Can D4323 be used for both natural teeth and prosthetic crowns?

Yes, D4323 is applicable for both natural teeth and prosthetic crowns that require stabilization.

Is pre-authorization required for D4323?

Pre-authorization requirements vary by insurance provider, so it's important to check with the patient's insurance plan.

How does D4323 differ from other splinting procedures?

D4323 specifically refers to extra-coronal splinting, which involves linking teeth or crowns externally, as opposed to intra-coronal methods.

What materials are typically used for extra-coronal splinting?

Common materials include composite resins and fiber-reinforced materials designed for dental splinting.

D4323

Splint Extra-Coronal - CDT Code Guide

Periodontics/Non-Surgical Periodontal Service

Overview

CDT code D4323 refers to the procedure of splinting extra-coronally, which involves physically linking individual teeth or prosthetic crowns to enhance stabilization and strength. This non-surgical periodontal service is crucial for patients with compromised teeth due to periodontal disease or trauma. The procedure helps in distributing occlusal forces evenly across the teeth, thereby reducing mobility and preventing further damage. Typically, this code is used in cases where teeth need additional support due to weakened periodontal structures, or when prosthetic crowns require stabilization to function effectively.

When to Use This Code

When a patient presents with mobile teeth due to periodontal disease.
To stabilize teeth following trauma that has compromised periodontal support.
When prosthetic crowns require additional stabilization for proper function.
In cases where occlusal forces need to be distributed more evenly across teeth.
To prevent further periodontal damage in patients with advanced periodontal disease.

Documentation Requirements

Detailed periodontal charting showing mobility and periodontal status.
Radiographic evidence supporting the need for stabilization.
Clinical notes describing the patient's periodontal condition and treatment plan.
Documentation of informed consent discussing the procedure and its benefits.
Photographic evidence before and after the procedure, if applicable.

Billing Considerations

When billing for D4323, ensure that the procedure is not performed more frequently than necessary, as overuse may not be covered by insurance. Common modifiers may include those indicating the specific teeth involved. It's important to verify with the patient's insurance provider regarding coverage limitations and pre-authorization requirements.

Related CDT Codes

D0150 D0180 D4341 D4342 D4381

Frequently Asked Questions

The primary purpose is to stabilize teeth or crowns that are compromised due to periodontal issues or trauma, providing additional strength and support.

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