My dentist made a treatment plan and it includes a filling (D2391) and desensitizing (D9910). My previous dentist never used desensitizing on me before, is this procedure really necessary?
Tags D9910
First let’s look at the difference between D9910 and D9911 (desensitizing codes) so you know what was treatment planned:
D9910 is used on a per visit basis for application of topical fluoride. Documentation should support this code prior to usage. It should be noted that the patient is having issues with root sensitivity. This code should not be used for bases, liners, or adhesives under restorations.
D9911 is used on a per visit basis for application of ashesive resins. Supporting documentation should be noted in the chart prior to submitting this code for reimbursement. It should be noted the patient is having root or cervical sensitivity on a tooth with a resin based filling.
Using the code D9910 means the doctor has treatment planned fluoride treatment as a means of desensitization. If you don’t want fluoride or are wondering why it was treatment planned, I’d suggest asking the doctor for a specific answer. The doctor may anticipate sensitivity, but only he/she will know why the treatment was planned and the necessity behind the decision for your individual case. Don’t be afraid to speak up with questions about your treatment!
I made some research and tooth sensitivity following placement of a filling is very common. It can be sensitive to temperature, pressure, or sweets but it usually resolves on its own within a few weeks. So I don't think this procedure should be optional and not a requirement. I think if the sensitivity does not subside within a few weeks then I should ask my dentist for a desensitizing toothpaste or desensitizing agent. Also desensitizing is not used for like a base or a liner. So I guess my question is, that if D9910 is an optional procedure?
glass915
There are such products used as a liner or base for desensitization, which is why I pointed out the difference of the two codes. Not knowing your clinical condition, and being a hygienist not a dentist, makes it hard for me to answer whether part of your treatment plan is optional. Generally, as a patient all treatment is up to you and optional. If you think the procedure should be optional, I would have that conversation with the treating dentist. It's always best to go to the source with questions!
Kara RDH