Comprehensive Oral Evaluation - a.k.a. "Oral Diagnosis (OD)"
The Comprehensive Oral Eval or Oral Diagnosis (OD) is the first few appointments after a patient is accepted in screening and assigned to a student provider. Every patient goes through the OD process at least once. If the patient has discontinued care for a long peroid of time and/or their dental state has changed significantly it is up to the covering faculty if you should re-do an OD. OD's typically take 2-3 appointments and cost $55, which is good information to give to your patient when you call them to schedule their appointment. Also remember that with this the patient will most likely need radiographs.
Radiograph costs: FMX: $87 Bitewings: $38 Pano: $74
D01501 is a "Simple" Comp Oral Eval, D01502 is "Moderate", and D01503 is "Complex".
The code is broken into the following steps:
- D01501A - Head and Neck Exam
- D01501B - Dental Exam
- D01501C - Treatment Plan Presentation
The treatment codes must be completed and approved by faculty in order before completing the master code (D01501, 2, or 3). Additionally, the Comprehensive Periodontal Evaluation 9a (D0180) -- if indicated -- must be completed before the Treatment Plan Presentation.
Indications for 9a:
- Probing depths greater than 4mm
- Radiographic bone loss
- Generalized or localized recession
- Evidence of furcation involvement
As of Spring 2017, PSR scores are no longer used, and every patient requires a comprehensive periodontal chart on file every 12 months.
So...which FORMS need to be filled out / swiped?
- Physical Exam Data Base (4)
- Caries Risk Assessment (attached to Caries Risk Assessment code, D0195)
- Comp Perio Eval (9a) - *only if needed, see above* (attached to Comp Perio Eval code, D0180)
- 1st OD Appointment Checklist
- Comprehensive Periodontal Evaluation 9a (D0180) Competency Information
- Face-bow Checklist
- Head & Neck Exam (Extraoral and Intraoral Exams)
- Photo Checklist