D2951

Pin Retention - CDT Code Guide

Restorative/Other Restorative Services

Overview

CDT code D2951 refers to the procedure of pin retention per tooth, in addition to restoration. This code is used when a dentist needs to provide additional support to a dental restoration, such as a filling, by using pins. The procedure involves placing small metal pins into the dentin of a tooth to help anchor the restorative material, ensuring stability and longevity. Pin retention is typically employed in situations where the tooth structure is compromised, and the restoration requires additional reinforcement to withstand normal functional forces. This code is categorized under 'Restorative' and specifically falls under 'Other Restorative Services', highlighting its role in enhancing the durability of restorations.

When to Use This Code

  • When a tooth has significant structural loss and requires additional support for a restoration.
  • In cases where the remaining tooth structure is insufficient to retain a restoration on its own.
  • When restoring a tooth with a large cavity that compromises its structural integrity.
  • For teeth that have undergone endodontic therapy and need reinforcement for a crown or filling.
  • In situations where the restoration is subject to high functional stress and needs extra retention.

Documentation Requirements

  • Detailed chart notes describing the need for pin retention.
  • Documentation of the tooth number and surfaces involved.
  • Clinical rationale for choosing pin retention over other methods.
  • Description of the type and number of pins used.
  • Pre- and post-operative radiographs, if applicable.
  • Patient consent and understanding of the procedure.

Billing Considerations

When billing for D2951, it's important to note that this code is used in addition to the primary restoration code. It should not be billed as a standalone procedure. Check with insurance providers for specific coverage policies, as some may have limitations on the frequency of pin retention procedures. Common modifiers may include those indicating the specific tooth or quadrant involved.

Related CDT Codes

Frequently Asked Questions

No, D2951 is an add-on code and must be billed in conjunction with a primary restoration code.

Source: CDT 2023 © American Dental Association

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