Retainer Porcelain/Ceramic Crown - CDT Code Guide
Overview
CDT Code D6783 refers to a retainer porcelain/ceramic crown, a procedure commonly used in fixed prosthodontics. This type of crown is designed to serve as a retainer for a fixed partial denture, providing both aesthetic and functional benefits. The procedure involves preparing the tooth, taking impressions, and fabricating a custom crown that fits precisely over the prepared tooth. Porcelain or ceramic materials are chosen for their natural appearance and durability. This code is typically used in scenarios where a patient requires a fixed partial denture and the retainer crown is necessary to support the prosthesis.
When to Use This Code
- When a patient requires a fixed partial denture with a retainer crown.
- In cases where a tooth needs a durable and aesthetic crown for prosthetic support.
- When replacing a missing tooth with a fixed prosthesis that requires a retainer crown.
- For patients with a fractured tooth that can be restored with a porcelain/ceramic crown.
- In situations where a previous crown has failed and needs replacement with a retainer crown.
Documentation Requirements
- Detailed clinical notes describing the need for a retainer crown.
- Pre-operative and post-operative photographs of the tooth and crown.
- Impression records and lab communication for crown fabrication.
- Patient consent form acknowledging understanding of the procedure.
- Insurance pre-authorization documentation, if applicable.
- Detailed billing records including the materials used and lab costs.
Billing Considerations
When billing for D6783, ensure that the procedure is not performed more frequently than allowed by the patient's insurance plan. Common modifiers might include those indicating the quadrant or arch involved. It's important to verify coverage for porcelain/ceramic materials, as some insurance plans may have restrictions. Coordination with the dental lab for accurate cost estimation is also crucial.
Related CDT Codes
Frequently Asked Questions
Porcelain and ceramic materials are used for their aesthetic appearance and strength, providing a natural look and durability.
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