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D0191 Assessment of a patient

D Codes (Dental)

Also known as: patient assessment, consultation evaluation

Assessment of a patient, typically used in preventive or consultative settings to gather health information and determine appropriate course of care or referral.

In Plain Language

initial consultation with dentist

Clinical Context

Used in preventive programs, school-based services, and consultative evaluations to assess overall health needs and determine appropriate dental interventions.

RVU Information

CPT D0191 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

Preventive DentistryPublic Health

Frequently Asked Questions

What is CPT code D0191?

CPT D0191 (Assessment of a patient) is a D Codes (Dental) code. Assessment of a patient, typically used in preventive or consultative settings to gather health information and determine appropriate course of care or referral.

Is D0191 covered by dental insurance?

CPT D0191 is a dental procedure code used by Preventive Dentistry, Public Health. Used in preventive programs, school-based services, and consultative evaluations to assess overall health needs and determine appropriate dental interventions. Coverage depends on your dental insurance plan.

When is CPT D0191 used?

Used in preventive programs, school-based services, and consultative evaluations to assess overall health needs and determine appropriate dental interventions.

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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.