Gross Pulpal Debridement
Policy No: 22C
Originally Created: 01/01/2011
Last Reviewed: 01/01/2019
Last Revised: 01/01/2018
Gross pulpal debridement, primary and permanent teeth (D3221)
Gross pulpal debridement for the relief of acute pain prior to conventional root canal therapy (not to be used when endodontic treatment is completed on the same day.)
Procedures are in accordance with generally accepted standards of dental practice.
Procedure is considered inclusive of the completed root canal therapy when completed by the same provider.
Process to contract benefits.
Not to be used by provider completing endodontic treatment.
Note: Also considered "open and broach".
CDT - D3000-D3999 - see above.