Inlay Porcelain/Ceramic Two Surfaces - CDT Code Guide
Overview
CDT code D2620 refers to a dental procedure involving the placement of a porcelain or ceramic inlay covering two surfaces of a tooth. This restorative treatment is typically used when a tooth has been damaged by decay or fracture but does not require a full crown. The inlay is custom-made to fit the specific contours of the tooth, providing a durable and aesthetically pleasing restoration. This procedure is commonly utilized in cases where the tooth structure is insufficient for a filling but not extensively damaged enough to necessitate a crown. Dental professionals often choose porcelain or ceramic materials for their natural appearance and strength, making them ideal for visible areas of the mouth.
When to Use This Code
- When a tooth has moderate decay affecting two surfaces.
- In cases of a fractured tooth where two surfaces are involved.
- When replacing an old or failing filling that affects two surfaces.
- For patients seeking a more aesthetic alternative to metal restorations.
- When the tooth structure is insufficient for a filling but does not require a crown.
Documentation Requirements
- Detailed clinical notes describing the tooth surfaces involved.
- Pre-operative and post-operative radiographs.
- Patient's consent form for the procedure.
- Documentation of the material used for the inlay.
- A narrative explaining the necessity of the inlay over other restorations.
Billing Considerations
When billing for D2620, ensure that the procedure is not performed more frequently than allowed by the patient's insurance plan. Be aware of any specific insurance guidelines regarding the use of porcelain or ceramic materials. Common modifiers may include those indicating the quadrant or specific tooth treated. Coordination with insurance providers is crucial to confirm coverage and patient eligibility.
Related CDT Codes
Frequently Asked Questions
An inlay fits within the cusps of a tooth, while an onlay covers one or more cusps or the entire biting surface.
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