D0425 Caries susceptibility test
Also known as: caries risk test, cavity risk assessment
Caries susceptibility testing to assess individual risk factors for dental caries including bacterial load and salivary protective factors.
In Plain Language
cavity risk testing
Clinical Context
Used to identify patients at high caries risk and guide preventive intervention strategies including dietary modification and increased fluoride/antimicrobial use.
RVU Information
CPT D0425 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 D0425?
CPT D0425 (Caries susceptibility test) is a D Codes (Dental) code. Caries susceptibility testing to assess individual risk factors for dental caries including bacterial load and salivary protective factors.
Is D0425 covered by dental insurance?
CPT D0425 is a dental procedure code used by Dentistry, Preventive Dentistry. Used to identify patients at high caries risk and guide preventive intervention strategies including dietary modification and increased fluoride/antimicrobial use. Coverage depends on your dental insurance plan.
When is CPT D0425 used?
Used to identify patients at high caries risk and guide preventive intervention strategies including dietary modification and increased fluoride/antimicrobial use.
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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.