bitewing radiographic image – image capture only Y D0274 D0274 D0274 D0274 100%
D0389 Intraoral tomosynthesis – periapical radiographic image – image capture only Y D0220 D0220 D0220 D0220 100%
D0801 3D dental surface scan – direct Not covered under standard UnitedHealthcare plans
D0802 3D dental surface scan – indirect Not covered under standard UnitedHealthcare plans
D0803 3D facial surface scan – direct Not covered under standard UnitedHealthcare plans
D0804 3D facial surface scan – indirect Not covered under standard UnitedHealthcare plans
D1708 Pfizer-BioNTech COVID-19 vaccine administration – third dose Not covered under standard UnitedHealthcare plans
D1709 Pfizer-BioNTech COVID-19 vaccine administration – booster dose Not covered under standard UnitedHealthcare plans
D1710 Moderna COVID-19 vaccine administration – third dose Not covered under standard UnitedHealthcare plans
D1711 Moderna COVID-19 vaccine administration – booster dose Not covered under standard UnitedHealthcare plans
D1712 Janssen COVID-19 vaccine administration - booster dose Not covered under standard UnitedHealthcare plans
D1713 Pfizer-BioNTech COVID-19 vaccine administration tris-sucrose pediatric – first dose Not covered under standard UnitedHealthcare plans
D1714 Pfizer-BioNTech COVID-19 vaccine administration tris-sucrose pediatric – second dose Not covered under standard UnitedHealthcare plans
D1781 Vaccine administration – human papillomavirus – Dose 1 Not covered under standard UnitedHealthcare plans
D1782 Vaccine administration – human papillomavirus – Dose 2 Not covered under standard UnitedHealthcare plans
D1783 Vaccine administration – human papillomavirus – Dose 3 Not covered under standard UnitedHealthcare plans
D4286 Removal of non-resorbable barrier Y D4267 D4322 D4322 D4267 25%
D6105 Removal of implant body not requiring bone removal nor flap elevation Y D6100 D6100 D6100 D7140 100%
D6106 Guided tissue regeneration – resorbable barrier, per implant Y D4266 D4266 D4266 D4266 100%
D6107 Guided tissue regeneration – non-resorbable barrier, per implant Y D4267 D4267 D4267 D4267 100%
D6197 Replacement of restorative material used to close an access opening of a screw-retained, implant supported prosthesis, per implant Y D6096 D6090 D6090 D2330 100%
D7509 Marsupialization of odontogenic cyst Y D7450 D7450 D7450 D7450 100%
D7956 Guided tissue regeneration, edentulous area – resorbable barrier, per site Y D4266 D4266 D4266 D4266 100%
D7957 Guided tissue regeneration, edentulous area – non-resorbable barrier, per site Y D4267 D4267 D4267 D4267 100%
D9953 Reline custom sleep apnea appliance (indirect) Not covered under standard UnitedHealthcare plans
¹ The new CDT code is covered ONLY if the reference code is covered under the member’s plan.
Codes retired in 2023
D0351 3D photographic image
D0704 3D photographic image – image capture only

CDT® is a registered trademark of the American Dental Association.