March 18, 2021
To identify the dental
services allowed to be rendered via an audio and video telecommunications
system, a new payment policy for Teledentistry Services has been
created.
The dental services
approved to be rendered via an audio and video telecommunications system
include the following:
- D0140 – Limited oral evaluation-problem focused.
- D0170 – Re-evaluation-limited, problem focused
(established patient, not post-operative visit), assessing the status of a
previous existing condition.
- D0171 – Re-evaluation-post-operative office visit.
- D0190 – Screening of patient to determine if individual
needs to be seen in person by a dentist.
These services must be
billed with the following codes to identify the service as being rendered via
tele-dentistry:
- D9995 – Teledentistry-synchronous; real-time encounter.
- D9996– Teledentistry-asynchronous; information stored
and forwarded to dentist for subsequent review.
For details on tele-dentistry and documenting a teledentistry encounter, sign in to OneHealthPort to view the policy.