Pontic Cast Noble Metal - CDT Code Guide
Overview
CDT code D6212 refers to the procedure involving a pontic made from cast noble metal, which is used in fixed partial dentures. This type of pontic is essential in dental prosthetics, serving as a replacement for missing teeth by bridging the gap between two crowns. The noble metal used in this procedure ensures durability and biocompatibility, making it a preferred choice for many dental professionals. Typically, this procedure is employed when a patient has lost a tooth and requires a permanent solution to restore both function and aesthetics. The pontic is designed to mimic the appearance of natural teeth, providing a seamless integration into the patient's smile.
When to Use This Code
- When replacing a single missing tooth in a fixed partial denture.
- In cases where durability and biocompatibility are priorities.
- When aesthetics are important, and a natural-looking restoration is desired.
- For patients with allergies to base metals, requiring noble metal alternatives.
- In scenarios where a long-lasting solution is needed for tooth replacement.
Documentation Requirements
- Detailed patient dental history and examination notes.
- Radiographic evidence supporting the need for a pontic.
- Documentation of the materials used, specifically noting the noble metal.
- Clinical notes on the procedure, including any patient-specific considerations.
- Consent forms signed by the patient acknowledging the procedure and materials.
- Post-procedure follow-up notes detailing the patient's adaptation and any adjustments.
Billing Considerations
When billing for D6212, ensure that the procedure is justified by the patient's dental condition and documented thoroughly. Be aware of any frequency limitations set by insurance providers, as some may restrict how often a pontic can be replaced. Common modifiers might include those indicating the specific quadrant or arch involved. Verify with the patient's insurance for coverage specifics, as noble metal restorations can sometimes be subject to higher out-of-pocket costs.
Related CDT Codes
Frequently Asked Questions
A pontic cast noble metal is a dental prosthetic made from a high-quality metal alloy, used to replace a missing tooth in a fixed partial denture.
Need help with dental coding?
Our AI-powered assistant can answer your CDT code questions instantly.