HCPCS Modifier DA

Oral health assessment by a licensed health professional other than a dentist.


  • This modifier is effective for services provided on or after January 1, 2011
  • This modifier is informational only and may be submitted with any appropriate CPT or HCPCS code

Reference: Medicare coverage of dental and related services: CMS Medicare Benefit Policy Manual (Pub. 100-02), Chapter 16, Section 140 (PDF, 434 KB).

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Provider Contact Center: 855-696-0705

TDD: 866-830-3188

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