Preventive Resin Restoration - CDT Code Guide
Overview
CDT code D1352 refers to a preventive resin restoration procedure designed for patients at moderate to high risk of dental caries. This procedure involves the conservative restoration of an active cavitated lesion located in a pit or fissure that does not extend into the dentin. The process includes placing a sealant in any adjacent non-carious fissures or pits to prevent further decay. This code is particularly relevant for permanent teeth and aims to preserve tooth structure while preventing the progression of caries. Dental professionals often use this procedure as a preventive measure to protect teeth that are susceptible to decay, especially in patients with a history of frequent cavities.
When to Use This Code
- When a patient presents with an active cavitated lesion in a pit or fissure that has not reached the dentin.
- For patients with a moderate to high risk of caries, especially in permanent teeth.
- In cases where adjacent pits or fissures are non-carious but at risk, warranting sealant application.
- When the goal is to prevent further decay in a tooth with a history of caries.
- For young patients with newly erupted permanent teeth showing early signs of decay.
Documentation Requirements
- Detailed charting of the tooth and lesion location.
- Clinical notes describing the caries risk assessment.
- Pre- and post-operative photographs, if applicable.
- Documentation of the materials used for the restoration and sealant.
- Patient consent for the procedure.
Billing Considerations
When billing for D1352, it is important to note that this code is typically used once per tooth. Insurance coverage may vary, so verifying patient benefits beforehand is recommended. Common modifiers may include those indicating the specific tooth treated. Frequency limitations might apply, especially if similar preventive services have been billed recently.
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Frequently Asked Questions
No, D1352 is specifically for permanent teeth in patients with moderate to high caries risk.
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