Apexification Medication Replacement - CDT Code Guide
Overview
CDT code D3352 refers to the procedure of replacing intra-canal medication during apexification or recalcification treatments. This endodontic procedure is crucial for promoting the continued development of the root apex in teeth with incomplete root formation, often due to trauma or infection. During the procedure, the dentist removes the old medication from the canal and replaces it with new medication to encourage healing and root development. Radiographs are typically taken to assess the progress and ensure proper placement of the medication. This procedure is vital for preserving the tooth and preventing further complications.
When to Use This Code
- When a tooth with incomplete root formation requires continued apexification treatment
- In cases of dental trauma where the root apex needs to be encouraged to form
- When previous intra-canal medication needs to be replaced to continue treatment
- For teeth with necrotic pulp and open apex requiring recalcification
- During follow-up visits for apexification therapy to assess and replace medication
Documentation Requirements
- Detailed clinical notes describing the need for medication replacement
- Radiographic evidence supporting the procedure
- Documentation of the type and amount of medication used
- Patient consent form for the procedure
- Follow-up care instructions provided to the patient
- Progress notes on the healing and development of the root apex
Billing Considerations
When billing for D3352, ensure that the procedure is not performed more frequently than necessary, as insurance may have limitations on the number of times this code can be used. Common modifiers include those indicating multiple procedures or visits on the same day. Verify with the patient's insurance for coverage specifics and any pre-authorization requirements.
Related CDT Codes
Frequently Asked Questions
Replacing intra-canal medication is essential to continue the apexification process, ensuring the root apex develops properly and preventing infection.
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