Periodontal Medicament Carrier - CDT Code Guide
Overview
CDT code D5996 refers to a periodontal medicament carrier with a peripheral seal, specifically designed for the mandibular arch. This custom-fabricated device is laboratory processed to ensure a precise fit over the teeth and alveolar mucosa. Its primary purpose is to deliver prescribed medicaments directly to the gingiva, alveolar mucosa, and periodontal sulcus or pocket, ensuring sustained contact and effective treatment. Typically used in periodontal therapy, this carrier aids in the management of periodontal disease by allowing for targeted delivery of medications such as antimicrobials or anti-inflammatory agents. Dental professionals may recommend this procedure for patients with advanced periodontal conditions requiring localized treatment.
When to Use This Code
- Patients with chronic periodontitis requiring localized medication delivery
- Cases where traditional periodontal treatments have not been effective
- Patients with contraindications for systemic medication use
- Situations requiring sustained release of medicaments in the periodontal pocket
- Post-surgical periodontal care to enhance healing
Documentation Requirements
- Detailed patient diagnosis and treatment plan
- Prescription details for the medicament used
- Laboratory invoice or receipt for the custom carrier fabrication
- Clinical notes on the patient's periodontal condition
- Patient consent forms for the procedure
- Follow-up care instructions provided to the patient
Billing Considerations
When billing for D5996, ensure that the procedure is documented as medically necessary for periodontal treatment. Check with the patient's insurance provider for coverage specifics, as some plans may have restrictions or require prior authorization. Frequency limitations may apply, and it's important to use appropriate modifiers if the procedure is part of a larger treatment plan. Coordination with the dental lab for accurate billing of the custom carrier is also essential.
Related CDT Codes
Frequently Asked Questions
The primary benefit is the targeted delivery of medication directly to the affected periodontal areas, enhancing treatment effectiveness.
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