Practice Booster Q&A

PBQ&A

Answers to real questions asked by Practice Booster subscribers

QWe received a newsletter for Sep/Oct 2021 and noticed that a new code, D3911, would be added in 2022. Our practice is considering charging this code in 2022 but need some additional information if possible.

We are an endodontic practice and were wondering if we would be able to charge this out for instance when a patient is referred to our office for a RCT, but the general dentist wants to provide the core buildup, would we use this code at that time? Do you anticipate this code being paid by insurance companies, inclusive, paid or not covered? Also, sometimes we do not finish the RCT in the first visit. Some patients we start the RCT, and they come back to finish the RCT at a later time. Would we charge out the code D3911 twice, if the patient goes back to the general dentist and we do not place a permanent filling? Thank you for all your help!

AThe D3911 code is for placement of an intraorifice barrier which is placed over the final root canal therapy filling material upon completion of treatment, if the final restoration is not being placed at that time. It would be appropriate to place the barrier upon finishing the root canal and sending the patient back to the restorative dentist for the core buildup. It would not be appropriate to use the code if the treatment is not completed and the tooth is dressed with calcium hydroxide. You would not use the code twice on the same tooth.

We do recommend obtaining feedback from the doctors in your practice in terms of determining when to utilize this code on an individual basis. As with any new code, insurance companies will pay at their discretion. The important thing for providers to do is to use the code when doing the procedure and submit it to the insurers so that they can see that it is important for patients. In addition, the information that is collected when these codes are used may help to build a database that can establish improved prognosis when placing the intraorifice barrier upon completion of root canal therapy.

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