D3425 — Apicoectomy — molar (first root)
D3425 is root-end surgery on a molar, billed for the first root treated — the most difficult of the apicoectomies because of the access and the number of roots.
It is one of nine codes covering apicoectomy and periradicular surgery. For the procedure itself rather than the code, see the apicoectomy and periradicular surgery guide; for the code, read on.
What follows is the detail behind the number: the conditions the code sets, its typical fee, its usual benefit treatment, and a code-by-code comparison with its closest neighbours.
The conditions built into D3425
Tooth — a molar: multiple roots, wide biting surface, hardest tooth in the mouth to reach and the one that fails most often.
Counted — per root rather than per tooth, so the total depends on the anatomy of the specific tooth being treated.
D3425 against the codes beside it
D3426 — Apicoectomy — each additional root: It is the each-additional line that follows it.
D3427 — Periradicular surgery without apicoectomy: It is periradicular surgery in which the root tip is not cut off: the lesion is cleared and the area repaired, but the apex is left intact.
D3428 — Bone graft with periradicular surgery (single site): It is counted per site rather than per root.
D3421 — Apicoectomy — premolar (first root): It applies to premolars rather than molars.
D3425 sits in a group of nine codes in total; the remainder are linked at the foot of this page. If an estimate lists D3425 and the treatment that follows matches a neighbouring code instead, the office has to resubmit — which delays the payment rather than increasing it.
Every code in this group
These codes describe the same broad procedure and differ in one respect each. Each has its own page with its own fee range and coverage notes.
Questions about D3425
What is D3425 on my dental bill?
It is the entry for apicoectomy, molar, first root. A practice cannot use it for anything broader than that, which is what makes the code useful to you.
How much does D3425 cost?
Between $1,100–$2,300 in most practices — and that is the figure before any benefit is applied, not what you would pay at the desk.
Is D3425 a covered benefit?
It is generally a covered benefit in the major / surgical category, typically 50–80%. Frequency limits and waiting periods are the usual reasons a claim is refused.
What is the difference between D3425 and D3426?
D3426 is apicoectomy, each additional root: it is the each-additional line that follows it. Apart from that, the two describe the same treatment — which is why the notes for the visit matter more here than the code itself.
Also known as: apicoectomy, root end surgery, endodontic surgery, retrograde filling, periradicular surgery.