Biologic Materials for Tissue Regeneration - CDT Code Guide
Overview
CDT code D3431 pertains to the use of biologic materials to aid in the regeneration of soft and osseous tissues during periradicular surgery. This procedure is crucial for patients undergoing apicoectomy, where the goal is to remove the apex of a tooth root and treat any associated infection while promoting healing. The use of biologic materials can significantly enhance the body's natural healing processes, providing a scaffold for new tissue growth and improving the overall success rate of the surgery. Typically, this code is used in cases where traditional surgical methods alone may not suffice, such as in patients with compromised healing abilities or complex anatomical challenges.
When to Use This Code
- When performing an apicoectomy with the need for enhanced tissue regeneration
- In cases of persistent periapical infection despite previous endodontic treatment
- For patients with compromised healing abilities requiring additional support
- When anatomical challenges necessitate the use of biologic materials
- In conjunction with other regenerative endodontic procedures
Documentation Requirements
- Detailed surgical notes describing the use of biologic materials
- Pre-operative and post-operative radiographs
- Patient consent forms specific to the use of biologic materials
- Documentation of the clinical rationale for using biologic materials
- Itemized billing that separates biologic materials from other surgical fees
- Evidence of medical necessity for insurance purposes
Billing Considerations
When billing for D3431, ensure that the use of biologic materials is clearly documented and justified in the patient's records. Be aware of any frequency limitations imposed by insurance providers, as repeated use of this code may require additional justification. Common modifiers may include those indicating the specific tooth or quadrant involved. It's important to check with individual insurance carriers regarding coverage policies for biologic materials, as they may vary significantly.
Related CDT Codes
Frequently Asked Questions
Biologic materials refer to substances that promote tissue regeneration, such as growth factors or bone grafts, used during periradicular surgery.
Need help with dental coding?
Our AI-powered assistant can answer your CDT code questions instantly.