Resin Infiltration - CDT Code Guide
Overview
CDT Code D2990 refers to the resin infiltration of incipient smooth surface lesions. This procedure involves the application of a resin material to early-stage carious lesions, primarily on smooth surfaces, to strengthen and stabilize the tooth structure. The goal is to halt the progression of these lesions before they develop into more significant cavities that require extensive restorative work. Typically, this procedure is used in cases where the lesion is too small for traditional fillings but still poses a risk of progression. Clinically, resin infiltration is a minimally invasive approach that preserves more of the natural tooth structure compared to other restorative methods.
When to Use This Code
- When a patient presents with early-stage carious lesions on smooth surfaces.
- In cases where traditional restorative methods are deemed too invasive.
- For patients with high caries risk to prevent further decay.
- When radiographic evidence shows incipient lesions that have not yet cavitated.
- As a preventive measure in pediatric patients with early signs of enamel demineralization.
Documentation Requirements
- Detailed chart notes describing the lesion and its location.
- Radiographic or photographic evidence of the lesion prior to treatment.
- Patient consent form acknowledging understanding of the procedure.
- Clinical notes on the resin material used and the application process.
- Follow-up care instructions provided to the patient.
- Documentation of patient education on preventive care post-procedure.
Billing Considerations
D2990 is typically billed as a preventive or minimally invasive procedure. It is important to verify with the patient's insurance provider regarding coverage, as some plans may not cover preventive resin infiltration. Frequency limitations may apply, so it's crucial to document the necessity of the procedure thoroughly. Common modifiers may include those indicating preventive services. Ensure the procedure is not billed alongside other restorative codes for the same tooth surface unless justified.
Related CDT Codes
Frequently Asked Questions
Coverage varies by plan. It's essential to check with the patient's insurance provider to confirm if D2990 is covered as a preventive service.
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