Pontic Resin with High Noble Metal - CDT Code Guide
Overview
CDT Code D6250 refers to a pontic resin with high noble metal, a component used in fixed partial dentures. This procedure involves the replacement of a missing tooth with a pontic that is fabricated using a resin material supported by a high noble metal framework. The high noble metal provides strength and durability, while the resin offers aesthetic appeal, closely mimicking the natural appearance of teeth. This code is typically used in cases where a patient requires a fixed partial denture to restore function and aesthetics after tooth loss. The procedure is commonly performed when adjacent teeth are healthy enough to support the pontic and when the patient desires a long-lasting and visually appealing solution.
When to Use This Code
- When replacing a single missing tooth in a fixed partial denture
- In cases where aesthetics are a priority due to the visible location of the pontic
- When the patient has a high noble metal allergy and requires specific materials
- For patients who need a durable and strong prosthetic solution
- When adjacent teeth are suitable for supporting a fixed partial denture
Documentation Requirements
- Detailed patient dental history and examination notes
- Radiographic evidence supporting the need for a pontic
- Documentation of the materials used, including resin and high noble metal
- Clinical notes detailing the procedure and patient consent
- Post-operative care instructions and follow-up plans
- Insurance pre-authorization if required by the patient's plan
Billing Considerations
When billing for D6250, ensure that the procedure is not performed more frequently than allowed by the patient's insurance plan. Common modifiers may include those indicating the location of the pontic or any special circumstances. Verify with the patient's insurance for coverage details, as some plans may have specific requirements for high noble metal use.
Related CDT Codes
Frequently Asked Questions
A pontic is a false tooth used to replace a missing tooth, while a crown is a cap that covers an existing tooth to restore its shape and function.
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