Onlay Metallic Three Surfaces - CDT Code Guide
Overview
CDT Code D2543 refers to a dental procedure involving the placement of a metallic onlay covering three surfaces of a tooth. This restorative treatment is typically used when a tooth has been damaged or decayed to the extent that a simple filling is insufficient, but the tooth structure is still strong enough to avoid a full crown. The metallic onlay is custom-made to fit the tooth and restore its function and appearance. This procedure is commonly performed on molars and premolars, where the strength and durability of metal are beneficial. Dental professionals choose this option to preserve as much natural tooth structure as possible while providing a long-lasting restoration.
When to Use This Code
- When a tooth has extensive decay affecting three surfaces but is not severely compromised.
- In cases where a previous filling has failed and a more durable restoration is needed.
- When a patient prefers a metallic restoration for its durability and strength.
- For restoring a tooth that has undergone endodontic treatment and requires additional support.
- In scenarios where a crown is not necessary, but a filling is insufficient.
Documentation Requirements
- Detailed charting of the tooth surfaces involved.
- Pre-operative and post-operative radiographs to support the necessity of the onlay.
- Documentation of the patient's consent and discussion of alternative treatment options.
- A narrative describing the extent of decay or damage and why an onlay was chosen over other restorations.
- Records of the materials used and the laboratory process, if applicable.
Billing Considerations
When billing for D2543, ensure that the procedure is not performed more frequently than necessary, as insurance may have frequency limitations. Common modifiers include those for specifying the tooth number and surfaces involved. It's important to verify with the patient's insurance provider whether metallic restorations are covered, as some plans may prefer composite or porcelain alternatives.
Related CDT Codes
Frequently Asked Questions
D2543 onlays are typically made from gold or other durable metal alloys known for their strength and longevity.
Need help with dental coding?
Our AI-powered assistant can answer your CDT code questions instantly.