The 2022 Code Maintenance Committee (CMC) has finalized the Current Dental Terminology (CDT) for 2023. The action of the committee includes 38 total changes: 22 additions, 14 revisions, 2 deletions, and no editorial changes.  Seven additional COVID-19 vaccination codes were also added retroactively to CDT 2022. All dental claims for services performed between January 1 and December 31, 2023, must utilize the appropriate codes from CDT 2023 to meet HIPAA requirements.

The codes deleted from the current dental terminology were

D0351 3D photographic image

This procedure is for dental or maxillofacial diagnostic purposes. Not applicable for a CAD-CAM procedure. The Code Maintenance Committee voted to delete this code and replace it with new codes that more accurately document the procedure. See D0801, D0802, D0803, and D0804.

D0704 3-D photographic image - image capture only

There is no replacement code for image capture only.

Of the 22 code additions, there are 10 new diagnostic codes, 3 new preventive, 1 new periodontal, 4 new implant codes, 3 new oral surgery codes, and 1 new adjunctive services code.  See below for the code breakdown.

Diagnostic

D0372 Intraoral tomosynthesis – comprehensive series of radiographic images

D0373 Intraoral tomosynthesis – bitewing radiographic image

D0374 Intraoral tomosynthesis – periapical radiographic image

D0387 Intraoral tomosynthesis – comprehensive series of radiographic images – image capture only

D0388 Intraoral tomosynthesis – bitewing radiographic image – image capture only

D0389 Intraoral tomosynthesis – periapical radiographic image – image capture only

D0801 3d dental surface scan – direct

D0802 3d dental surface scan – indirect (e.g. a surface scan of a diagnostic cast)

D0803 3d facial surface scan – direct

D0804 3d facial surface scan – indirect (e.g. a surface scan of constructed facial features)

Preventive

D1781 Vaccine administration – human papillomavirus – dose 1

D1782 Vaccine administration – human papillomavirus – dose 2

D1783 Vaccine administration – human papillomavirus – dose 3

Periodontics

D4286 Removal of non-resorbable barrier

Implant Services

D6105 Removal of implant body not requiring bone removal or flap elevation

D6106 Guided tissue regeneration – resorbable barrier, per implant.

D6107 Guided tissue regeneration – non-resorbable barrier, per implant

D6197 Replacement of restorative material used to close an access opening of a screw-retained implant supported prosthesis, per implant.

Oral and Maxillofacial Surgery

D7509 Marsupialization of odontogenic cyst

D7956 Guided tissue regeneration, edentulous area – resorbable barrier, per site

D7957 Guided tissue regeneration, edentulous area – non-resorbable barrier, per site

Adjunctive General Services

D9953 Reline custom sleep apnea appliance (indirect)

The ADA added a whole new set of codes for tomosynthesis.  What is tomosynthesis?

Stationary intraoral tomosynthesis (s-IOT) is a technique for producing slice images of teeth using conventional digital x-ray systems. s-IOT produces image layers relatively free of metal artifacts and overlapping contacts. s-IOT provides increased image quality at a radiation dose comparable with that in a single 2-dimensional (2-D) intraoral radiograph.

As a result, dental professionals can move through the image capture revealing hidden anatomical details. Studies show the s-IOT can deliver low-dose, high-resolution 3-D images which helps in improved detection rates of proximal caries and other dental diseases.

To order the 2022 CDT code book, visit adacatalog.org or contact the ADA at 800.947.4746.