COMPREHENSIVE PERIODONTAL EVALUATION - NEW OR ESTABLISHED PATIENT
This procedure is indicated for patients showing signs or symptoms of periodontal disease and for patients with risk factors such as smoking or diabetes. It includes evaluation of periodontal conditions, probing and charting, an evaluation for oral cancer, the evaluation and recording of the patient’s dental and medical history, and general health assessment. It may include the evaluation and recording of dental caries, missing or unerupted teeth, restorations, and occlusal relationships.
© 2021 American Dental Association
- Do not report D0180 in addition to the comprehensive oral evaluation (D0150) on the same service date. However, the general practitioner can always report D0180 provided the patient exhibits signs and symptoms of periodontal disease, or risk factors such as smoking or diabetes. The dentist or hygienist performs a detailed full mouth periodontal charting with six points/ tooth probing on the same evaluation date.
- D0180 is not used to report a periodontal screening record (PSR) since periodontal screening, where indicated, is now specifically described as a component of periodic oral evaluation (D0120). D0180 is more detailed and includes “ six point per tooth probing (full mouth) and charting,” and also identifies furcations, wear facets, abfraction lesions, areas of mobility, bleeding on probing, areas and amounts of recession, amounts of remaining attached gingiva, etc. D0180 may be reported for both new and established patients according to the nomenclature. See comments and limitations below.