Decalcification Procedure - CDT Code Guide
Overview
CDT Code D0475 refers to a decalcification procedure, a critical process in oral pathology laboratories. This procedure involves the treatment of hard tissue to facilitate sectioning and subsequent microscopic examination. It is essential for diagnosing various dental conditions by allowing pathologists to examine tissue samples at a microscopic level. Typically, this procedure is used when there is a need to investigate abnormalities in hard tissues, such as teeth or bone, that cannot be adequately assessed through standard imaging techniques. Dental professionals rely on this procedure to provide accurate diagnoses and to develop effective treatment plans for their patients.
When to Use This Code
- When a patient presents with unexplained hard tissue lesions that require microscopic examination.
- In cases where standard imaging does not provide sufficient information about a suspected pathology.
- When evaluating the extent of a known dental disease affecting hard tissues.
- In preparation for complex dental surgeries where detailed tissue analysis is necessary.
- For research purposes in oral pathology to study the effects of certain conditions on hard tissues.
Documentation Requirements
- Detailed patient history and clinical findings leading to the need for decalcification.
- Clear documentation of the specific tissues being processed.
- Pathologist's report detailing the findings from the microscopic examination.
- Evidence of medical necessity for the procedure.
- Properly coded and itemized billing statement.
- Consent forms signed by the patient for the procedure.
Billing Considerations
When billing for D0475, it is important to ensure that the procedure is medically necessary and properly documented. Some insurance plans may have frequency limitations or require prior authorization. Common modifiers may include those indicating the specific location or type of tissue processed. It is advisable to check with the patient's insurance provider for any specific billing guidelines or coverage limitations.
Related CDT Codes
Frequently Asked Questions
The purpose of a decalcification procedure is to prepare hard tissues, such as teeth or bones, for microscopic examination by removing calcium deposits, allowing for detailed analysis of the tissue structure.
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