On January 1, 2017, Delta Dental of Oregon (DDOR) will implement the new codes that the ADA has outlined in CDT-17. The table below shows how the DDOR standard contract will cover these new CDT-17 codes.
Please refer to the group limitations of each patient's plan in Benefit Tracker for specific benefit information as some plans may handle the codes differently than the DDOR standard contract.
Also, code D0290 (posterior anterior or lateral skull and facial bone survey radiographic image) will be deleted with CDT-17. This means that DDOR will no longer accept this deleted code after March 31, 2017.
CDT-2017 code books can be purchased through the American Dental Association at
ada.org
.
New CDT codes covered under DDOR Standard Commercial plans. No other new codes will be covered by Standard plans.
Code
|
Description
|
Comments
|
D1575
|
Distal shoe space maintainer - fixed - unilateral.
|
a. Limited to children 8 and younger. b. Fees for repairs and adjustments by same dentist/dental office are DISALLOWED.
|
D4346
|
Scaling in the presence of generalized moderate or severe gingival inflammation - full mouth, after oral evaluation.
|
Same frequency as D1110, D1120 and D4910.
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Questions?
Please contact the Delta Dental of Oregon Dental Customer Service department toll-free at 877-277-7280 or email us at
[email protected].
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