D2712

Resin-Based Composite Crown - CDT Code Guide

Restorative/Single Crowns Restorations Only

Overview

CDT code D2712 refers to a resin-based composite (indirect) crown. This restorative procedure is used to restore a tooth's function and appearance when it has been significantly damaged or decayed. Unlike direct composite fillings, this crown is fabricated outside the mouth, typically in a dental laboratory, and then bonded to the tooth. This procedure is ideal for patients who require a durable and aesthetically pleasing restoration but do not need the full coverage of a porcelain or metal crown. The resin-based composite material offers a tooth-colored restoration that blends seamlessly with natural teeth. This code is specifically for crowns and does not include facial veneers, which are covered under different codes.

When to Use This Code

  • When a tooth is too damaged for a direct filling but does not require a full porcelain or metal crown.
  • For patients who prefer a tooth-colored restoration for aesthetic reasons.
  • In cases where a less invasive procedure than a full crown is desired.
  • When a patient has an allergy to metals used in traditional crowns.
  • To restore a tooth with significant structural loss due to decay or fracture.

Documentation Requirements

  • Detailed clinical notes describing the condition of the tooth and the need for an indirect composite crown.
  • Pre-operative and post-operative radiographs to support the necessity of the procedure.
  • Laboratory prescription and invoice if the crown is fabricated externally.
  • Patient consent form acknowledging understanding of the procedure and material used.
  • Documentation of shade selection and any customization required for the crown.

Billing Considerations

When billing for D2712, ensure that the procedure is justified by the tooth's condition and documented thoroughly. Check with the patient's insurance for coverage limitations, as some plans may have restrictions on the frequency of crown replacements. Common modifiers include those for different quadrants or arches. It's important to verify whether the patient's plan covers indirect composite crowns, as some may only cover metal or porcelain options.

Related CDT Codes

Frequently Asked Questions

An indirect composite crown is fabricated outside the mouth, typically in a lab, and then bonded to the tooth, while a direct composite crown is built up directly in the mouth.

Source: CDT 2023 © American Dental Association

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