2025 Dental Coding Updates Every Office Manager Should Know
Dental coding updates for 2025 bring significant changes that can impact your insurance billing. Staying informed about CDT coding updates is crucial for maintaining a smooth and compliant practice. Understanding these changes, training your team, and updating your systems will help ensure a seamless transition into 2025.
Key CDT Coding Updates for 2025
Effective January 1, 2025, these updates impact various aspects of dental practices, from restorative procedures to implant maintenance. Below are some of the most important CDT code changes
New CDT Codes to Watch
D2956: Removal of an indirect restoration on a natural tooth.
D6180: Implant maintenance procedures (full arch fixed hybrid prosthesis not removed). Coverage varies based on the patient's plan.
D6193: Replacement of an implant screw, available every 24 months under specific conditions.
D7252: Partial extraction for immediate implant placement, covered only once per tooth in a lifetime.
D7259: Nerve dissection, often included in D7241 (removal of an impacted tooth with unusual surgical complications).
D8091: Comprehensive orthodontic treatment with orthognathic surgery, requiring proper documentation for benefits.
D8671: Periodic orthodontic treatment visit with orthognathic surgery, which includes fees for periodic visits related to D8091.
D9913: Administration of neuromodulators, primarily covered for TMJ treatment.
D9914: Administration of dermal fillers, a rarely covered cosmetic procedure.
D9959: Unspecified sleep apnea procedure, typically not covered.
Updated CDT Code Descriptions
Several codes have been revised for clarity and expanded scope:
D5520, D5640, D5650: Revisions to replacement codes for complete and partial dentures.
D6081: Descriptor adjustments for scaling and debridement around implants with mucositis.
D2940: Placement of interim restorations now includes specific limitations, such as exclusions for pulp capping procedures.
D0801, D0802: Revisions for 3D intraoral surface scans that emphasize inclusion in definitive procedures.
How to Prepare Your Dental Practice for 2025 Coding Changes
1. Review and Audit Your Codes: Compare frequently used codes with the 2025 updates to ensure compliance and avoid claim denials.
2. Update Practice Management Software: Ensure your dental software reflects the latest CDT changes. Most providers will roll out automatic updates, but verification is essential.
3. Train Your Team: Host training sessions for clinical and administrative staff to familiarize them with the new codes and documentation requirements.
4. Communicate with Insurance Providers: Check with major insurance companies to understand how they will process claims using the updated codes. Some may require additional documentation.
5. Monitor Compliance and Avoid Common Mistakes: Ensure detailed clinical notes accompany claims. Align your fees with revised codes to prevent billing errors. Start training early to minimize disruptions to patient care and revenue flow.
Why Accurate Dental Coding Matters
Proper CDT coding not only streamlines claims processing but also improves cash flow and reduces claim denials. Keeping up with 2025 dental coding updates will help your practice maintain efficiency and compliance, ultimately leading to a better patient experience and higher revenue. Stay ahead of the curve by implementing these changes today and ensuring your dental practice is fully prepared for the year ahead.
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FAQs
We've compiled some of the most common questions practices like yours ask about the IrisMed solutions. If you don't find the answers you're looking for here, please don't hesitate to contact us – we're always happy to discuss how IrisMed can specifically benefit your practice.
Do I have to change my practice management system or software to use IrisMed?
No. IrisMed is designed to be compatible with all major practice management systems. Our AI seamlessly integrates with your existing setup, requiring no disruptive changes to your current workflow. We also offer white-gloved implementation and support if needed.
How much does IrisMed cost?
IrisMed offers flexible pricing models tailored to the size and needs of your practice. Contact us for a customized quote based on your clinic’s volume and workflow requirements.
Will IrisMed replace my existing staff members?
IrisMed is designed to augment and empower your existing team, not replace them. By automating tedious billing tasks, IrisMed frees up your staff to focus on what matters most: providing exceptional patient care, increasing treatment plan acceptance, and growing your practice. If you have a current vacancy in a billing role, IrisMed can eliminate the need to fill that position.
My practice management system already has billing features. Why do I need IrisMed?
While your practice management system is crucial for daily operations, it likely lacks the sophisticated AI capabilities needed to automate your revenue cycle end-to-end. IrisMed complements your existing system, providing specialized AI-driven automation, intelligent claim scrubbing, payment posting, and denial management that can drive significant revenue increases. The two systems will work hand in hand to make your practice as efficient and profitable as possible.
How secure is my data with IrisMed?
We understand the importance of data security and patient privacy. IrisMed employs robust security measures, including encryption and strict access controls, to safeguard your sensitive information.
How do I get started with IrisMed?
Getting started is easy! Contact us today to schedule a personalized demo. We'll show you how IrisMed works, answer all your questions, and demonstrate how our AI-powered platform can transform your practice's revenue cycle.
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