CPT 0792T: Silver Diamine Fluoride 38% Application

CPT code 0792T describes application of silver diamine fluoride 38%, a topical cariostatic agent used to arrest dental caries; the service is a dental topical therapeutic application typically performed in dental office or clinic settings and documented as a procedure for targeted tooth or lesion treatment.

For related coverage guidance, see recent payer policy updates: Orthognathic Surgery, Orthognathic Surgery, 9.02.501 Orthognathic Surgery.

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Clinical & Coding Specifications

Clinical Context

A pediatric or geriatric patient presents to a dental clinic or community health setting with active dental caries, dentinal hypersensitivity, or high caries risk where a non‑invasive, topical caries-arresting therapy is indicated. The provider evaluates the oral cavity, explains the procedure and expected staining of carious lesions, obtains consent, isolates the tooth, dries the surface, and applies 0792T (silver diamine fluoride 38 percent) with a microbrush or applicator. Typical workflow includes pre-procedure assessment and charting, topical application, brief observation for adverse reaction, post-application instructions (including avoidance of eating or drinking for a short period), and scheduling follow-up for reapplication or definitive restorative care if needed. Typical sites of service are dental offices, community health clinics, school-based dental programs, long-term care facilities, and other outpatient ambulatory settings. Common clinical scenarios include: patients unable to tolerate invasive treatment, medically compromised patients for whom minimally invasive care is preferred, young children with early childhood caries, and older adults with root caries or xerostomia-related decay.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`99188`	Application of topical fluoride varnish by a physician or other qualified health care professional	Alternative fluoride topical application in medical settings; may be used when fluoride varnish is chosen instead of `0792T`.
`D4341`	Periodontal scaling and root planing — four or more teeth per quadrant	Performed when periodontal therapy is indicated prior to or in conjunction with caries management in adults (note: ADA CDT codes used in dental claims; included for clinical workflow context).
`D1120`	Prophylaxis — child	Routine dental prophylaxis often precedes caries assessment and topical applications in pediatric workflows.
`D1354`	Interim caries arresting medicament application — per tooth	Dental code that is analogous to `0792T` for reporting SDF in many dental billing environments; used in dental claim contexts alongside or instead of the CPT descriptor.
`D4346`	Scaling in presence of generalized moderate or severe gingival inflammation — full mouth, after oral evaluation	May be part of comprehensive preventive care when managing patients receiving topical therapies.

Related Modifiers

6 rows

Modifier	Description	When to Use
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
59	Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…	- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
76	Modifier -76, Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional, is appended when the same provider performs an identical, medically necessary procedure or…	- Use modifier -76 when the same physician or other qualified health care professional performs an identical procedure or service a second (or subsequent) time on the same date of service and the…
77	Modifier 77 indicates that a previously performed procedure or service was legitimately repeated by a different physician or other qualified health care professional. The AMA’s CPT definition…	- Use modifier 77 when a basic procedure or service already performed is repeated by a different physician or other qualified health care professional (for example, a second provider independently…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
122300000X	Dentist	A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, an…
1223S0112X	Oral and Maxillofacial Surgery (Dentist)	The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functi…
122400000X	Denturist	A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in rem…
251S00000X	Community/Behavioral Health Agency	A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intell…
2251H1300X	Human Factors Physical Therapist	Respiratory, Developmental, Rehabilitative and Restorative Service Providers · Physical Therapist
246ZE0600X	Electroneurodiagnostic Specialist/Technologist	Technologists, Technicians & Other Technical Service Providers · Specialist/Technologist, Other
1835N1003X	Nutrition Support Pharmacist	A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing …
3336C0002X	Clinic Pharmacy	A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision o…

Related Payer Policy Updates

Specialty: Dental/Oral & Maxillofacial1 / 2

7 rows

Policy	Payer	Effective Date
Orthognathic Surgery	Premera Bluecross	2026-09-04
Orthognathic Surgery	Premera Bluecross	2026-09-04
9.02.501 Orthognathic Surgery	Premera Bluecross	2026-09-04
Intraoral Prostheses	Cigna	2026-08-15
Dental Implants	Cigna	2026-08-15
Alveoloplasty	Cigna	2026-08-15
Anesthesia and Facility Services for Dental Treatment	Cigna	2026-08-15

