Cast High Noble Metal Crown - CDT Code Guide
Overview
CDT code D2780 pertains to the placement of a cast high noble metal crown, a restorative dental procedure used to cover and protect a damaged or decayed tooth. This type of crown is made from high noble metals, which typically include gold, platinum, and palladium, offering superior durability and biocompatibility. The procedure involves preparing the tooth, taking an impression, and fitting the custom-made crown to restore the tooth's function and appearance. This code is commonly used in scenarios where a tooth has undergone significant structural loss due to decay, fracture, or previous restorations, and a high-quality, long-lasting solution is required.
When to Use This Code
- When a tooth has extensive decay that cannot be restored with a filling.
- For teeth that have undergone root canal therapy and require full coverage for protection.
- In cases where a tooth is fractured and needs a durable restoration.
- When replacing an existing crown that has failed or is no longer functional.
- For patients with a preference for high noble metal due to its aesthetic and biocompatible properties.
Documentation Requirements
- Detailed clinical notes describing the condition of the tooth and the necessity for a crown.
- Radiographic evidence supporting the need for a full coverage restoration.
- A record of the patient's informed consent for the procedure.
- Documentation of the materials used, including the type of high noble metal.
- Pre- and post-operative photographs if applicable.
- A detailed treatment plan outlining the steps of the procedure.
Billing Considerations
When billing for D2780, it's important to note any frequency limitations set by the patient's insurance plan, as some may only cover crowns every five years. Modifiers may be necessary if the procedure is performed under special circumstances, such as emergencies. Ensure that the choice of high noble metal is documented, as insurance companies may require justification for the use of more expensive materials. Coordination of benefits may also be necessary if the patient has dual coverage.
Related CDT Codes
Frequently Asked Questions
A high noble metal crown is a type of dental crown made primarily from precious metals like gold, platinum, and palladium, known for their durability and biocompatibility.
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