Gross Pulpal Debridement

Pulpal Debridement

Policy No: 22C
Originally Created: 01/01/2011
Section: Endodontics
Last Reviewed: 03/01/2020
Last Revised: 03/01/2020
Approved: 03/17/2020
Effective: 04/01/2020


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®) code:

  • D3221 – Pulpal debridement, primary and permanent teeth


American Dental Association, Current Dental Terminology (CDT®)

Policy Cross References



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