Is sialography a painful procedure?

Sialography is generally not painful, though patients may experience mild discomfort during the injection of contrast dye.

Can sialography be performed on all patients?

Sialography may not be suitable for patients with allergies to contrast dye or those with acute infections. A thorough evaluation is necessary before proceeding.

How should I prepare a patient for sialography?

Patients should be informed about the procedure, potential discomfort, and any necessary pre-procedure instructions, such as fasting or hydration.

What are the alternatives to sialography?

Alternatives include ultrasound or MRI, which may be used depending on the clinical scenario and patient-specific factors.

D0310

Sialography - CDT Code Guide

Diagnostic/Image Capture with Interpretation

Overview

CDT Code D0310 refers to the procedure of sialography, a specialized diagnostic imaging technique used to visualize the salivary glands and ducts. This procedure is typically performed when there is a need to investigate issues such as blockages, stones, or infections within the salivary glands. During sialography, a contrast dye is injected into the salivary ducts, followed by X-rays or other imaging methods to capture detailed images. This allows dental professionals to accurately diagnose and plan appropriate treatments for conditions affecting the salivary glands. Sialography is particularly useful in cases where patients present with symptoms like dry mouth, swelling, or pain in the salivary gland area.

When to Use This Code

Patient presents with symptoms of salivary gland obstruction or swelling.
Suspected salivary gland stones or sialolithiasis.
Evaluation of chronic salivary gland infections.
Assessment of salivary gland function in cases of Sjögren's syndrome.
Pre-surgical planning for salivary gland removal or treatment.

Documentation Requirements

Detailed patient history and symptoms leading to the need for sialography.
Clinical notes justifying the necessity of the imaging procedure.
Description of the procedure performed, including the type of contrast used.
Interpretation of the imaging results by a qualified professional.
Follow-up care or treatment plans based on the findings.

Billing Considerations

When billing for D0310, ensure that the procedure is medically necessary and documented thoroughly. Be aware of any frequency limitations imposed by insurance providers, as repeated imaging may require additional justification. Common modifiers may include those indicating bilateral procedures if both sides are imaged. Verify with insurance carriers regarding coverage specifics, as some may require pre-authorization.

Related CDT Codes

D0330 D0340 D0350 D0360 D0370

Frequently Asked Questions

Sialography is primarily used to diagnose and evaluate conditions affecting the salivary glands, such as blockages, stones, or infections.

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