D0160 Extensv oral evaluation prob focus
Also known as: extensive problem-focused exam, detailed limited exam
Extensive oral evaluation focused on a problem area, involving detailed assessment of specific site(s) of concern with comprehensive documentation and treatment planning.
In Plain Language
in-depth examination of problem area
Clinical Context
Used when a patient presents with complex or extensive problems in specific oral regions requiring detailed evaluation beyond a simple problem-focused assessment.
RVU Information
CPT D0160 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
Dental codes (CDT codes) require documentation of the tooth number(s) or area treated, clinical findings, and the procedure performed. Pre-authorization may be required for major restorative, prosthodontic, and oral surgery procedures. Include radiographs when supporting medical necessity.
Specialties
Frequently Asked Questions
What is CPT code D0160?
CPT D0160 (Extensv oral evaluation prob focus) is a D Codes (Dental) code. Extensive oral evaluation focused on a problem area, involving detailed assessment of specific site(s) of concern with comprehensive documentation and treatment planning.
Is D0160 covered by dental insurance?
CPT D0160 is a dental procedure code used by Dentistry, General Dentistry. Used when a patient presents with complex or extensive problems in specific oral regions requiring detailed evaluation beyond a simple problem-focused assessment. Coverage depends on your dental insurance plan.
When is CPT D0160 used?
Used when a patient presents with complex or extensive problems in specific oral regions requiring detailed evaluation beyond a simple problem-focused assessment.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.