D3110

Pulp Cap Direct - CDT Code Guide

Endodontics/Pulp Capping

Overview

CDT code D3110 refers to the direct pulp capping procedure, an essential treatment in endodontics. This procedure involves covering the exposed dental pulp with a protective dressing or cement. The primary goal is to protect the pulp from further injury and promote natural healing and repair. Direct pulp capping is typically performed when the pulp is exposed due to trauma or during cavity preparation, and the tooth is vital and asymptomatic. It is a conservative approach aimed at preserving the tooth's vitality and avoiding more invasive treatments like root canal therapy.

When to Use This Code

  • When a tooth has an exposed pulp due to caries removal or trauma
  • In cases where the pulp is vital and asymptomatic
  • When the exposure is small and the tooth has a good prognosis
  • To delay or avoid more invasive procedures like root canal therapy
  • In pediatric patients where tooth preservation is a priority

Documentation Requirements

  • Detailed clinical notes describing the pulp exposure
  • Radiographs showing the extent of the exposure
  • Materials used for the pulp cap and their lot numbers
  • Patient consent for the procedure
  • Follow-up plan for monitoring the tooth's vitality

Billing Considerations

D3110 is typically billed once per tooth per visit. It is important to note that this code does not include the final restoration, which should be billed separately. Insurance coverage may vary, and some plans may require pre-authorization. Common modifiers include those indicating the tooth number and quadrant.

Related CDT Codes

Frequently Asked Questions

Direct pulp capping involves placing a protective material directly over an exposed pulp, while indirect pulp capping is used when the pulp is not exposed but is close to exposure.

Source: CDT 2023 © American Dental Association

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