D0423 Genetic test specimen analysis
Also known as: genetic testing, DNA analysis
Genetic test specimen analysis to identify genetic markers, mutations, or predispositions relevant to oral health conditions.
In Plain Language
DNA testing for oral health risks
Clinical Context
Used to assess genetic risk factors for periodontal disease, oral cancer predisposition, and hereditary oral conditions.
RVU Information
CPT D0423 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 D0423?
CPT D0423 (Genetic test specimen analysis) is a D Codes (Dental) code. Genetic test specimen analysis to identify genetic markers, mutations, or predispositions relevant to oral health conditions.
Is D0423 covered by dental insurance?
CPT D0423 is a dental procedure code used by Dentistry, Oral Surgery. Used to assess genetic risk factors for periodontal disease, oral cancer predisposition, and hereditary oral conditions. Coverage depends on your dental insurance plan.
When is CPT D0423 used?
Used to assess genetic risk factors for periodontal disease, oral cancer predisposition, and hereditary oral conditions.
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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.