D9130 — TMJ therapy (non-invasive physical therapies)
D9130 is non-invasive physical therapy for the jaw joint — exercises, heat, manipulation, ultrasound — rather than an appliance or surgery.
three codes describe occlusal guard, and this is one of them. What separates it from the other two is the subject of this page; the occlusal guard guide covers the treatment itself.
The detail below covers what the code obliges the record to show, the range of fees, the likely insurance outcome, and a comparison drawn code by code.
How D9130 differs from its neighbours
D9944 — Occlusal guard — hard, full arch (night guard): It is the hard full-arch guard worn at night to protect the teeth from grinding.
D9945 — Soft night guard, full arch: It is the soft version of that night guard: cheaper and more comfortable, but shorter-lived.
Those two codes and D9130 are the whole group — nothing else describes this procedure. A plan reads these codes as definitions, not as descriptions. If the notes for the visit do not match D9130 exactly, the claim is assessed as whichever of these the notes do match.
Every code in this group
These codes describe the same broad procedure and differ in one respect each. Each has its own page with its own fee range and coverage notes.
| Code | Procedure |
|---|---|
| D9130 | TMJ therapy (non-invasive physical therapies) — this page |
| D9944 | Occlusal guard — hard, full arch (night guard) |
| D9945 | Soft night guard, full arch |
Questions about D9130
What procedure is D9130?
It is the adjunctive general services code for TMJ therapy, non-invasive physical therapies, and it means that specific procedure and no other.
Is D9130 expensive?
Expect $150–$500. Ask for the number in writing, because the code carries no fee of its own and every practice sets its own.
Is D9130 a covered benefit?
In most cases yes, at the adjunctive rate: 0–50%. The annual maximum is what usually decides how much of that you actually see.
Also known as: night guard, occlusal guard, bruxism, teeth grinding, splint, clenching.