D6614

Retainer Onlay Cast Noble Metal - CDT Code Guide

Prosthodontics, fixed/Fixed Partial Denture Retainers Inlays/Onlays

Overview

CDT code D6614 refers to a dental procedure involving a retainer onlay made from cast noble metal, covering two surfaces. This procedure is part of the fixed prosthodontics category, specifically for fixed partial denture retainers. It is typically used when a patient requires a durable and stable restoration to support a fixed partial denture. The onlay is crafted from noble metal, known for its strength and biocompatibility, ensuring a long-lasting solution. This procedure is commonly performed in cases where the tooth structure needs reinforcement, and aesthetics are a consideration due to the metal's ability to be polished to a high shine.

When to Use This Code

  • When a patient requires a fixed partial denture and the abutment tooth needs reinforcement.
  • In cases where a two-surface restoration is necessary for stability and support.
  • When the patient prefers a noble metal for its durability and aesthetic properties.
  • For patients with a history of fractures or failures with other materials.
  • When the clinical assessment indicates a need for a cast restoration.

Documentation Requirements

  • Detailed clinical notes describing the need for a retainer onlay.
  • Pre-operative and post-operative radiographs.
  • Documentation of the material used and its noble metal content.
  • Patient consent forms acknowledging understanding of the procedure.
  • Detailed charting of the tooth surfaces involved.

Billing Considerations

Ensure that the procedure is not performed more frequently than allowed by the patient's insurance plan. Use appropriate modifiers if the procedure is part of a larger treatment plan. Verify the patient's coverage for noble metal restorations, as some plans may have specific exclusions or limitations.

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Frequently Asked Questions

A retainer onlay is a type of dental restoration used to reinforce and support a tooth, typically as part of a fixed partial denture.

Source: CDT 2023 © American Dental Association

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