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Coding with Kyle: 2022 updates related to splinting procedures

June 15, 2022
Office Manager Kyle Summerford covers 2022 CDT updates and deletions related to codes for splinting.
Kyle L. Summerford, Editorial Director

Are you using the correct codes for splinting on your dental claim form? Did you know that several codes related to splinting have been deleted and replaced?

This month we feature the newly updated and recently deleted ADA CDT codes for splinting procedures

Deleted codes

D4320: Provisional splinting, intracoronal

D4321: Provisional Splinting, extracoronal

New codes

D4322: Splint, intracoronal; natural teeth or prosthetic crowns

D4323: Splint, extracoronal; natural teeth or prosthetic crowns

The purpose of provisional splinting is to stabilize mobile (loose) teeth and maintain them in the position before periodontal surgery due to bone loss. The teeth are cleaned and isolated, no anesthesia is typically used, but in some cases the teeth will be cut and anesthesia must be used. There are different types of splinting materials, the most common being metal wire or braided fibers. The “wire” is then placed along the teeth and bonded and cured.

Although resin bonding will be used to attach the splint to the teeth, it is not advised to submit for reimbursement as individual composites.

More Coding with Kyle: 

There are many variables involved when it comes to dental insurance coverage and reimbursement:

  • Dental insurance companies will usually only cover “permanent” procedures, and according to insurance companies, a splint is a temporary prosthesis.
  • If bone loss is visible on x-rays, the dental insurance company may suggest that the treatment is unnecessary in order to avoid paying for it. The company may provide benefits toward a tooth extraction instead.
  • Submitting a clear narrative that explains the benefits of splinting and outlining the treatment plan with the desired prognosis can help facilitate approval in some cases.
  • Providing x-rays, narrative, recent periodontal charting, and photographs will ensure a smooth claims process.

It's very important to remember this: Even though the insurance company may not pay for a particular procedure, this doesn't mean that the insurance company’s decision is in the best interest of the patient.

About the Author

Kyle L. Summerford | Editorial Director

Kyle L. Summerford is president of Summerford Solutions Inc. Being a dental office manager, dental practice consultant, and dental coding educator has enabled him to guide his company to provide services to dental practices and their staffs nationwide. Kyle has lectured at many CE events and academic institutions—Stony Brook University, New York City County Dental Society, and Georgia Regents University. He’s authored many Dental Coding with Kyle articles. He’s the founder of Dental Office Managers Facebook Community and Dental Manager Connect. Contact him at [email protected].