D4322 - Splint (Intra)
Intra-coronal splinting of teeth.
- Procedure Code
- D4322
- Category
- Periodontics
Insurance Verification Benchmarks & Billing Guidelines
Benchmark Policy Source: Delta Dental 2026
- Frequency Limitation
- Subject to group/individual contract frequency limitations (none)
Required Claim Attachments & Pre-Submission Checklist
- Full-mouth periodontal charting with 6-point probing depths and bleeding points
Bill When (Allowable Clinical Criteria)
- Indicated for medically and clinically necessary treatment as documented in patient's dental record.
Restrictions & Clinical Exclusions
- When submitted as a standalone procedure, benefits are denied unless covered by group/individual contract. crowns to provide stabilization and additional strength.
- The fees for Intra-coronal splints submitted in conjunction with prosthetic crowns (D2700- D2799), implant prosthetics crowns (D6058- D6067, D6082-D6085, D6086-D6088, D6094, D6097), fixed partial dentures (D6205-D6794) and implant fixed partial denture retainers (D6068-D6077, D6098, D6099, D6120-D6123, D6194, D6195) are not billable to the patient.
- Infection control is included in the fee for the dental services provided. Separate fees are not billable to the patient.
- For benefit purposes, local anesthesia is an integral part of the periodontal procedures being performed and additional charges are not billable to the patient.
- Laser disinfection is a technique, not a procedure. Fees for laser disinfection are not billable to the patient.
- Benefits for laser disinfection as a standalone procedure are denied as investigational.
Common Claim Denial Codes & Overturn Strategies
| Denial Code | Denial Reason | Appeal & Overturn Strategy |
|---|---|---|
| CO-119 | Benefit maximum or frequency limitation exceeded for procedure | Submit clinical narrative detailing extraordinary circumstances, active recurrent pathology, or exception criteria. |
ICD-10 Justification & Crosswalk Mappings
| ICD-10 Code | Diagnosis Name | Category | Primary Justification | Claim Type | Clinical Scenario |
|---|