Preventive CDT Codes
Code Range D1000-D1999List :
- D1110
- D1120
- D1206
- D1208
- D1310
- D1320
- D1330
- D1351
- D1353
- D1352
- D1354
- D1510
- D1515
- D1520
- D1525
- D1550
- D1555
- D1575
- D1999
- D1551
- D1552
- D1553
- D1556
- D1557
- D1558
The following list(s) of procedure and/or diagnosis codes is provided for reference purposes only and may not be all inclusive. Listing of a code in this guideline does not imply that the service described by the code is a covered or noncovered health service. Benefit coverage for health services is determined by the member specific benefit plan document and applicable laws that may require coverage for a specific service. The inclusion of a code does not imply any right to reimbursement or guarantee claim payment. Other Clinical Policies and Coverage Guidelines may apply.