CDT D0150: Comprehensive Oral Evaluation, New or Established Patient
CDT code D0150 denotes a comprehensive oral evaluation for a new or established patient and represents a core diagnostic encounter in dental practice. Nationally, this code signals a full-mouth assessment used to establish baseline oral health, identify disease or treatment needs, and guide care planning. Its role in the care pathway makes it relevant to utilization, coding accuracy, and coverage determinations across payers.
Major commercial payers addressed include Aetna, Blue Cross Blue Shield, Cigna Health, and UnitedHealthcare. Readers will find an overview of clinical context for the service, common diagnostic scenarios that accompany comprehensive evaluations, and how this evaluation relates to other dental assessment codes. The publication summarizes payer coverage patterns, modifier usage where applicable, and common coding comparisons to related evaluation and radiography codes.
This summary provides clinicians, billing staff, and policy analysts with concise guidance on the clinical intent and administrative role of CDT code D0150, clarifies distinctions from limited or periodic evaluations, and outlines what to expect in payer interactions and documentation needs. Data not available in the input is noted where applicable.
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Billing Code Overview
CDT code D0150 is a comprehensive oral evaluation performed for a new or established patient. This evaluation is a dental diagnostic service that involves a thorough assessment of the patient’s oral and dental health, typically including a complete history, assessment of hard and soft tissues, occlusion, and a treatment plan when indicated.
Service Type: Dental diagnostic service
Typical Site of Service: Dental Office (POS 11)
National Reimbursement Benchmarks
National mean rates for CDT code D0150 show Medicare reporting at $0.00 in the input, while the average commercial (BUCA) mean sits at $45.46. BUCA’s mean rate is higher than the Aetna and Cigna Health means ($31.07 and $29.37, respectively) and lower than Blue Cross Blue Shield and UnitedHealthcare ($64.56 and $59.00, respectively).
Dispersion (P75 minus P25) varies by payer: Blue Cross Blue Shield and UnitedHealthcare are among the tighter-to-moderate spreads (BCBS: 33.33, UnitedHealthcare: 13.50), while BUCA shows a wider spread (30.00). Aetna and Cigna Health are relatively tight (Aetna: 12.80, Cigna Health: 12.00). The table and chart below present the full breakdown.