Pontic Porcelain Fused to Base Metal - CDT Code Guide
Overview
CDT code D6241 refers to a dental procedure involving the placement of a pontic made of porcelain fused to predominantly base metal. This is a common procedure in prosthodontics, specifically within the category of fixed partial dentures. A pontic is an artificial tooth that replaces a missing tooth, and it is anchored to adjacent teeth or dental implants. The porcelain fused to metal provides a durable and aesthetically pleasing solution, combining the strength of metal with the natural appearance of porcelain. This procedure is typically used when a patient has lost a tooth and requires a fixed dental prosthesis to restore function and appearance. The use of predominantly base metal makes this option more cost-effective while still providing satisfactory results.
When to Use This Code
- When replacing a single missing tooth in a fixed partial denture
- In cases where the patient prefers a cost-effective solution
- When aesthetics are important but budget constraints exist
- For patients with metal allergies, using a base metal that is biocompatible
- In situations where the surrounding teeth are healthy and can support a pontic
Documentation Requirements
- Detailed patient dental history and examination notes
- Radiographic images supporting the need for a pontic
- Documentation of patient consent for the procedure
- Material specifications used for the pontic
- Clinical notes on the preparation and placement procedure
- Follow-up care instructions and patient compliance documentation
Billing Considerations
When billing for D6241, it is important to consider any frequency limitations set by the patient's insurance plan. This code may require prior authorization, especially if the procedure is part of a larger treatment plan. Common modifiers include those indicating the quadrant or arch involved. Insurance plans may have specific guidelines on the use of base metals, so it is crucial to verify coverage details with the provider.
Related CDT Codes
Frequently Asked Questions
D6241 is for a pontic with porcelain fused to predominantly base metal, while D6240 is for a pontic with porcelain fused to high noble metal.
Need help with dental coding?
Our AI-powered assistant can answer your CDT code questions instantly.