D9991 Case management, appt barriers
Also known as: case management, care coordination, access coordination
Case management services addressing appointment barriers such as transportation, scheduling, childcare, or other obstacles preventing patient access to dental care.
In Plain Language
help overcoming barriers to getting dental care; appointment scheduling support
Clinical Context
Used for case management activities to address social determinants and appointment barriers, improving patient access and compliance with dental treatment through coordination and problem-solving.
RVU Information
CPT D9991 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 D9991?
CPT D9991 (Case management, appt barriers) is a D Codes (Dental) code. Case management services addressing appointment barriers such as transportation, scheduling, childcare, or other obstacles preventing patient access to dental care.
Is D9991 covered by dental insurance?
CPT D9991 is a dental procedure code used by Practice Management, General Dentistry, Community Health. Used for case management activities to address social determinants and appointment barriers, improving patient access and compliance with dental treatment through coordination and problem-solving. Coverage depends on your dental insurance plan.
When is CPT D9991 used?
Used for case management activities to address social determinants and appointment barriers, improving patient access and compliance with dental treatment through coordination and problem-solving.
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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.