Pontic Resin with Noble Metal - CDT Code Guide
Overview
CDT Code D6252 refers to a pontic made of resin with a noble metal framework, used in fixed partial dentures. This procedure involves creating a replacement tooth (pontic) that is anchored to adjacent teeth or implants using a durable and aesthetically pleasing combination of materials. The resin provides a natural appearance, while the noble metal offers strength and support. Typically, this code is used in scenarios where a patient requires a fixed bridge to replace one or more missing teeth, ensuring both functionality and aesthetics are restored. Dental professionals choose this option when the surrounding teeth are healthy enough to support the bridge, and the patient desires a durable, long-lasting solution.
When to Use This Code
- When a patient has one or more missing teeth and desires a fixed bridge.
- In cases where the adjacent teeth are strong enough to support a pontic.
- When a patient prefers a combination of aesthetic and durable materials.
- For patients with allergies to base metals, necessitating noble metal use.
- In scenarios where a temporary solution is not sufficient, and a permanent fix is required.
Documentation Requirements
- Detailed patient history and diagnosis supporting the need for a pontic.
- Pre-operative radiographs showing the condition of adjacent teeth.
- Treatment plan outlining the materials and methods used.
- Post-operative notes detailing the procedure and patient response.
- Documentation of patient consent and discussion of alternative options.
Billing Considerations
When billing for D6252, ensure that the procedure is not performed more frequently than necessary, as insurance may have frequency limitations. Common modifiers include those indicating the specific quadrant or arch treated. Verify with the patient's insurance for coverage specifics, as some plans may require pre-authorization or have restrictions on the use of noble metals.
Related CDT Codes
Frequently Asked Questions
A D6252 pontic uses a combination of resin for aesthetics and a noble metal framework for strength.
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