D4322

Splint Intra-Coronal - CDT Code Guide

Periodontics/Non-Surgical Periodontal Service

Overview

CDT code D4322 refers to the procedure of creating an intra-coronal splint to stabilize natural teeth or prosthetic crowns. This procedure is essential in cases where individual teeth or crowns require additional support to maintain their position and function. Typically, this involves connecting adjacent teeth or crowns using a splint that is placed within the tooth structure or crown itself. This procedure is commonly utilized in periodontal therapy to prevent tooth mobility and provide additional strength to compromised teeth. Dental professionals may recommend this procedure for patients with periodontal disease or those who have experienced trauma to the teeth, ensuring that the affected teeth remain stable and functional.

When to Use This Code

  • Patients with periodontal disease exhibiting tooth mobility.
  • Cases where teeth have been compromised due to trauma.
  • Situations requiring stabilization of prosthetic crowns.
  • Patients with a history of bruxism leading to tooth movement.
  • When adjacent teeth need to be linked for additional support.

Documentation Requirements

  • Detailed patient history and periodontal charting.
  • Radiographic evidence supporting the need for stabilization.
  • Clinical notes describing the procedure and materials used.
  • Patient consent form acknowledging understanding of the procedure.
  • Post-operative instructions provided to the patient.

Billing Considerations

When billing for D4322, ensure that the procedure is not performed more frequently than necessary, as excessive use may not be covered by insurance. Common modifiers include those indicating the quadrant or arch treated. Insurance providers may require pre-authorization, especially if the procedure is part of a larger treatment plan. It is important to verify coverage with the patient's insurance provider to avoid unexpected costs.

Related CDT Codes

Frequently Asked Questions

An intra-coronal splint is used to stabilize and strengthen teeth or crowns that are at risk of movement or failure.

Source: CDT 2023 © American Dental Association

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