Apicoectomy Molar - CDT Code Guide
Overview
CDT code D3425 refers to the surgical procedure known as an apicoectomy, specifically for the first root of a molar tooth. This endodontic treatment involves the removal of the apex, or tip, of the tooth's root to eliminate infection and preserve the tooth. Typically, an apicoectomy is performed when a root canal treatment has failed, or when there is persistent inflammation or infection at the root tip. The procedure does not include the placement of retrograde filling material, which may be necessary to seal the root end. Understanding when and how to use this code is crucial for dental professionals managing complex endodontic cases.
When to Use This Code
- Persistent infection at the root tip after a root canal
- Failed root canal treatment with apical periodontitis
- Presence of a cyst or granuloma at the root apex
- Root fracture or resorption at the apex
- Inaccessible canal for retreatment
Documentation Requirements
- Detailed patient history and clinical findings
- Radiographic evidence supporting the need for apicoectomy
- Description of the procedure performed, including the specific root treated
- Post-operative care instructions provided to the patient
- Consent form signed by the patient
- Follow-up plan and prognosis
Billing Considerations
When billing for D3425, ensure that the procedure is not billed in conjunction with retrograde filling unless separately documented. Check for any frequency limitations imposed by insurance providers. Common modifiers may include those indicating the specific tooth treated. Verify coverage with the patient's insurance as some plans may have specific guidelines for endodontic surgeries.
Related CDT Codes
Frequently Asked Questions
An apicoectomy is a surgical procedure that removes the tip of a tooth's root to treat infection or inflammation.
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