What materials are typically used in D3333 procedures?

Biocompatible materials such as mineral trioxide aggregate (MTA) or similar are commonly used to seal the perforation.

Can D3333 be billed alongside other endodontic codes?

Yes, D3333 can be billed with other endodontic codes if multiple procedures are performed, but ensure each procedure is documented separately.

Are there any specific insurance requirements for D3333?

Insurance requirements vary, but some plans may require pre-authorization or have specific documentation requirements for endodontic repairs.

How can I ensure compliance when using D3333?

Ensure thorough documentation of the perforation's cause, the repair process, and follow-up care, and verify insurance requirements before billing.

D3333

Internal Root Repair - CDT Code Guide

Endodontic Therapy (Including Treatment Plan, Clinical Procedures and Follow-Up Care)/Pulpotomy

Overview

CDT code D3333 refers to the internal root repair of perforation defects, a procedure within the realm of endodontic therapy. This non-surgical intervention is used to seal perforations in the root caused by resorption or decay, but not those resulting from procedural errors by the same provider. The process involves cleaning the affected area and applying a biocompatible material to seal the defect, preventing further damage and infection. This procedure is crucial in maintaining the integrity of the tooth structure and is typically performed when the perforation is detected early and is accessible for repair. Dental professionals use this code to document and bill for the specific repair of non-iatrogenic perforations, ensuring accurate treatment records and appropriate reimbursement.

When to Use This Code

When a root perforation is detected due to resorption.
In cases where decay has caused a perforation in the root.
When the perforation is not due to a procedural error by the same provider.
To prevent further damage or infection in a tooth with a perforation.
During endodontic therapy when a non-surgical repair is feasible.

Documentation Requirements

Detailed clinical notes describing the perforation and its cause.
Radiographic evidence supporting the presence of a perforation.
Description of the materials and techniques used for the repair.
Documentation of patient consent for the procedure.
Follow-up care instructions and outcomes of the repair.

Billing Considerations

When billing for D3333, ensure that the perforation is not iatrogenic by the same provider, as this code does not cover such cases. Be aware of insurance policies as some may require pre-authorization for endodontic procedures. Common modifiers may include those indicating the procedure was performed on a specific tooth. Frequency limitations may apply, so verify with the patient's insurance plan.

Related CDT Codes

D3310 D3320 D3346 D3351 D3410

Frequently Asked Questions

No, D3333 is not applicable for perforations caused by procedural errors by the same provider. It is used for perforations due to resorption or decay.

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