Pontic Resin Base Metal - CDT Code Guide
Overview
CDT Code D6251 refers to a dental procedure involving the placement of a pontic made of resin with predominantly base metal. This is part of the fixed prosthodontics category, specifically within fixed partial denture pontics. The procedure involves creating a prosthetic tooth (pontic) that replaces a missing tooth and is supported by adjacent teeth or implants. This type of pontic is typically used in cases where aesthetics are important but cost is a concern, as the base metal provides strength while the resin offers a more natural appearance. Dental professionals use this code when a patient requires a durable and cost-effective solution for missing teeth, often in the posterior regions where chewing forces are significant.
When to Use This Code
- When replacing a missing tooth in a fixed partial denture with a cost-effective option.
- In cases where aesthetics are important but budget constraints exist.
- For posterior teeth where strength is essential due to chewing forces.
- When a patient is allergic to noble metals and requires a base metal alternative.
- In scenarios where a temporary solution is needed before a more permanent restoration.
Documentation Requirements
- Detailed patient records indicating the need for a pontic.
- Clinical notes on the selection of materials used for the pontic.
- Pre-operative and post-operative photographs or radiographs.
- Patient consent forms acknowledging understanding of the procedure and materials.
- Insurance pre-authorization documentation, if applicable.
- Detailed charting of the pontic placement and adjacent teeth condition.
Billing Considerations
When billing for D6251, ensure that the procedure is documented thoroughly with clinical notes and photographs. Be aware of any frequency limitations imposed by the patient's insurance plan. Common modifiers may include those indicating the quadrant or arch involved. Verify if the patient's insurance covers base metal restorations, as some plans may have restrictions on material types.
Related CDT Codes
Frequently Asked Questions
A D6251 pontic is made of resin with predominantly base metal, providing a balance of aesthetics and strength.
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