D9311 Consultation with medial hlth care prof
Also known as: medical consultation, physician consult
Consultation with a medical health care professional outside of the dental practice to address a patient's medical condition affecting dental treatment.
In Plain Language
doctor consultation; medical specialist visit
Clinical Context
Used when a dentist needs to coordinate care with a patient's physician for medically complex cases, including those with systemic conditions affecting oral health or treatment considerations.
RVU Information
CPT D9311 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 D9311?
CPT D9311 (Consultation with medial hlth care prof) is a D Codes (Dental) code. Consultation with a medical health care professional outside of the dental practice to address a patient's medical condition affecting dental treatment.
Is D9311 covered by dental insurance?
CPT D9311 is a dental procedure code used by General Dentistry, Prosthodontics, Oral Surgery. Used when a dentist needs to coordinate care with a patient's physician for medically complex cases, including those with systemic conditions affecting oral health or treatment considerations. Coverage depends on your dental insurance plan.
When is CPT D9311 used?
Used when a dentist needs to coordinate care with a patient's physician for medically complex cases, including those with systemic conditions affecting oral health or treatment considerations.
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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.