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`99188`	Application of topical fluoride varnish by a physician or other qualified health care professional	Alternative fluoride topical application in medical settings; may be used when fluoride varnish is chosen instead of `0792T`.
`D4341`	Periodontal scaling and root planing — four or more teeth per quadrant	Performed when periodontal therapy is indicated prior to or in conjunction with caries management in adults (note: ADA CDT codes used in dental claims; included for clinical workflow context).
`D1120`	Prophylaxis — child	Routine dental prophylaxis often precedes caries assessment and topical applications in pediatric workflows.
`D1354`	Interim caries arresting medicament application — per tooth	Dental code that is analogous to `0792T` for reporting SDF in many dental billing environments; used in dental claim contexts alongside or instead of the CPT descriptor.
`D4346`	Scaling in presence of generalized moderate or severe gingival inflammation — full mouth, after oral evaluation	May be part of comprehensive preventive care when managing patients receiving topical therapies.

Related Modifiers

6 rows

Modifier	Description	When to Use
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
59	Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…	- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
76	Modifier -76, Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional, is appended when the same provider performs an identical, medically necessary procedure or…	- Use modifier -76 when the same physician or other qualified health care professional performs an identical procedure or service a second (or subsequent) time on the same date of service and the…
77	Modifier 77 indicates that a previously performed procedure or service was legitimately repeated by a different physician or other qualified health care professional. The AMA’s CPT definition…	- Use modifier 77 when a basic procedure or service already performed is repeated by a different physician or other qualified health care professional (for example, a second provider independently…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
122300000X	Dentist	A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, an…
1223S0112X	Oral and Maxillofacial Surgery (Dentist)	The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functi…
122400000X	Denturist	A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in rem…
251S00000X	Community/Behavioral Health Agency	A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intell…
2251H1300X	Human Factors Physical Therapist	Respiratory, Developmental, Rehabilitative and Restorative Service Providers · Physical Therapist
246ZE0600X	Electroneurodiagnostic Specialist/Technologist	Technologists, Technicians & Other Technical Service Providers · Specialist/Technologist, Other
1835N1003X	Nutrition Support Pharmacist	A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing …
3336C0002X	Clinic Pharmacy	A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision o…

Related Payer Policy Updates

Specialty: Dental/Oral & Maxillofacial1 / 2

7 rows

Policy	Payer	Effective Date
Orthognathic Surgery	Premera Bluecross	2026-09-04
Orthognathic Surgery	Premera Bluecross	2026-09-04
9.02.501 Orthognathic Surgery	Premera Bluecross	2026-09-04
Intraoral Prostheses	Cigna	2026-08-15
Dental Implants	Cigna	2026-08-15
Alveoloplasty	Cigna	2026-08-15
Anesthesia and Facility Services for Dental Treatment	Cigna	2026-08-15

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

CPT 0792T: Silver Diamine Fluoride 38% Application

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CPT 0792T: Silver Diamine Fluoride 38% Application

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Payer Policy Updates

What does CPT 0792T represent and in which clinical settings is it typically used?

Which modifiers are commonly used with 0792T and when should they be applied?

Are there related CPT or CDT codes I should consider when billing or documenting cases involving 0792T?

Which ICD‑10 diagnosis codes are relevant when reporting 0792T?

Does the page state which payers cover 0792T and provide reimbursement rates or policy details?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Payer Policy Updates

What does CPT 0792T represent and in which clinical settings is it typically used?

Which modifiers are commonly used with 0792T and when should they be applied?

Are there related CPT or CDT codes I should consider when billing or documenting cases involving 0792T?

Which ICD‑10 diagnosis codes are relevant when reporting 0792T?

Does the page state which payers cover 0792T and provide reimbursement rates or policy details?

References