Can D3332 be billed if the tooth is later extracted?

Yes, D3332 can be billed for the initial incomplete therapy, and a separate code can be used for the extraction procedure.

Is pre-authorization required for D3332?

Pre-authorization may be required depending on the insurance provider, especially if the tooth's condition is complex.

How should time spent on diagnosis be documented?

Include detailed notes on the diagnostic process, time spent, and findings that led to the decision of incomplete therapy.

Are there any modifiers commonly used with D3332?

Modifiers may be needed if the procedure is part of a larger treatment plan or if there are specific insurance requirements.

D3332

Incomplete Endodontic Therapy - CDT Code Guide

Endodontic Therapy (Including Treatment Plan, Clinical Procedures and Follow-Up Care)/Pulpotomy

Overview

CDT Code D3332 is designated for incomplete endodontic therapy on teeth that are deemed inoperable, unrestorable, or fractured. This code is used when considerable time is required to diagnose or initiate treatment, but the tooth cannot be retained due to its condition. This procedure typically involves assessing the tooth's viability and attempting initial endodontic treatment before determining that the tooth cannot be restored. Dental professionals use this code when a tooth's fracture or other severe conditions prevent the completion of standard endodontic therapy. It is crucial in cases where the tooth's prognosis is poor, and further treatment would not be beneficial.

When to Use This Code

When a tooth is fractured beyond repair and cannot undergo complete endodontic therapy
In cases where initial endodontic treatment is started but the tooth is deemed unrestorable
When a tooth is inoperable due to severe structural damage or decay
If diagnosis and initial treatment reveal that the tooth cannot be retained
When a tooth's condition prevents the completion of standard endodontic procedures

Documentation Requirements

Detailed clinical notes describing the tooth's condition and why it is unrestorable
Radiographic evidence supporting the diagnosis and treatment decision
Documentation of the time spent on diagnosis and initial treatment attempts
Patient consent forms acknowledging the tooth's prognosis
Treatment plan outlining the steps taken and the decision to discontinue therapy

Billing Considerations

Ensure that the diagnosis supports the use of D3332, as insurance may require justification for incomplete therapy. Be aware of any frequency limitations on endodontic procedures and use appropriate modifiers if the procedure is part of a larger treatment plan. Verify with insurers if pre-authorization is needed due to the tooth's condition.

Related CDT Codes

D3310 D3320 D3330 D3346 D3351

Frequently Asked Questions

D3332 is used when a tooth cannot be fully treated with endodontic therapy due to being inoperable, unrestorable, or fractured.

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