Resin-Based Composite - CDT Code Guide
Overview
CDT Code D2394 is used for billing resin-based composite restorations on four or more surfaces of posterior teeth. This procedure involves the use of composite materials to restore the function and appearance of a tooth that has been damaged by decay or trauma. The process includes tooth preparation, acid etching, and the application of adhesives and composite material, which is then cured to harden. This code is typically used when a significant portion of a posterior tooth requires restoration, ensuring the tooth is protected and functional. Dental professionals often use this code in scenarios where the decay or damage extends across multiple surfaces of a tooth, requiring comprehensive restoration.
When to Use This Code
- When a posterior tooth has decay on four or more surfaces
- For restoring a fractured posterior tooth involving multiple surfaces
- When replacing an old, failing restoration on a posterior tooth
- In cases where a posterior tooth requires extensive cosmetic improvement
- When a posterior tooth has been damaged due to trauma affecting multiple surfaces
Documentation Requirements
- Detailed charting of the tooth surfaces involved
- Clinical notes describing the extent of decay or damage
- Pre- and post-operative photographs, if applicable
- Documentation of materials used, including type of composite
- Patient consent for the procedure
- Notes on any additional procedures, such as the use of pins
Billing Considerations
When billing for D2394, ensure that the documentation supports the involvement of four or more surfaces. Be aware of insurance frequency limitations for restorative procedures. Common modifiers may include those indicating the quadrant or specific tooth treated. It's important to verify with the patient's insurance for coverage specifics, as some plans may have restrictions on composite restorations for posterior teeth.
Related CDT Codes
Frequently Asked Questions
D2394 covers resin-based composite restorations on four or more surfaces of a posterior tooth.
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