Coding and Billing

Silver Diamine Fluoride Application of Silver Diamine Fluoride Coding and Billing

Coding

- Code K02.9, Dental caries, unspecified
- If appropriate, code for other diagnoses:
  - Z91.843, Risk for dental caries, high
  - K05.1, Chronic gingivitis
  - Z29.3, Encounter for prophylactic fluoride administration (*only if fluoride varnish used)

Billing

- Starting July 2023: CPT code for SDF Application for Caries Arrest is 0792T
- Bill CPT code 99188 only if fluoride varnish was also applied
- SDF and/or fluoride varnish codes can be submitted in addition to billing the office visit as you otherwise would for preventive visits or based on medical complexity and/or time

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