D1354 - ADA Guide to Reporting Interim Caries Arresting Medicament Application

D1354 – ADA Guide to Reporting Interim Caries Arresting Medicament Application Developed by the ADA, this guide is published to educate dentists and others in the dental community on this procedure and its code, first published in CDT 2016 and revised in CDT 2018. [...] Is this code principally for reporting the application of Silver Diamine Fluoride? No – D1354's CDT Code entry describes a discrete procedure for delivery "of a caries arresting or inhibiting medicament." The dentist providing this service would determine the appropriate medicament to be applied, and the choice is not limited to Silver Diamine Fluoride. [...] What is the detailed rationale for reporting this procedure by tooth treated? The D1354 nomenclature revision mirrors the nomenclature of other procedures in the CDT Codes “Other Preventive Services” category: D1351 sealant – per tooth; and D1353 sealant repair – per tooth. [...] Must there be a specific interval between the D1354 procedure and a restorative procedure on the same tooth? No – As noted in the answers to questions 4 and 5, the clinical condition of a patient’s tooth is affected by a variety of factors and can change over time. [...] If more than one tooth is treated on the same date of service, the procedure may be reported: • On one service line that also lists the tooth numbers (or letters) involved in the appropriate field, and the total number of teeth (i.e., Quantity) in the appropriate field • On multiple service lines, one per tooth treated, listing the tooth number or letter and a Quantity of 1 in the appropriate fiel.