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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.

Request a Change to the Code

  • 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.
  • All requested information in Parts 1-3 is required; limited exceptions are noted.
  • Cells where information is entered have white backgrounds and will automatically expand as needed.
  • Mark cells with “check boxes” (□) by moving the cursor over the box and making a “left-click”.

Completed request forms must be submitted in unprotected MSWord® format via email to

  • A submission will be returned for correction if it is: a) not an unprotected MS Word document; b) not on the current Action Request format; or c) it is missing “Required” information.

The email to must also include: 1) your completed and signed ADA copyright assignment form; and 2) supporting information in electronic form (e.g., PDF), with permissions to reproduce when copyright protected.

  • Submissions without a copyright assignment form will not be forwarded to the CMC for consideration
  • Supporting material that is copyright protected without permission to reproduce will not be forwarded to the CMC for consideration.


Please direct your questions concerning code change request submission to the ADA's Council on Dental Benefit Programs staff via email ( 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.