Prefabricated Esthetic Crown - CDT Code Guide
Overview
CDT Code D2934 pertains to the use of a prefabricated esthetic coated stainless steel crown for primary teeth. This procedure involves placing a stainless steel crown that has an exterior esthetic coating, offering both durability and a more natural appearance compared to traditional stainless steel crowns. It is commonly used in pediatric dentistry to restore primary teeth that have been significantly decayed or damaged, ensuring both function and esthetics are maintained. The esthetic coating is particularly beneficial for anterior teeth where appearance is a concern. This code falls under the 'Restorative' category and is specifically listed under 'Other Restorative Services', highlighting its specialized application in dental restoration.
When to Use This Code
- When a primary tooth has extensive decay and requires full coverage restoration.
- In cases where a child has fractured a primary tooth and esthetic restoration is needed.
- For primary teeth that have undergone pulp therapy and need a durable restoration.
- When parents request a more esthetic option than traditional stainless steel crowns for their child's anterior teeth.
- In situations where a temporary restoration is needed for a primary tooth with a poor prognosis.
Documentation Requirements
- Detailed clinical notes describing the condition of the tooth prior to restoration.
- Radiographic evidence supporting the need for a full coverage restoration.
- Documentation of parental consent for the use of an esthetic crown.
- Charting of the specific tooth/teeth involved in the procedure.
- Record of materials used, including the type of esthetic coating applied.
Billing Considerations
When billing for D2934, ensure that the procedure is justified by clinical necessity, as insurance may require documentation of extensive decay or damage. Frequency limitations may apply, so verify patient history to avoid denials. Common modifiers include those indicating multiple procedures or same-day services. Insurance plans may vary in coverage for esthetic options, so pre-authorization is recommended.
Related CDT Codes
Frequently Asked Questions
No, D2934 is specifically designed for primary teeth. For permanent teeth, other codes should be considered.
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