Intentional Re-implantation - CDT Code Guide
Overview
CDT code D3470 pertains to the intentional re-implantation of a tooth, a procedure that involves the deliberate removal of a tooth from its socket, inspection and treatment of the root, and its subsequent re-insertion into the original socket. This procedure is typically considered when a tooth has failed conventional endodontic treatment or when other surgical options are not viable. It is crucial for preserving the natural tooth structure and maintaining oral function. The procedure does not include the placement of retrograde filling materials, which may be necessary in some cases. Dental professionals should evaluate the tooth's prognosis and the patient's overall oral health before proceeding with this treatment.
When to Use This Code
- When a tooth has persistent periapical pathology after root canal treatment
- In cases where apicoectomy is not feasible due to anatomical limitations
- When a tooth is fractured or damaged but salvageable through re-implantation
- For teeth with failed previous endodontic treatments where other options are exhausted
- When preserving the natural tooth is prioritized over extraction and prosthetic replacement
Documentation Requirements
- Detailed clinical notes on the rationale for intentional re-implantation
- Pre-operative and post-operative radiographs
- Patient consent forms outlining the procedure and potential risks
- Documentation of the treatment plan and any alternative options discussed
- Record of any splinting materials used during the procedure
- Follow-up care instructions and patient compliance records
Billing Considerations
When billing for D3470, it is important to note that this code does not cover retrograde filling materials, which may need to be billed separately. Frequency limitations may apply, and it is essential to verify with the patient's insurance provider regarding coverage specifics. Common modifiers that might be applicable include those indicating the specific tooth treated. Ensure that all documentation supports the medical necessity of the procedure to avoid claim denials.
Related CDT Codes
Frequently Asked Questions
The primary purpose is to preserve a natural tooth that has failed previous endodontic treatments and where other surgical options are not viable.
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