Apexification Initial Visit - CDT Code Guide
Overview
CDT code D3351 refers to the initial visit for apexification or recalcification procedures, which are critical in managing teeth with incomplete root development or damage such as root resorption. This procedure involves opening the tooth, preparing the canal spaces, and placing the first medication, often as part of the first phase of complete root canal therapy. Radiographs are also taken to assess the treatment progress. Apexification is essential for promoting apical closure in teeth where the root has not fully developed, often due to trauma or infection. It is a specialized endodontic treatment aimed at encouraging the formation of a calcified barrier at the root tip, facilitating further restorative procedures.
When to Use This Code
- When a tooth has an open apex due to incomplete root development.
- In cases of root resorption where apical closure is needed.
- For calcific repair of perforations in the root canal.
- When initiating treatment for a tooth with a necrotic pulp and immature apex.
- As part of a comprehensive treatment plan for a non-vital tooth with an open apex.
Documentation Requirements
- Detailed clinical notes describing the condition of the tooth and the need for apexification.
- Radiographic evidence supporting the diagnosis and treatment plan.
- Documentation of the medication used and its placement in the canal.
- Progress notes on the preparation of the canal spaces.
- Patient consent forms acknowledging understanding of the procedure.
- Follow-up plan and expected outcomes of the treatment.
Billing Considerations
When billing for D3351, it's important to note that this code is typically used for the initial visit and may be part of a multi-visit treatment plan. Frequency limitations may apply, and it's crucial to verify coverage with the patient's insurance provider. Common modifiers may include those indicating the phase of treatment or additional procedures performed. Ensure that all necessary documentation is complete to support the claim.
Related CDT Codes
Frequently Asked Questions
Apexification aims to induce the formation of a calcified barrier at the root tip of a tooth with an open apex, facilitating further restorative procedures.
Need help with dental coding?
Our AI-powered assistant can answer your CDT code questions instantly.