Removal of Non-Resorbable Barrier - CDT Code Guide
Overview
CDT code D4286 pertains to the removal of a non-resorbable barrier, a procedure commonly performed in periodontics. This barrier is typically used in guided tissue regeneration or bone grafting procedures to facilitate healing and regeneration of periodontal tissues. The removal is necessary once the underlying tissues have sufficiently healed, as the barrier does not dissolve on its own. This procedure is crucial in ensuring that the area heals properly without interference from the barrier material, which could otherwise lead to complications or infection. Dental professionals perform this service as part of the surgical services category, which includes usual postoperative care.
When to Use This Code
- After a guided tissue regeneration procedure where a non-resorbable barrier was placed.
- Following a bone grafting procedure involving a non-resorbable barrier.
- When the barrier is causing irritation or potential infection.
- As part of scheduled postoperative care to ensure proper healing.
- When radiographic evidence suggests the barrier has served its purpose.
Documentation Requirements
- Detailed clinical notes describing the initial placement of the barrier.
- Radiographic evidence supporting the need for removal.
- Postoperative care instructions provided to the patient.
- Documentation of the patient's healing progress since the barrier placement.
- Any complications or adverse reactions noted since the barrier was placed.
Billing Considerations
When billing for D4286, ensure that the procedure is not bundled with the initial placement code. Check for frequency limitations as some insurance plans may restrict how often such procedures can be billed. Common modifiers like -51 for multiple procedures may apply. Verify with the patient's insurance for coverage specifics, as some plans may require pre-authorization.
Related CDT Codes
Frequently Asked Questions
Yes, non-resorbable barriers must be removed to prevent complications and ensure proper healing.
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