Is root amputation covered by insurance?

Coverage for root amputation varies by insurance plan. It's important to verify with the patient's provider to understand the specific benefits and limitations.

Can root amputation be performed on any tooth?

Root amputation is typically performed on multi-rooted teeth, such as molars, where one root is compromised but the rest of the tooth is healthy.

What are the risks associated with root amputation?

Risks include infection, damage to surrounding tissues, and potential failure of the procedure, which may eventually require extraction.

How long is the recovery period after a root amputation?

Recovery time can vary, but patients typically experience healing within a few weeks, with follow-up appointments to monitor progress.

D3450

Root Amputation Per Root - CDT Code Guide

Endodontics/Apicoectomy/Periradicular Services

Overview

CDT Code D3450 refers to the root amputation of a multi-rooted tooth, a procedure often necessary when one root of a tooth is diseased or damaged, yet the rest of the tooth is salvageable. This procedure involves removing the affected root while preserving the crown and other healthy roots. It is typically performed in cases where endodontic treatment or retreatment is not viable for the affected root. Dental professionals may consider this procedure to maintain the tooth's function and avoid extraction, especially in teeth that are crucial for aesthetics or chewing function.

When to Use This Code

When a single root of a multi-rooted tooth is infected or fractured, but the rest of the tooth is healthy.
In cases where previous endodontic treatment has failed on one root, and retreatment is not possible.
When periodontal disease has severely affected one root of a multi-rooted tooth.
To preserve a tooth that is strategically important for maintaining occlusion or aesthetics.
When a patient prefers to retain their natural tooth rather than opting for extraction and replacement.

Documentation Requirements

Detailed clinical notes describing the condition of the tooth and the necessity for root amputation.
Radiographic evidence supporting the decision for root amputation.
Patient consent form acknowledging understanding of the procedure and its implications.
Documentation of any previous endodontic treatments and their outcomes.
Post-operative care instructions provided to the patient.

Billing Considerations

When billing for D3450, ensure that the procedure is justified with appropriate clinical documentation. Frequency limitations may apply, and it's crucial to check with the patient's insurance provider for coverage specifics. Common modifiers may include those indicating a distinct procedural service or bilateral procedures. Coordination with insurance is essential to confirm if the procedure is covered under the patient's plan.

Related CDT Codes

D3920 D3310 D3320 D3330 D3346

Frequently Asked Questions

Root amputation involves removing only the diseased root of a multi-rooted tooth, preserving the crown and other roots, whereas extraction involves removing the entire tooth.

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