Onlay Repair - CDT Code Guide
Overview
CDT code D2982 refers to the repair of an onlay that has been compromised due to the failure of the restorative material. This procedure is essential when the existing onlay, which is used to restore the occlusal surface of a tooth, fails to function as intended due to material degradation or damage. The repair process involves assessing the damaged onlay, removing any compromised material, and restoring the onlay to its functional state. This code is particularly relevant in scenarios where the onlay's integrity is compromised but the underlying tooth structure remains sound, allowing for a repair rather than a full replacement.
When to Use This Code
- When an existing onlay shows signs of material failure but the tooth structure is intact.
- In cases where the onlay has chipped or cracked due to material fatigue.
- When the patient experiences discomfort or sensitivity due to a compromised onlay.
- If the onlay has become loose but the tooth preparation is still satisfactory.
- When there is a need to restore the function of a tooth with a failed onlay.
Documentation Requirements
- Detailed clinical notes describing the failure of the restorative material.
- Pre- and post-repair photographs of the onlay and tooth.
- Description of the materials used in the repair process.
- Patient consent forms acknowledging the repair procedure.
- Documentation of any symptoms reported by the patient related to the onlay failure.
Billing Considerations
When billing for D2982, it's important to note that this code is specific to repairs necessitated by material failure, not due to decay or trauma. Frequency limitations may apply, and it's advisable to check with the patient's insurance for coverage specifics. Common modifiers include those indicating the quadrant or arch. Ensure that the repair is clearly differentiated from a replacement to avoid billing issues.
Related CDT Codes
Frequently Asked Questions
No, D2982 is specifically for repairs due to material failure, not decay.
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