D2952

Post and Core with Crown - CDT Code Guide

Restorative/Other Restorative Services

Overview

CDT Code D2952 refers to the procedure of placing a post and core in addition to a crown, which is indirectly fabricated. This restorative procedure is crucial when a tooth has been significantly damaged or decayed, leaving insufficient tooth structure to support a crown on its own. The post is placed within the root canal, and the core is built up around it to provide a stable foundation for the crown. This procedure is typically performed after root canal therapy when the remaining tooth structure is compromised. Dental professionals use this code to ensure that the restoration is durable and functional, restoring both the aesthetics and function of the tooth.

When to Use This Code

  • When a tooth has undergone root canal treatment and lacks sufficient structure to support a crown.
  • In cases where a tooth is severely decayed or fractured, requiring additional support for a crown.
  • When a custom-fabricated post and core are necessary for optimal crown retention and stability.

Documentation Requirements

  • Detailed clinical notes describing the condition of the tooth and the necessity for a post and core.
  • Radiographic evidence supporting the need for the procedure.
  • Documentation of the materials used for the post and core fabrication.
  • A treatment plan outlining the steps of the procedure and expected outcomes.
  • Patient consent forms acknowledging understanding of the procedure.

Billing Considerations

When billing for D2952, ensure that the procedure is not performed too frequently on the same tooth, as insurance may have limitations. Common modifiers may include those indicating the tooth number and quadrant. Verify with the patient's insurance for coverage details, as some plans may have specific requirements or restrictions for post and core procedures.

Related CDT Codes

Frequently Asked Questions

A post and core provide internal support for a tooth that has been weakened, while a crown is placed over the tooth to restore its shape and function.

Source: CDT 2023 © American Dental Association

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