D3222

Partial Pulpotomy for Apexogenesis - CDT Code Guide

Endodontics/Pulpotomy

Overview

CDT Code D3222 refers to a partial pulpotomy procedure aimed at apexogenesis in permanent teeth with incomplete root development. This endodontic treatment involves the removal of a portion of the dental pulp and the application of a medicament to maintain the vitality of the remaining pulp tissue. The primary goal is to encourage the natural development and formation of the tooth root, ensuring the tooth remains vital and functional. This procedure is particularly important for young patients with immature teeth, as it helps in preserving the tooth's vitality and supporting continued root growth.

In clinical practice, a partial pulpotomy is typically performed when there is exposure of the pulp due to caries or trauma, and the tooth is still developing. It is crucial to differentiate this procedure from the initial stage of root canal therapy, as the intent here is to preserve the pulp's vitality rather than remove it entirely. The success of this procedure depends on the accurate diagnosis of pulp vitality and the absence of infection.

When to Use This Code

  • A young patient with a permanent tooth exhibiting carious exposure and incomplete root development.
  • A permanent tooth with traumatic pulp exposure in a child or adolescent.
  • Cases where maintaining pulp vitality is crucial for continued root development.
  • Situations where apexogenesis is desired to ensure proper root formation.
  • When there is no evidence of pulp necrosis or irreversible pulpitis.

Documentation Requirements

  • Detailed clinical notes describing the pulp exposure and diagnosis.
  • Radiographic evidence supporting incomplete root development.
  • Documentation of the medicament used and the procedure performed.
  • Patient consent forms indicating understanding of the procedure and its goals.
  • Follow-up care instructions and planned monitoring of root development.

Billing Considerations

When billing for D3222, it is important to note that this code should not be used as a precursor to root canal therapy. Ensure that the procedure is documented as a standalone treatment aimed at preserving pulp vitality. Frequency limitations may apply, and it is essential to check with the patient's insurance for coverage specifics. Common modifiers may include those indicating the tooth number or quadrant. Always verify with the insurance provider regarding any pre-authorization requirements.

Related CDT Codes

Frequently Asked Questions

A partial pulpotomy involves removing only a portion of the pulp to maintain vitality, whereas a full pulpotomy involves removing all the pulp tissue from the crown.

Source: CDT 2023 © American Dental Association

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