Bone Graft with Periradicular Surgery - CDT Code Guide
Overview
CDT code D3429 refers to the procedure of performing a bone graft in conjunction with periradicular surgery for each additional contiguous tooth in the same surgical site. This procedure typically involves the use of non-autogenous graft materials, which means the graft material is not harvested from the patient's own body. It is commonly used in endodontic treatments where there is a need to support the bone structure around the root of a tooth following an apicoectomy or other periradicular interventions. The procedure is essential in cases where bone loss has occurred due to infection or other dental conditions, and it aims to restore the integrity and function of the affected area.
When to Use This Code
- When performing an apicoectomy and additional bone support is needed for adjacent teeth.
- In cases of significant bone loss around the root of a tooth due to infection.
- When non-autogenous graft material is preferred or required.
- During periradicular surgery involving multiple contiguous teeth.
- To enhance the stability of the surgical site in complex endodontic cases.
Documentation Requirements
- Detailed clinical notes describing the need for the bone graft.
- Radiographic evidence supporting the procedure.
- Documentation of the type of graft material used.
- Pre- and post-operative images or radiographs.
- Patient consent forms for the procedure.
- Detailed billing records including the specific teeth involved.
Billing Considerations
When billing for D3429, consider that it is an add-on code used in conjunction with primary periradicular surgery codes. Ensure that the primary procedure code is also billed. Check with insurance providers for coverage limitations as some may require pre-authorization. Modifiers may be necessary if multiple procedures are performed on the same day.
Related CDT Codes
Frequently Asked Questions
No, D3429 is used for each additional contiguous tooth in the same surgical site, not the first tooth.
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