Apexification Final Visit - CDT Code Guide
Overview
CDT code D3353 refers to the apexification or recalcification final visit, which is a crucial step in endodontic treatment. This procedure involves the completion of root canal therapy, focusing on achieving apical closure and repairing any calcific perforations or root resorption. Typically, this code is used when a patient requires the final phase of treatment to ensure the root canal is properly sealed. During this visit, any intra-canal medication is removed, and the necessary procedures are performed to place the final root canal filling material. Radiographs are often taken to confirm the success of the treatment. This code is particularly relevant in cases involving immature teeth or when previous treatments have failed to achieve desired outcomes.
When to Use This Code
- When completing root canal therapy on a tooth with an open apex.
- In cases of root resorption requiring apical closure.
- For the final visit in a multi-visit apexification procedure.
- When repairing calcific perforations during root canal therapy.
- In scenarios where intra-canal medication needs to be removed before final filling.
Documentation Requirements
- Detailed clinical notes describing the procedure and its necessity.
- Radiographs taken before and after the procedure to document treatment progress.
- Records of any intra-canal medication used and its removal.
- Documentation of the final root canal filling material used.
- Patient consent forms acknowledging understanding of the procedure.
- Insurance claim forms accurately reflecting the procedure and code.
Billing Considerations
When billing for D3353, ensure that the procedure is documented as the final visit in the apexification process. Be aware of any frequency limitations imposed by insurance providers, as this code is typically used once per tooth. Common modifiers may include those indicating a multi-visit procedure. Verify with the patient's insurance for coverage details, as some plans may have specific requirements for endodontic treatments.
Related CDT Codes
Frequently Asked Questions
D3353 is used for the final visit in apexification procedures, ensuring the root canal is properly sealed and any apical issues are addressed.
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