D2722

Resin with Noble Metal Crown - CDT Code Guide

Restorative/Single Crowns Restorations Only

Overview

CDT code D2722 refers to a dental procedure involving the placement of a resin crown with a noble metal substructure. This type of crown is used to restore the function and aesthetics of a tooth that has been significantly damaged or decayed. The noble metal provides strength and durability, while the resin offers a natural appearance. This procedure is typically performed when a tooth cannot be restored with a filling alone and requires a full-coverage restoration. Dental professionals often choose this option for patients who need a balance of strength and aesthetics, particularly in areas of the mouth where appearance is important.

When to Use This Code

  • When a tooth is extensively decayed and cannot be restored with a filling
  • For teeth that have undergone root canal treatment and require additional strength
  • In cases where a patient desires a more aesthetic option than a full metal crown
  • When a patient has allergies to base metals and requires a noble metal alternative
  • For restoring a fractured tooth that needs full coverage

Documentation Requirements

  • Detailed chart notes describing the clinical necessity for the crown
  • Pre-operative radiographs showing the condition of the tooth
  • Documentation of patient consent for the procedure
  • Materials used, including the type of noble metal and resin
  • Post-operative notes detailing the fit and finish of the crown

Billing Considerations

When billing for D2722, it's important to check the patient's insurance policy for coverage of noble metal crowns, as some plans may have specific limitations or require pre-authorization. Frequency limitations might apply, such as coverage for one crown per tooth every five years. Common modifiers include those for distinguishing between primary and permanent teeth. Ensure that all documentation supports the medical necessity of the procedure to avoid claim denials.

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Frequently Asked Questions

A resin with noble metal crown uses a resin material for the outer layer, offering a natural look, while a porcelain-fused-to-metal crown uses porcelain, which may provide a more durable and aesthetic finish.

Source: CDT 2023 © American Dental Association

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