How long does a full cast noble metal crown last?

With proper care, these crowns can last 15 years or more, making them a durable restorative option.

Is a full cast noble metal crown suitable for front teeth?

While possible, these crowns are typically used for molars due to their metallic appearance and strength requirements.

What are the advantages of a noble metal crown over porcelain?

Noble metal crowns offer superior strength and longevity, especially in areas subjected to high chewing forces.

Can a patient with metal allergies receive a noble metal crown?

Patients with metal allergies should discuss material options with their dentist, as noble metals are generally hypoallergenic but individual sensitivities may vary.

D2792

Full Cast Noble Metal Crown - CDT Code Guide

Restorative/Single Crowns Restorations Only

Overview

CDT code D2792 refers to the placement of a full cast noble metal crown, a restorative dental procedure used to cover and protect a damaged or weakened tooth. This type of crown is crafted entirely from noble metals, such as gold, platinum, or palladium, which are known for their durability and biocompatibility. The procedure involves preparing the tooth by removing decay and shaping it to fit the crown, followed by taking impressions to create a custom-fit restoration. Full cast noble metal crowns are typically used in scenarios where strength and longevity are prioritized, such as in molars that endure significant chewing forces. This procedure is essential for restoring function and aesthetics, preventing further tooth damage, and maintaining oral health.

When to Use This Code

When a tooth is extensively decayed or damaged and requires full coverage for protection.
In cases where a tooth has undergone root canal therapy and needs reinforcement.
For restoring a fractured tooth that cannot be adequately repaired with a filling.
When replacing an existing crown that has failed or is no longer functional.
In situations where a patient prefers a durable and long-lasting restoration option.

Documentation Requirements

Detailed clinical notes describing the condition of the tooth and justification for crown placement.
Pre-operative radiographs showing the extent of decay or damage.
Documentation of the patient's consent for the procedure.
Impression records or digital scans used for crown fabrication.
Post-operative notes including fit and occlusion checks.

Billing Considerations

When billing for D2792, it's important to note any frequency limitations set by insurance providers, as some plans may restrict the number of crowns covered per year. Common modifiers may include those indicating the tooth number or quadrant. Ensure that the patient's insurance plan covers noble metal crowns, as some plans may only cover base metal alternatives. Coordination with the insurance company for pre-authorization can prevent claim denials.

Related CDT Codes

D2750 D2950 D2740 D2790 D2391

Frequently Asked Questions

Noble metals include gold, platinum, and palladium, known for their corrosion resistance and biocompatibility.

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