Retainer Onlay Cast High Noble Metal - CDT Code Guide
Overview
CDT code D6611 refers to the procedure of placing a retainer onlay made from high noble metal, covering three or more surfaces. This procedure is typically part of fixed prosthodontics, specifically for fixed partial denture retainers. It involves the casting of high noble metal to create a durable and precise fit over the prepared tooth surfaces, providing support and retention for a dental prosthesis. This is commonly used in cases where a tooth requires restoration and reinforcement due to significant decay or structural damage, ensuring the longevity and stability of the dental prosthesis.
When to Use This Code
- When a tooth requires restoration and reinforcement due to extensive decay.
- In cases where a fixed partial denture needs a stable and durable retainer.
- When a patient has a high noble metal allergy and requires a specific material.
- For patients with significant structural damage to a tooth needing a robust solution.
- In scenarios where aesthetic and functional restoration is necessary for multiple surfaces.
Documentation Requirements
- Detailed chart notes describing the tooth preparation and surfaces involved.
- Pre-operative and post-operative radiographs to support the necessity of the procedure.
- Patient consent forms acknowledging understanding of the procedure and materials used.
- Documentation of the type of high noble metal used in the onlay.
- Clinical notes on the fitting and adjustment process of the onlay.
- Insurance pre-authorization if required by the patient's plan.
Billing Considerations
When billing for D6611, 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 or quadrant. Verify coverage for high noble metal materials, as some plans may have restrictions or require prior authorization.
Related CDT Codes
Frequently Asked Questions
High noble metals contain a high percentage of gold, platinum, or palladium, offering excellent durability and biocompatibility.
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