Pulpal Therapy Anterior Primary - CDT Code Guide
Overview
CDT code D3230 pertains to pulpal therapy for anterior primary teeth, specifically incisors and cuspids, which have succedaneous teeth. This procedure involves the complete removal of the pulp tissue (pulpectomy), followed by cleaning and shaping of the root canals. A resorbable filling material is then placed within the canals to maintain the space and support the tooth until it naturally exfoliates. This code is crucial for treating primary teeth that have been compromised by decay or trauma, ensuring the health of the underlying permanent teeth. Dental professionals often use this procedure to manage infections or prevent further complications in young patients.
When to Use This Code
- When a primary anterior tooth has extensive decay reaching the pulp.
- In cases of trauma to a primary incisor or cuspid causing pulp exposure.
- When there is evidence of pulp necrosis in a primary anterior tooth.
- For primary teeth with irreversible pulpitis that require preservation until natural exfoliation.
- To prevent infection spread from a primary tooth to the developing permanent tooth.
Documentation Requirements
- Detailed clinical notes describing the tooth condition and diagnosis.
- Radiographic evidence supporting the need for pulpal therapy.
- Documentation of the procedure performed, including materials used.
- Patient consent forms acknowledging understanding of the procedure.
- Post-operative care instructions provided to the patient or guardian.
- Follow-up appointment details for monitoring the treated tooth.
Billing Considerations
D3230 is typically used once per tooth. Ensure accurate documentation to avoid claim denials. It is important to verify with insurance providers about coverage for endodontic procedures on primary teeth, as policies may vary. Common modifiers may include those indicating the tooth number and quadrant.
Related CDT Codes
Frequently Asked Questions
Coverage for D3230 varies by insurance provider. It's important to verify with the patient's insurance for specific coverage details.
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