Retainer Onlay Porcelain/Ceramic - CDT Code Guide
Overview
CDT Code D6608 refers to a retainer onlay made of porcelain or ceramic that covers two surfaces of a tooth. This procedure is part of the prosthodontics category, specifically for fixed partial denture retainers. It is typically used when a tooth requires restoration due to decay or damage, and a full crown is not necessary. The onlay is custom-made to fit the tooth precisely, providing both functional and aesthetic benefits. Dental professionals may choose this procedure for patients who need durable and visually appealing restorations, especially in visible areas of the mouth.
When to Use This Code
- When a patient has a damaged tooth that requires restoration but does not need a full crown.
- In cases where aesthetics are important, and a porcelain/ceramic material is preferred.
- When a fixed partial denture requires a retainer onlay for stability.
- To restore a tooth with moderate decay affecting two surfaces.
- For patients with allergies to metal who need a non-metallic restoration option.
Documentation Requirements
- Detailed clinical notes describing the tooth surfaces involved.
- Pre-operative and post-operative radiographs to support the necessity of the procedure.
- A written treatment plan outlining the need for a retainer onlay.
- Documentation of patient consent and discussion of material options.
- Lab prescription and invoice for the custom onlay fabrication.
Billing Considerations
When billing for D6608, ensure that the procedure is not performed more frequently than allowed by the patient's insurance plan. Common modifiers may include those indicating the specific tooth number. Verify with the patient's insurance provider for coverage details, as some plans may have specific exclusions for porcelain or ceramic materials.
Related CDT Codes
Frequently Asked Questions
An onlay covers only part of the tooth, typically two or more surfaces, while a crown covers the entire tooth.
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