Pontic Porcelain/Ceramic - CDT Code Guide
Overview
CDT Code D6245 refers to the use of a porcelain or ceramic pontic in fixed partial dentures. This procedure involves the replacement of a missing tooth with a pontic that is designed to mimic the appearance and function of a natural tooth. Porcelain and ceramic materials are chosen for their aesthetic qualities, as they closely resemble the natural color and translucency of teeth. This code is typically used in scenarios where a patient has lost a tooth and desires a fixed, non-removable solution that offers both durability and a natural look. Clinically, the use of a porcelain/ceramic pontic is common in anterior regions where aesthetics are a primary concern.
When to Use This Code
- When replacing a missing anterior tooth with a fixed partial denture
- In cases where aesthetics are a priority for the patient
- When the patient prefers a non-removable prosthetic solution
- For patients with allergies to metal materials
- In scenarios where a durable, long-lasting solution is required
Documentation Requirements
- Detailed patient history and clinical examination notes
- Radiographic evidence supporting the need for a pontic
- Documentation of the patient's consent for the procedure
- A treatment plan outlining the materials and methods used
- Post-operative notes detailing the fit and patient satisfaction
Billing Considerations
When billing for D6245, ensure that the procedure is not performed more frequently than necessary as per insurance guidelines. Common modifiers include those indicating the quadrant or arch involved. Verify with the patient's insurance for coverage specifics, as some plans may have restrictions on materials or frequency.
Related CDT Codes
Frequently Asked Questions
Code D6245 specifically refers to pontics made from porcelain or ceramic materials, chosen for their aesthetic properties.
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