Is this procedure covered by most dental insurance plans?

Coverage varies by plan, so it's essential to verify with the patient's insurance provider. Some plans may have specific requirements or limitations for prosthodontic procedures.

How long does a porcelain/ceramic retainer typically last?

With proper care, a porcelain/ceramic retainer can last many years, though the exact lifespan depends on factors like oral hygiene and the patient's bite.

Can this procedure be used for posterior teeth?

While it can be used for posterior teeth, the aesthetic benefits are most appreciated in anterior regions. The decision should be based on individual clinical scenarios.

What are the common alternatives to this procedure?

Common alternatives include traditional crowns or metal-based retainers, depending on the patient's needs and preferences.

D6548

Retainer Porcelain/Ceramic - CDT Code Guide

Prosthodontics, fixed/Fixed Partial Denture Retainers Inlays/Onlays

Overview

CDT code D6548 refers to a retainer made of porcelain or ceramic used in a resin bonded fixed prosthesis. This procedure is part of the prosthodontics category and specifically involves creating a retainer that supports a fixed partial denture. The retainer is bonded to the adjacent teeth using resin, providing a durable and aesthetic solution for patients needing tooth replacement. Typically, this procedure is used when a patient requires a fixed partial denture but desires a less invasive option than traditional crowns. The porcelain or ceramic material offers a natural appearance, making it a popular choice for anterior teeth where aesthetics are a primary concern.

When to Use This Code

When a patient requires a fixed partial denture with minimal tooth preparation
For anterior teeth where aesthetics are crucial
When a patient has sufficient enamel for bonding
In cases where a less invasive option than traditional crowns is preferred
When a patient desires a natural-looking tooth replacement

Documentation Requirements

Detailed patient history and diagnosis
Clinical notes on the necessity of a resin bonded prosthesis
Material specifications (porcelain/ceramic) used for the retainer
Pre-operative and post-operative photographs
Patient consent form for the procedure
Documentation of the bonding process and materials used

Billing Considerations

When billing for D6548, it's important to note any frequency limitations set by the patient's insurance plan. Common modifiers may include those indicating the specific location in the mouth or any special circumstances. Ensure that the procedure is clearly documented to avoid claim denials, and verify coverage with the patient's insurance provider as some plans may have specific requirements for prosthodontic procedures.

Related CDT Codes

D6545 D6549 D6600 D6601 D6602

Frequently Asked Questions

The primary advantage is the aesthetic appeal, as porcelain and ceramic closely mimic the natural appearance of teeth, making them ideal for visible areas.

Need help with dental coding?

Our AI-powered assistant can answer your CDT code questions instantly.

Try CDT Code Lookup Browse All CDT Codes