2025 CPT code 0792T
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: Dental Procedures - Silver Diamine Fluoride For Dental Caries Category III Codes Feed
Application of 38% silver diamine fluoride by a qualified healthcare professional to prevent or arrest dental caries.
Modifiers may be applicable depending on the circumstances of service. Consult the latest CPT guidelines for modifier use.
SDF application is medically necessary when other restorative treatments are not feasible or appropriate due to patient age, special needs, cooperation issues, or severe caries. Documentation must support the medical necessity of SDF.
Application of 38% silver diamine fluoride to the affected tooth surface.This may involve patient preparation, application of the solution using a microbrush, removal of excess solution, and application of compressed air to aid drying.
In simple words: The doctor or dentist puts a special liquid (silver diamine fluoride) on a tooth to stop a cavity from getting worse or to help prevent one from forming.This helps protect the tooth.
This CPT code, 0792T, reports the application of 38% silver diamine fluoride (SDF) by a physician or other qualified healthcare professional to prevent or arrest dental caries.The procedure involves applying the SDF solution directly to the affected tooth surface using a tool such as a microbrush.Excess SDF is removed, and compressed air may be used to aid drying. This is a Category III code, indicating it's for emerging technology and data collection purposes; payment is not universally established.
Example 1: A 3-year-old presents with a significant cavity in a primary molar.Traditional filling is not feasible.The physician applies 0792T to arrest the decay., A patient with special needs has multiple incipient caries.The dentist uses 0792T as a minimally invasive treatment option to prevent further progression., A child presents with early childhood caries (ECC) involving multiple teeth.SDF application (0792T) is used in conjunction with fluoride varnish to improve the caries risk.
* Patient demographics and relevant medical history* Clinical examination documenting the need for SDF application* Detailed description of the procedure performed, including the number of teeth treated* Photographs or other visual documentation of the lesion(s) before and after treatment (optional, but recommended)* Indication that other treatment options were not feasible or appropriate
** Reimbursement for 0792T is not yet standardized and varies widely by payer and state.This code is intended for data collection and may be replaced by a Category I code in the future.Always refer to payer-specific guidelines for coverage and reimbursement.
- Revenue Code: P5E (AMBULATORY PROCEDURES - OTHER)
- RVU: Not established; varies by payer and location.
- Global Days: Not applicable.
- Payment Status: Active, but reimbursement varies widely by payer and location.
- Modifier TC rule: Not applicable.
- Fee Schedule: No established historical fee schedule yet, as this is a new Category III code.
- Specialties:Pediatric Dentistry, General Dentistry, Pediatric Medicine
- Place of Service:Office, Pediatric Clinic, Dental Clinic