Prefabricated Porcelain/Ceramic Crown - CDT Code Guide
Overview
CDT code D2928 refers to the placement of a prefabricated porcelain or ceramic crown on a permanent tooth. This procedure is typically used when a tooth requires restoration due to decay, fracture, or other structural damage. The prefabricated crown is made from porcelain or ceramic materials, offering a durable and aesthetically pleasing solution. Dental professionals often choose this option for patients who need a quick and effective restoration, as these crowns can be placed in a single visit. The procedure involves preparing the tooth, selecting the appropriate crown size, and cementing it into place, ensuring a proper fit and function.
When to Use This Code
- When a permanent tooth has significant decay or damage that cannot be restored with a filling
- In cases where a tooth has fractured and requires a durable restoration
- When a patient desires an aesthetically pleasing restoration with a natural appearance
- For teeth that have undergone root canal therapy and need protection
- In situations where a quick, single-visit restoration is preferred
Documentation Requirements
- Detailed chart notes describing the tooth's condition and the necessity for a crown
- Pre-operative and post-operative radiographs to support the need for restoration
- Documentation of the patient's consent for the procedure
- Record of the crown's material and size used
- Notes on the fit and occlusion check post-placement
Billing Considerations
When billing for D2928, ensure that the procedure is not performed more frequently than insurance allows, usually once every five years per tooth. Consider using modifiers for special circumstances, such as -22 for increased procedural complexity. Verify with the patient's insurance for coverage specifics, as some plans may have restrictions on prefabricated crowns.
Related CDT Codes
Frequently Asked Questions
A prefabricated crown is made in advance and selected to fit the tooth, while a custom crown is made specifically for the patient's tooth after taking impressions.
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