Prefabricated Stainless Steel Crown - CDT Code Guide
Overview
CDT Code D2933 refers to the placement of a prefabricated stainless steel crown with a resin window, commonly known as an open-face crown. This procedure is primarily used in pediatric dentistry, offering a durable yet aesthetically pleasing solution for restoring primary teeth with extensive decay or damage. The stainless steel provides strength and durability, while the resin window allows for a more natural appearance, making it ideal for anterior teeth where aesthetics are a concern. Typically, this procedure is employed when a tooth is too damaged for a filling but not suitable for a full-coverage crown due to the patient's age or other clinical considerations.
When to Use This Code
- Restoring primary anterior teeth with extensive caries or structural damage.
- Cases where aesthetics are important, and a full metal crown would be unsuitable.
- When a durable, cost-effective solution is needed for a child's tooth.
- In situations where a temporary solution is required until the child is old enough for a permanent crown.
- When a patient has a history of high caries risk and needs a robust restorative option.
Documentation Requirements
- Detailed clinical notes justifying the use of a prefabricated crown over other restorative options.
- Pre-operative and post-operative radiographs to support the necessity and outcome of the procedure.
- Patient consent forms acknowledging the use of a stainless steel crown with a resin window.
- Documentation of any previous restorations and their failures, if applicable.
- Insurance pre-authorization documentation, if required by the payer.
Billing Considerations
When billing for D2933, consider the patient's insurance plan limitations regarding the frequency of crown replacements. Some insurers may require prior authorization or have specific age-related restrictions. Common modifiers might include those indicating a primary tooth or specific quadrants. It's crucial to verify coverage details with the patient's insurance provider to avoid unexpected costs.
Related CDT Codes
Frequently Asked Questions
The main advantage is the combination of durability and improved aesthetics, making it suitable for anterior teeth.
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