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    v1.0.28
    OpenPayerBilling CodesD3310-endodontic-therapy-anterior-tooth-excluding-final
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    CDT D3310: Endodontic Therapy, Anterior Tooth (Excl. Final Restoration)

    CDT code D3310 designates endodontic therapy on an anterior tooth, excluding the final restoration. This procedure is a core dental service used to treat pulpitis, necrotic pulp, and other pulpal pathologies to preserve natural dentition and relieve infection or pain. Nationally, anterior root canal therapy is a common restorative intervention with implications for dental coverage, benefit design, and clinical care pathways.

    Major commercial payers covered in this overview include Aetna, Blue Cross Blue Shield, Cigna Health, and UnitedHealthcare. Readers will find a concise description of the clinical service represented by the code, common diagnostic contexts that justify the procedure, and how this code relates to adjacent endodontic and surgical CDT codes. The publication outlines payer coverage considerations, typical site-of-service expectations, and connections to related dental procedures to aid coding accuracy and claims processing.

    This summary provides clinicians, coders, and payers with a clear reference for identifying when D3310 applies, how it fits within endodontic care sequences, and which associated codes commonly appear on the same service line. Data not available in the input is noted where applicable.

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    Billing Code Overview

    CDT code D3310 represents endodontic therapy for an anterior tooth (excluding final restoration). This procedure involves the removal of diseased or damaged pulp tissue and preparation of the root canal system for obturation, addressing issues such as irreversible pulpitis and pulpal necrosis.

    Service Type: Dentistry

    Typical Site of Service: Dental Office (POS 11)

    National Reimbursement Benchmarks

    National mean rates for CDT code D3310 show BUCA (average commercial) at $378.27 compared with Medicare at $0.00, indicating Medicare data is not provided in the input while BUCA sits between the higher commercial payers and lower commercial payers. UnitedHealthcare and Blue Cross Blue Shield report the highest mean rates at $560.08 and $517.42 respectively; Aetna and Cigna Health report lower mean rates around $269.65 and $262.63.

    Rate dispersion (P75 − P25) varies notably across payers. Blue Cross Blue Shield and UnitedHealthcare show wide dispersion (BCBS: $188.00; UnitedHealthcare: $120.59), BUCA shows moderate dispersion ($227.79), while Aetna and Cigna Health are tighter (Aetna: $38.50; Cigna Health: $55.00). The table and chart below present the full breakdown.

    Table of contents

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    National Mean Rates for CDT code D3310 by Payer

    Clinical & Coding Specifications

    Clinical Context

    A patient presents to a dental office with localized pain and sensitivity in a single anterior tooth. Examination and pulp testing indicate irreversible pulpitis or pulpal necrosis, and radiographs show periapical changes consistent with apical periodontitis or a periapical abscess. The dentist (general dentist or endodontist) performs endodontic therapy on the affected anterior tooth under local anesthesia. The procedure includes access, cleaning, shaping, and obturation of the root canal system, excluding placement of the final coronal restoration. Typical workflow: history and exam, diagnostic radiographs, local anesthesia, rubber dam isolation, access preparation, canal debridement and shaping, irrigation and intracanal medication as needed, obturation, postoperative radiograph, postoperative instructions, and scheduling for final restoration placement at a subsequent visit.

    Related Codes

    • D3320 - Endodontic therapy, premolar tooth (excluding final restoration)

      • Clinical relation: Used when the treated tooth is a premolar rather than an anterior tooth; alternative to D3310 when tooth type differs.
    • D3330 - Endodontic therapy, molar tooth (excluding final restoration)

      • Clinical relation: Used for molar teeth; alternative to D3310 when treating a molar.
    • D3346 - Retreatment of previous root canal therapy, anterior

      • Clinical relation: Used when prior endodontic treatment on an anterior tooth requires retreatment rather than initial therapy represented by D3310.
    • D3351 - Apexification/recalcification, initial visit

      • Clinical relation: Used for procedures addressing open apices or inducing apical closure; may be part of endodontic management in teeth requiring specialized apex treatment.
    • D3410 - Apicoectomy/periradicular surgery, anterior

      • Clinical relation: Surgical periradicular procedures performed when nonsurgical root canal treatment (such as D3310) is unsuccessful or when surgery is indicated. These may be subsequent or alternative steps in the treatment sequence.

    Related Codes

    D2393-RESINBASED-COMPOSITE-THREE-SURFACES

    CPT D2393: Resin-Based Composite Restoration, Three Surfaces, Posterior

    D4910-PERIODONTAL-MAINTENANCE

    CPT D4910: Periodontal Maintenance Procedures

    D1206-TOPICAL-FLUORIDE-TREATMENT-EXCEPT-VARNISH-THERAPEUTIC

    CPT D1206: Topical Fluoride Treatment for Moderate to High Caries Risk Patients

    D1110-PROPHYLAXIS-ADULT-CLEANING-AND-POLISHING-OF-THE

    CPT D1110: Adult Dental Cleaning and Polishing

    D2160-AMALGAM-THREE-SURFACES-PRIMARY-OR

    CPT D2160: Amalgam Filling, Three Surfaces, Primary or Permanent Tooth

    D1351-SEALANT-PER

    CPT D1351: Dental Sealant Application, Per Tooth

    D4341-PERIODONTAL-SCALING-AND-ROOT-PLANING-FOUR-OR-MORE-TEETH-PER

    CPT D4341: Periodontal Scaling and Root Planing, Four or More Teeth per Quadrant

    D2790-CROWN-FULL-CAST-HIGH-NOBLE

    CPT D2790: Full Cast High Noble Metal Crown Placement

    D7210-EXTRACTION-ERUPTED-TOOTH-REQUIRING-REMOVAL-OF-BONE-ANDOR

    CPT D7210: Surgical Extraction of Erupted Tooth with Bone Removal

    D0220-INTRAORAL-PERIAPICAL-FIRST-RADIOGRAPHIC

    CPT D0220: Intraoral Periapical First Radiographic Image

    Showing 1–10 of 24

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.