Inlay Resin-Based Composite - CDT Code Guide
Overview
CDT code D2650 refers to an inlay resin-based composite procedure involving the restoration of one surface of a tooth. This procedure is typically used when a tooth has been damaged by decay or trauma and requires a restoration that is more durable than a filling but less extensive than a crown. The resin-based composite material is chosen for its aesthetic qualities, as it can be closely matched to the natural color of the tooth, providing a seamless restoration. Dental professionals often perform this procedure in cases where the structural integrity of the tooth needs to be preserved while restoring its function and appearance.
When to Use This Code
- When a tooth has a small to moderate cavity on one surface that cannot be effectively treated with a simple filling.
- In cases where aesthetic considerations are important, and a natural tooth color restoration is desired.
- When a patient has experienced minor trauma to a tooth surface that requires restoration.
- For patients with allergies to metal, making metal-free restorations necessary.
- In situations where a minimally invasive approach is preferred to preserve as much of the natural tooth structure as possible.
Documentation Requirements
- Detailed clinical notes describing the extent of the decay or damage and the rationale for choosing an inlay.
- Pre-operative and post-operative images of the tooth to support the necessity of the procedure.
- Documentation of the patient's medical and dental history, including any allergies or previous restorations.
- A detailed treatment plan outlining the materials used and the expected outcomes.
- Patient consent forms acknowledging understanding of the procedure and its alternatives.
Billing Considerations
When billing for D2650, it's important to note that insurance plans may have frequency limitations on inlay procedures. Ensure that the procedure is not being performed too frequently on the same tooth. Common modifiers might include those indicating the quadrant or specific tooth involved. Verify with the patient's insurance provider whether pre-authorization is required, as coverage can vary widely.
Related CDT Codes
Frequently Asked Questions
An inlay is a pre-molded restoration that fits into the grooves of a tooth, while a filling is applied directly into the cavity and shaped during the procedure.
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