D1351 Dental sealant per tooth
Also known as: sealant, pit and fissure sealant
Application of adhesive dental sealant material to an individual susceptible tooth surface (typically occlusal) to mechanically prevent caries in developmental pits and fissures.
In Plain Language
tooth sealing; cavity prevention coating
Clinical Context
Most beneficial in children and young adults for protection of permanent posterior teeth at high risk for caries; indicated based on patient caries risk assessment.
RVU Information
CPT D1351 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 D1351?
CPT D1351 (Dental sealant per tooth) is a D Codes (Dental) code. Application of adhesive dental sealant material to an individual susceptible tooth surface (typically occlusal) to mechanically prevent caries in developmental pits and fissures.
Is D1351 covered by dental insurance?
CPT D1351 is a dental procedure code used by Preventive Dentistry, Pediatric Dentistry, General Dentistry. Most beneficial in children and young adults for protection of permanent posterior teeth at high risk for caries; indicated based on patient caries risk assessment. Coverage depends on your dental insurance plan.
When is CPT D1351 used?
Most beneficial in children and young adults for protection of permanent posterior teeth at high risk for caries; indicated based on patient caries risk 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.