2026 Coding and Payment Guide for Dental Services (Spiral)
Optum | 2026
The Coding and Payment Guide for Dental Services is your one-stop coding, reimbursement, and documentation resource developed exclusively for dental practices. This comprehensive and easy-to-use guide is updated for 2026 and organized by specialty-specific CDT and CPT® codes. Each code includes its official description and lay description, coding tip, documentation and reimbursement tips, Medicare edits, RVUs and is cross-coded to common ICD-10-CM diagnosis codes to complete the coding process. Getting to the code information you need has never been so easy.
- Quickly find information. All the information you need is provided, including CDT and CPT® full code descriptions, lay descriptions, coding tips, procedure code-specific documentation and reimbursement tips, and commonly associated ICD-10-CM diagnosis codes.
- Procedure code icons – Quickly identify new, revised, add-on, and telemedicine procedure codes, making your coding process for procedures quick and efficient.
- ICD-10-CM code icons – Icons identify age-related and laterality diagnosis codes.
- Evaluation and Management (E/M) Services Guidelines – With CPT® E/M Guidelines and our Optum Coding Tips, you have all the information you need to select the correct E/M code for the service provided.
- Prevent claim denials and stay up-to-date with Medicare payer information. Review Medicare IOM references containing information linked to CDT, HCPCS Level II, and CPT® codes tailored to dental services, to prepare cleaner claims before submission.
- Easily determine fees for your practice and reinforce consistency in the charges. Relative value units including the practice, work, and malpractice components with total RVUs for non-facility and facility services are included.
- CCI edits. CCI edits for CDT, CPT® and HCPCS procedure codes are included in a special section for ease of use.
- Product Updates. Significant updates to this guide and CCI edit updates, will be made available on the Optum Product Update page on Optumcoding.com for our valued Coding and Payment Guide customers.
- Helpful illustrations. Detailed illustrations chapter provides a better understanding of the anatomy related to dental procedures and services.
CPT® is a registered trademark of the American Medical Association.
CDT© 2023 American Dental Association
CDT© 2023 American Dental Association
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