Is D6243 covered by most dental insurance plans?

Coverage varies by plan, but many insurance providers cover porcelain fused to titanium pontics as part of a fixed partial denture.

Can D6243 be used for multiple missing teeth?

Yes, D6243 can be part of a larger bridge that replaces multiple missing teeth, provided the supporting teeth or implants are adequate.

Are there any aesthetic considerations with D6243?

Porcelain offers a natural appearance, making it a preferred choice for visible areas in the mouth.

How long does a porcelain fused to titanium pontic last?

With proper care, these pontics can last many years, often over a decade, depending on oral hygiene and other factors.

D6243

Pontic Porcelain Fused to Titanium - CDT Code Guide

Prosthodontics, fixed/Fixed Partial Denture Pontics

Overview

CDT Code D6243 refers to a dental procedure involving the placement of a pontic made from porcelain fused to titanium or titanium alloys. This is typically used in fixed partial dentures, commonly known as bridges, to replace a missing tooth. The pontic is designed to look like a natural tooth and is anchored to adjacent teeth or implants. This procedure is often chosen for its durability and aesthetic appeal, as titanium provides a strong foundation while porcelain offers a natural-looking finish. Dental professionals may recommend this procedure for patients who have lost a tooth due to decay, injury, or periodontal disease, and who are seeking a long-lasting and visually appealing solution.

When to Use This Code

Replacing a single missing tooth in a fixed partial denture
When adjacent teeth are healthy enough to support a bridge
For patients seeking a durable and aesthetic solution
In cases where titanium's strength is necessary for support
When a patient is allergic to other metals used in dental restorations

Documentation Requirements

Detailed patient history and diagnosis
Pre-operative and post-operative radiographs
Documentation of material used (porcelain and titanium)
Clinical notes on the pontic design and placement
Patient consent forms and treatment plan
Insurance pre-authorization if required

Billing Considerations

When billing for D6243, 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 titanium materials, as some insurance plans may have specific stipulations regarding metal types used in restorations.

Related CDT Codes

D6240 D6241 D6242 D6750 D6791

Frequently Asked Questions

Titanium provides exceptional strength and biocompatibility, making it an ideal choice for durable dental restorations.

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