Dental Procedure Updates You Need to Know for 2025
The American Dental Association (ADA) released its Code on Dental Procedures and Nomenclature for 2025 (CDT 2025) on September 13, 2024. As in previous releases, some new codes have been added, while other existing codes have been either deleted or revised.
What are the new and deleted CDT codes for 2025?
The procedure codes listed in the tables below are from the Code on Dental Procedures and Nomenclature ADA. To obtain a copy of the CDT 2025 codes, visit the ADA’s online catalog at ada.org.
New CDT Codes
| CDT Code | Code Description and Nomenclature |
|---|---|
| D2956 | Removal of an indirect restoration on a natural tooth |
| D6180 | Implant maintenance procedures when a full arch fixed hybrid prosthesis is not removed, including cleansing of prosthesis and abutments |
| D6193 | Replacement of an implant screw |
| D7252 | Partial extraction for immediate implant placement |
| D7259 | Nerve dissection |
| D8091 | Comprehensive orthodontic treatment with orthognathic surgery |
| D8671 | Periodic orthodontic treatment visit associated with orthognathic surgery |
| D9913 | Administration of neuromodulators |
| D9914 | Administration of dermal fillers |
| D9959 | Unspecified sleep apnea services procedure, by report |
Deleted CDT Codes
| CDT Code | Code Description and Nomenclature |
|---|---|
| D2941 | Interim therapeutic restoration – primary dentition |
| D6095 | Repair implant abutment, by report |
What should your health plan consider for the new or deleted CDT codes?
Healthcare payers should review their policies and edit systems related to new and deleted codes to ensure the CDT codes are paid properly or denied effectively. When new codes are introduced, known bad actors may change their behavior, new providers may submit a large volume of claims for the new codes, or delayed billing schemes may involve a mix of deleted and current codes.
How can Codoxo assist health plans with monitoring new code usage and identifying outlier provider utilization?
Codoxo’s Forensic AI Platform offers several toolkits for a user to assess risk and exposure for multiple code types across all claim service types. Fraud Scope’s Provider Dashboard presents several widgets that identify new or returning providers as well as existing providers with new code utilization. Additionally, the Schemes Dashboard allows the user to quickly search for any code flagged by the AI for outlier utilization, such as a CDT code.
Equip your SIU team with the most advanced tools for accurately identifying and flagging suspicious trends. Contact us today at info@codoxo.com to learn more.