Inlay Resin-Based Composite - CDT Code Guide
Overview
CDT code D2651 refers to the placement of an inlay made from resin-based composite material that covers two surfaces of a tooth. This procedure is typically used to restore a tooth that has been damaged by decay or trauma, where a full crown is not necessary. The inlay is custom-made to fit the specific contours of the tooth, providing a durable and aesthetically pleasing restoration. Dental professionals often choose this option for patients who require a conservative approach to tooth restoration, preserving as much of the natural tooth structure as possible. The use of resin-based composite materials allows for a restoration that closely matches the natural color of the tooth, making it an ideal choice for visible areas of the mouth.
When to Use This Code
- When a tooth has moderate decay that affects two surfaces but does not require a full crown.
- For patients who prefer a tooth-colored restoration that blends with their natural teeth.
- In cases where preserving the maximum amount of natural tooth structure is a priority.
- When replacing an old or failing amalgam filling with a more aesthetic option.
- For restoring a fractured tooth where the damage is limited to two surfaces.
Documentation Requirements
- Detailed chart notes describing the tooth surfaces involved and the extent of decay or damage.
- Pre-operative and post-operative radiographs to support the necessity of the procedure.
- Patient consent forms acknowledging understanding of the procedure and material used.
- Documentation of the material used, including brand and shade, if applicable.
- A narrative report if required by the insurance provider to justify the use of an inlay.
Billing Considerations
When billing for D2651, ensure that the procedure is not being performed more frequently than allowed by the patient's insurance plan. It is important to verify coverage for resin-based composite materials, as some plans may have specific exclusions or limitations. Common modifiers may include those indicating the specific tooth number or quadrant. Coordination with insurance providers is crucial to determine if pre-authorization is required.
Related CDT Codes
Frequently Asked Questions
An inlay fits within the cusps of the tooth, while an onlay extends over one or more cusps, providing more coverage.
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