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Request a Change to the Code

Request a CDT Code Addition, Revision, Deletion

Change requests may be submitted at any time, and the date received determines the CDT Code version that may incorporate the requested action. The annual closing date for submissions is on the CDT Code maintenance timeline. Any requests received after the closing date will be addressed in the next annual maintenance cycle.

  • CDT Code Action Request & Copyright Form(s)
  • Form Completion Instructions
  • Submission and Evaluation Guidelines
  • Components of a Dental Procedure Code
  • Resubmission of Declined Request

Transmitting Your CDT Code Change Action Request

Via the Internet:

The action request form is a Microsoft Word © document that may be downloaded and completed at your convenience. The current form, completed in full is required. Send completed Action Request form in unprotected MSWord® format via email to dentalcode@ada.org. Your copyrighted signed form and any supporting information in electronic form must also be sent as email attachments to the same address.


Please direct your questions concerning code change request submission to the ADA's Council on Dental Benefit Programs staff via email (dentalcode@ada.org) or via telephone (ADA Members, please use the toll-free number on the back of your membership card / Direct Dial 312.440.2500).

NOTE: Contact Council on Dental Benefit Programs staff if you do not receive an acknowledgement of receipt within 15 days of submission.