Related to periodic discussions about dental opioid prescribing, we wanted to make sure you were aware of the publication of a new evidence-based clinical practice guideline for the pharmacologic management of acute dental pain in children.  The guideline, developed by the ADA Science and Research Institute, the University of Pittsburgh School of Dental Medicine and the Center for Integrative Global Oral Health at the University of Pennsylvania School of Dental Medicine recommends acetaminophen or nonsteroidal anti-inflammatory drugs like ibuprofen as first-line treatments for acute dental pain in children younger than 12.

The full guideline is available here: https://jada.ada.org/article/S0002-8177(23)00390-2/fulltext

And an ADA News article about the guideline is available here: https://adanews.ada.org/ada-news/2023/august/new-ada-guideline-recommends-acetaminophen-nsaids-to-manage-pain-in-pediatric-patients/

The CMS Dental Team

Retroactive for dates of service April 1, 2023, and forward, procedure code G0330 will be added to the Ambulatory Surgical Center (ASC) fee schedule. Dental providers who perform dental services in the ASC are responsible for obtaining prior authorization (PA) or post procedure review (PPR), when applicable, and billing Gainwell Technologies directly for the dental services that they perform.
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A new bulletin has been published. View the bulletin here.

For dates of service April 1, 2023, and forward, dental providers/clinics must bill Current Dental Terminology (CDT) code D0140-Limited oral evaluation-problem focused instead of CDT code D0190 – Screening of a Patient when billing the dental component of the multi-disciplinary examination (MDE). There will be a newer code added to the fee schedule for this purpose and the code will be included in a future policy transmittal on Multi-Disciplinary Examinations (MDEs).

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