Therapeutic Pulpotomy - CDT Code Guide
Overview
CDT code D3220 refers to a therapeutic pulpotomy, a procedure aimed at preserving the vitality of the remaining pulp tissue after the surgical removal of the coronal portion of the pulp. This procedure is applicable to both primary and permanent teeth and involves applying a medicament to maintain pulp health. It is important to note that this is not the initial step of root canal therapy and should not be used for apexogenesis. Typically, a pulpotomy is performed when there is pulp exposure due to caries or trauma, and the goal is to alleviate pain and prevent further infection while maintaining the tooth's vitality.
When to Use This Code
- When a primary tooth has carious exposure but the root is still vital.
- In cases of trauma where the pulp is exposed in a permanent tooth with incomplete root formation.
- For temporary relief of symptoms in a tooth with pulp exposure until further treatment can be performed.
- When there is no evidence of root resorption or periapical pathology.
- To maintain tooth vitality in a young patient with pulp exposure.
Documentation Requirements
- Detailed clinical notes describing the necessity of the pulpotomy.
- Radiographic evidence supporting the procedure.
- Documentation of the medicament used during the procedure.
- Patient consent for the procedure.
- Post-operative care instructions provided to the patient.
- Follow-up plan for monitoring tooth vitality.
Billing Considerations
D3220 is typically billed per tooth and should not be confused with root canal therapy codes. It is important to verify with the patient's insurance for coverage specifics, as some plans may have limitations on the frequency of this procedure. Common modifiers may include those indicating the tooth number or quadrant.
Related CDT Codes
Frequently Asked Questions
No, D3220 is not a root canal. It is a pulpotomy, which involves removing part of the pulp to maintain vitality, not the complete removal as in a root canal.
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