Inlay Resin-Based Composite - CDT Code Guide
Overview
CDT code D2652 refers to the procedure of placing an inlay made from a resin-based composite material that covers three surfaces or more of a tooth. This restorative procedure is typically used when a tooth has been damaged by decay or trauma, and a direct filling is insufficient to restore the tooth's function and aesthetics. The inlay is custom-made to fit the prepared cavity in the tooth, providing a durable and esthetically pleasing restoration. Dental professionals often choose this procedure for patients who require a strong, long-lasting solution that blends seamlessly with the natural tooth structure.
When to Use This Code
- When a tooth has extensive decay involving three or more surfaces.
- In cases where a direct composite filling would not provide sufficient strength.
- For patients seeking an esthetic restoration that matches the natural tooth color.
- When the tooth structure is compromised but a full crown is not yet necessary.
- To replace an existing inlay that has failed or become defective.
Documentation Requirements
- Detailed charting of the tooth surfaces involved.
- Pre-operative and post-operative radiographs.
- Clinical notes describing the extent of decay or damage.
- Material type and shade used for the inlay.
- Patient consent for the procedure.
Billing Considerations
Ensure that the procedure is documented thoroughly to justify the use of an inlay over a direct restoration. Be aware of any insurance limitations regarding the frequency of inlay replacements. Common modifiers may include those indicating the specific tooth number and surfaces involved. Verify with the patient's insurance provider for coverage details, as some plans may have specific criteria for inlay restorations.
Related CDT Codes
Frequently Asked Questions
An inlay fits within the cusps of the tooth, while an onlay covers one or more cusps or the entire biting surface.
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