Crown Repair - CDT Code Guide
Overview
CDT Code D2980 is used for the repair of a crown when there is a failure of the restorative material. This procedure is essential when the integrity of a crown is compromised, but the underlying tooth structure remains intact. Typically, this service is performed when a crown has chipped, cracked, or shown signs of wear that affect its function or aesthetics. Dental professionals use this code to address issues without the need for a full crown replacement, which can be more invasive and costly. Understanding when and how to use this code is crucial for effective patient care and accurate billing.
When to Use This Code
- When a crown has chipped but the underlying tooth is stable
- In cases where the crown material has worn down, affecting occlusion
- When a crack in the crown is present but does not extend to the tooth
- For aesthetic repairs when the crown's appearance is compromised
- When the crown's margin has deteriorated, affecting the seal
Documentation Requirements
- Detailed description of the crown failure and repair performed
- Pre- and post-repair photographs, if possible
- Patient's dental history and previous crown placement details
- Materials used for the repair and technique employed
- Patient consent for the repair procedure
Billing Considerations
When billing for D2980, ensure that the repair is not part of routine maintenance or adjustments. This code is typically used when the repair is necessitated by material failure, not patient negligence. Frequency limitations may apply, and some insurance plans may require pre-authorization. Common modifiers include those indicating the specific quadrant or arch involved.
Related CDT Codes
Frequently Asked Questions
No, D2980 is specifically for repairs due to restorative material failure, not for routine adjustments or maintenance.
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