Pontic Cast High Noble Metal - CDT Code Guide
Overview
CDT Code D6210 refers to the fabrication and placement of a pontic made from high noble metal as part of a fixed partial denture. This procedure is typically used to replace a missing tooth by anchoring the pontic to adjacent teeth or implants. High noble metals, such as gold, platinum, or palladium, are chosen for their durability, biocompatibility, and aesthetic appeal. This code is applicable when a patient requires a durable and aesthetically pleasing solution for a missing tooth, often in cases where the surrounding teeth are healthy enough to support the bridge structure.
When to Use This Code
- Replacing a single missing tooth in a fixed bridge using high noble metal
- When a patient desires a durable and aesthetically pleasing material
- In cases where adjacent teeth are strong enough to support a fixed partial denture
- When the patient has no contraindications to metal restorations
- For patients with a history of successful metal restorations
Documentation Requirements
- Detailed treatment plan outlining the need for a pontic
- Pre-operative and post-operative radiographs
- Documentation of materials used, specifying high noble metal
- Patient consent forms acknowledging understanding of the procedure
- Clinical notes on the condition of abutment teeth
- Insurance pre-authorization if required
Billing Considerations
When billing for D6210, ensure that the procedure is not performed more frequently than allowed by the patient's insurance plan. Common modifiers may include those indicating the specific location of the pontic. It's important to verify coverage for high noble metal materials, as some insurance plans may have restrictions or require additional documentation.
Related CDT Codes
Frequently Asked Questions
A pontic is an artificial tooth that replaces a missing tooth and is part of a dental bridge.
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