Pulpal Debridement

Policy No: 22C
Originally Created: 01/01/2011
Section: Endodontics
Last Reviewed: 05/30/2023
Last Revised: 03/01/2020
Approved: 06/22/2023
Effective: 07/01/2023

Definitions

Pulpal debridement – is the removal of the pulp/nerve of a tooth. Debridement of the pulp chamber of a tooth is done prior to conventional root canal therapy to alleviate severe pain.

Policy Statement

Pulpal debridement is considered inclusive of completed root canal therapy when treatment was provided by the same provider on the same day.

Current Dental Terminology (CDT®) Codes
Code	Description
D3221	Pulpal debridement, primary and permanent teeth
D3310	Endodontic therapy, anterior tooth (excluding final restoration)
D3320	Endodontic therapy, premolar tooth (excluding final restoration)
D3330	Endodontic therapy, molar tooth (excluding final restoration)

References

American Dental Association, Current Dental Terminology (CDT®)

Policy Cross References

None

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