D3355

Pulpal Regeneration Initial Visit - CDT Code Guide

Endodontics/Pulpal Regeneration

Overview

CDT Code D3355 refers to the initial visit for pulpal regeneration, a cutting-edge procedure in endodontics. This treatment involves opening the tooth, preparing the canal spaces, and placing medication to encourage the regeneration of pulp tissue. It is particularly beneficial for immature teeth with necrotic pulp, where traditional root canal therapy may not be ideal. The procedure aims to preserve the vitality of the tooth and promote continued root development, offering a promising alternative for young patients with dental trauma or pulp necrosis.

When to Use This Code

  • When treating immature permanent teeth with necrotic pulp
  • In cases where traditional root canal therapy is not suitable
  • For patients with dental trauma leading to pulp necrosis
  • When there is a need to promote continued root development
  • In situations where pulp vitality preservation is desired

Documentation Requirements

  • Detailed patient history and clinical findings
  • Radiographic evidence supporting the need for pulpal regeneration
  • Documentation of the procedure steps, including canal preparation and medication placement
  • Patient consent form for the procedure
  • Follow-up plan and expected outcomes
  • Notes on any complications or deviations from the standard procedure

Billing Considerations

Ensure accurate documentation of the initial visit and procedure specifics. Be aware of insurance policies regarding coverage for pulpal regeneration, as it may be considered experimental by some providers. Frequency limitations may apply, and modifiers like -22 for unusual procedural services might be necessary if the procedure is more complex than usual.

Related CDT Codes

Frequently Asked Questions

The primary goal is to regenerate pulp tissue to preserve tooth vitality and promote root development.

Source: CDT 2023 © American Dental Association

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