Infiltration of Sustained Release Drug - CDT Code Guide
Overview
CDT Code D9613 refers to the infiltration of a sustained release pharmacologic agent, specifically designed for long-acting surgical site pain control. This procedure is not intended for local anesthesia but rather for managing post-operative pain over an extended period. Typically, this code is used in scenarios where patients undergo surgical procedures that may result in significant post-operative discomfort. The sustained release drug helps in minimizing the need for additional pain medication, thus enhancing patient comfort and compliance.
In clinical practice, D9613 is often employed during or immediately after surgical interventions such as extractions, periodontal surgeries, or implant placements. The goal is to provide a steady release of medication that controls pain effectively, reducing the reliance on oral pain medications and improving the overall recovery experience for patients.
When to Use This Code
- After surgical tooth extractions to manage post-operative pain
- During periodontal surgery for sustained pain relief
- Following implant placement to control discomfort
- In cases where patients are sensitive to oral pain medications
- For patients with a history of poor compliance with oral pain management
Documentation Requirements
- Detailed patient consent for the use of sustained release drug
- Clinical notes indicating the surgical procedure performed
- Documentation of the specific drug used and its dosage
- Record of the quadrant where the drug was infiltrated
- Post-operative care instructions provided to the patient
- Any observed patient reactions or complications
Billing Considerations
When billing for D9613, it's important to note that this code is billed per quadrant. Ensure that the documentation clearly specifies the quadrant treated. This code is typically not covered for routine procedures and may require prior authorization from insurance providers. Be aware of any frequency limitations imposed by the patient's insurance plan. Common modifiers may include those indicating the specific quadrant treated.
Related CDT Codes
Frequently Asked Questions
No, D9613 is not used for local anesthesia. It is specifically for sustained release pain control at the surgical site.
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