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Code on Dental Procedures and nomenclature

  Introduction   Requesting a Change to the Code
  Q&A (Coding; Claim Form;
Adjudication)
    Purchasing the "CDT" Manual
  ADA Code Revision Committee  

Introduction

Accurate recording and reporting dental treatment is supported by a set of codes that have a consistent format and are at the appropriate level of specificity to adequately encompass commonly accepted dental procedures.  These needs are supported by the Code on Dental Procedures and Nomenclature (Code).

On August 17, 2000 the Code was named as a HIPAA standard code set. Any claim submitted on a HIPAA standard electronic dental claim must use dental procedure code from the version of the Code in effect on the date of service.  The Code is also used on dental claims submitted on paper, and the ADA maintains a paper claim form whose data content reflects the HIPAA standard electronic dental claim.

The Code is periodically reviewed and revised to reflect the dynamic changes in dental procedures that are recognized by organized dentistry and the dental community as a whole.  Revisions to the Code are published and effective biennially, at the start of odd-numbered years.

The version of the Code that is effective January 1, 2009 through December 31, 2010 is published by the ADA in the manual titled CDT 2009/2010.

Code Revision Committee (CRC) Meetings and Change Request Batches

The CRC's review and revision process is ongoing and includes three open meetings in February and August in odd numbered years and in February in even numbered years. The committee reviews code change requests in three separate batches, one per meeting. Requests for each of these meetings are due by October 1st in even numbered years and by April 1st and by October 1st in odd numbered years. For more information about these meetings and the overall revision process timeline, please see the Time Line for Review and Action on Requests to Revise the Code on Dental Procedures and Nomenclature. Please note that dates shown on this timeline are for planning purposes and are subject to change.

The review and revision cycle that leads to the next version of the Code is underway and more information is available on the CRC page.

CRC Meeting Reports

Meeting reports are available after their approval by the CRC. Reports from the current review and revision cycle that will lead to the version of the Code effective January 1, 2011, are available for download from the CRC page.

Actions taken at the beginning of the review and revision cycle may be affected by requestor appeals and later decisions of the CRC, and should not be considered final.

Should you have a Code change request in mind now please see Requesting a Change to the Code.

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