How long does a cast predominantly base metal crown last?

With proper care, these crowns can last 10-15 years or longer, depending on oral hygiene and wear.

Are there any aesthetic concerns with base metal crowns?

Yes, base metal crowns are generally not as aesthetically pleasing as porcelain-fused-to-metal crowns, making them more suitable for posterior teeth.

Can patients with metal allergies use base metal crowns?

Patients with known allergies to metals like nickel should inform their dentist, as alternative materials may be needed.

Is prior authorization required for D2781?

This depends on the patient's insurance plan; many require prior authorization for crown procedures.

D2781

Cast Predominantly Base Metal Crown - CDT Code Guide

Restorative/Single Crowns Restorations Only

Overview

CDT code D2781 refers to a dental procedure involving the placement of a cast predominantly base metal crown. This type of crown is typically used to restore a tooth that has been significantly damaged by decay or fracture, where a filling would not suffice. The procedure involves taking an impression of the prepared tooth, which is then used to create a custom-fitted crown made primarily of base metal alloys. This option is often chosen for its durability and cost-effectiveness, especially in areas of the mouth where aesthetics are less of a concern, such as the molars. Dental professionals may recommend this type of crown for patients who require a strong and long-lasting restoration.

When to Use This Code

When a tooth is extensively damaged by decay or fracture and cannot be restored with a filling.
For patients who require a durable restoration in the posterior region where aesthetics are less critical.
In cases where a cost-effective restorative solution is needed.
When a patient has a history of allergies to noble metals.
For teeth that have undergone root canal therapy and need full coverage.

Documentation Requirements

Detailed clinical notes justifying the need for a crown.
Pre-operative and post-operative radiographs.
Patient's consent form for the procedure.
Documentation of the materials used in the crown fabrication.
Impression records and lab prescription details.

Billing Considerations

When billing for D2781, it is important to consider frequency limitations set by insurance providers, which often restrict crown replacements to once every five years per tooth. Common modifiers may include those indicating the specific tooth number and quadrant. Insurance plans may have different coverage levels for base metal crowns compared to noble metal options, so verifying patient benefits beforehand is crucial.

Related CDT Codes

D2790 D2791 D2750 D2950

Frequently Asked Questions

These crowns are typically made from alloys that primarily consist of base metals like nickel, chromium, or cobalt.

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