D3950

Canal Preparation & Fitting - CDT Code Guide

Endodontics/Other Endodontic Procedures

Overview

CDT code D3950 pertains to the canal preparation and fitting of a preformed dowel or post. This procedure is a critical step in endodontic treatment, particularly when restoring a tooth that has undergone root canal therapy. The process involves preparing the canal space to accommodate a preformed dowel or post, which provides structural support for the final restoration. Typically, this is used in teeth that have significant structural damage or require additional reinforcement to support a crown or other restorative work. The procedure ensures that the tooth can withstand normal functional forces and maintain its integrity over time. It's important to note that D3950 should not be reported in conjunction with codes D2952, D2953, D2954, or D2957 by the same practitioner, as these codes cover related procedures that may overlap in scope.

When to Use This Code

  • When a tooth has undergone root canal therapy and requires reinforcement
  • In cases where a tooth is structurally compromised and needs additional support
  • When preparing a tooth for a crown that requires a dowel or post for stability
  • For teeth with insufficient remaining structure to support a restoration
  • When a preformed dowel or post is necessary for the longevity of the restoration

Documentation Requirements

  • Detailed clinical notes describing the need for a dowel or post
  • Radiographic evidence supporting the procedure
  • Documentation of the canal preparation process
  • Description of the preformed dowel or post used
  • Patient consent for the procedure
  • Post-operative notes detailing the outcome and any follow-up care

Billing Considerations

When billing for D3950, ensure that it is not reported alongside D2952, D2953, D2954, or D2957 by the same practitioner. Verify with the patient's insurance for any specific coverage limitations or requirements. Consider using appropriate modifiers if the procedure is part of a larger treatment plan. Frequency limitations may apply based on the patient's insurance policy, so confirm eligibility and benefits prior to treatment.

Related CDT Codes

Frequently Asked Questions

No, D3950 is specifically for cases where a preformed dowel or post is necessary for structural support.

Source: CDT 2023 © American Dental Association

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