D3460

Endodontic Implant - CDT Code Guide

Endodontics/Apicoectomy/Periradicular Services

Overview

CDT code D3460 refers to the placement of an endodontic endosseous implant. This procedure involves inserting implant material that extends from the pulpal space into the bone beyond the root. It is typically used in cases where traditional endodontic treatments have failed, and there is a need to stabilize the tooth structure by anchoring it into the jawbone. This procedure is often considered when there is significant bone loss or damage around the root of the tooth, making it a crucial option for preserving dental function and aesthetics. Dental professionals use this code to document the specialized procedure aimed at enhancing the longevity and stability of the affected tooth.

When to Use This Code

  • When a tooth has undergone repeated endodontic treatments without success
  • In cases of significant bone loss around the root of a tooth
  • When traditional apicoectomy procedures are insufficient
  • To stabilize a tooth with compromised structural integrity
  • When there is a need to prevent further tooth loss in a critical area of the mouth

Documentation Requirements

  • Detailed clinical notes describing the need for the implant
  • Radiographic evidence supporting the procedure
  • Patient consent forms acknowledging understanding of the procedure
  • Pre- and post-operative imaging to document changes
  • Comprehensive treatment plan outlining the procedure steps
  • Insurance pre-authorization if required by the patient's plan

Billing Considerations

When billing for D3460, ensure that the procedure is not performed more frequently than necessary, as insurance plans may have limitations on the frequency of such treatments. Common modifiers include those indicating the specific tooth involved. It's important to verify with the patient's insurance provider whether the procedure is covered under their plan, as some may consider it a non-standard treatment.

Related CDT Codes

Frequently Asked Questions

The main purpose is to stabilize a tooth by anchoring it into the jawbone, especially when traditional treatments have failed.

Source: CDT 2023 © American Dental Association

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