Apicoectomy Anterior - CDT Code Guide
Overview
CDT code D3410 refers to an apicoectomy procedure performed on an anterior tooth. This surgical procedure involves the removal of the tip of a tooth's root, known as the apex, and is typically used to treat persistent infections or cysts that do not respond to conventional root canal therapy. During an apicoectomy, the dentist will access the root through the gum tissue, remove the infected tissue, and seal the end of the root to prevent further infection. This procedure is crucial for saving teeth that might otherwise require extraction.
Apicoectomies are generally recommended when a root canal treatment has failed, and there is a need to address issues at the root tip that are inaccessible through the tooth's crown. Patients who have persistent pain or infection despite previous endodontic treatment may be candidates for this procedure. It is a specialized service often performed by endodontists, who are experts in root canal therapy and related surgeries.
When to Use This Code
- Persistent infection at the root tip after a root canal
- Presence of a cyst or granuloma at the root apex
- Anatomical challenges preventing successful root canal treatment
- Fractured root tip requiring surgical intervention
- Recurrent endodontic issues in an anterior tooth
Documentation Requirements
- Detailed patient history and previous endodontic treatment records
- Radiographic evidence of infection or cyst at the root apex
- Clinical notes detailing symptoms and diagnosis
- Surgical report including procedure details and materials used
- Post-operative care instructions and follow-up plan
Billing Considerations
When billing for D3410, ensure that the procedure is not bundled with other endodontic services unless specified by the insurance provider. Frequency limitations may apply, as this is typically a one-time procedure per tooth. Common modifiers include those indicating the specific tooth number. Verify with insurance for coverage specifics, as some plans may require prior authorization.
Related CDT Codes
Frequently Asked Questions
A root canal treats the inside of the tooth, while an apicoectomy addresses issues at the root tip, often after a root canal has failed.
Need help with dental coding?
Our AI-powered assistant can answer your CDT code questions instantly.