Full Cast High Noble Metal Crown - CDT Code Guide
Overview
The CDT code D2790 refers to a full cast high noble metal crown, a type of dental restoration used to cover and protect a damaged or decayed tooth. This procedure involves creating a custom-fitted crown made entirely from high noble metal, which typically includes gold, platinum, or palladium. These materials are chosen for their durability, biocompatibility, and aesthetic appeal. A full cast high noble metal crown is often recommended when a tooth has been extensively damaged by decay or fracture but still has a healthy root structure. The crown restores the tooth's function and appearance, providing a long-lasting solution that can withstand significant biting forces. Dental professionals often use this type of crown in posterior teeth due to its strength and longevity.
When to Use This Code
- When a tooth is extensively decayed and requires full coverage for protection.
- In cases where a tooth has fractured and needs restoration to regain function.
- When a previous restoration has failed, and a durable, long-term solution is needed.
- For patients with a history of metal allergies, where high noble metals are preferred.
- To restore a tooth after a root canal treatment, ensuring structural integrity.
Documentation Requirements
- Detailed chart notes documenting the extent of decay or damage.
- Radiographic evidence supporting the need for a full coverage crown.
- Patient's medical and dental history indicating suitability for high noble metal.
- Informed consent form signed by the patient, acknowledging the procedure and materials used.
- Pre- and post-operative photographs for insurance documentation.
Billing Considerations
When billing for D2790, it's important to note any frequency limitations set by the patient's insurance plan, as some plans may restrict the number of crowns covered within a specific period. Common modifiers may include those indicating the specific tooth number. Insurance considerations should also include verifying coverage for high noble metal crowns, as some plans may have restrictions or require pre-authorization.
Related CDT Codes
Frequently Asked Questions
These crowns are typically made from gold, platinum, or palladium, known for their durability and biocompatibility.
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