Understanding D2920 Dental Code for Recementing Crowns

What ADA CDT dental code is D2920?

D2920 is the ADA CDT dental code for re-cementing or “resetting” a crown or cap on a tooth. This recement crown code is commonly used when a crown has fallen off and needs to be cemented back on to the tooth. The code is officially known as “re-cement or re-bond crown.” D2920 is the recement crown dental code when working specifically on a tooth. However, if re-cementing a crown on an implant, the code should be D6092.

Frequently Asked Questions About D2920 Dental Code

What procedure does D2920 refer to?

The D2920 code refers to the procedure of re-cementing or re-bonding an existing crown. This is typically performed when a crown becomes loose or dislodged but remains in good condition.

What are the documentation requirements and best practices for D2920?

  • Document the reason for re-cementation or re-bonding.
  • Include details of the patient’s symptoms and the condition of the crown.
  • Best practices include taking pre- and post-procedure radiographs.
  • Ensure detailed notes on the procedure are kept for compliance.

What are the typical reimbursement rates and guidelines for D2920?

  • Reimbursement rates generally range from $50 to $150, depending on the insurance provider.
  • Guidelines may include specific frequency limitations and necessity requirements.

Are there any common errors or pitfalls to avoid with D2920?

  • Common errors include failing to document the necessity for the procedure.
  • Avoid using D2920 when a new crown is required instead of re-cementing the old one.
  • Ensure all necessary supporting documentation is included to avoid claim denials.

How should D2920 be submitted on an insurance claim, and what modifiers are required?

  • Submit the D2920 code with comprehensive notes justifying the procedure.
  • Generally, no specific modifiers are required unless specified by the insurer.
  • Ensure the claim form is completed accurately to avoid delays or denials.

Is D2920 often used with other codes, and how does it fit into the overall coding system?

  • D2920 may be used alongside diagnostic codes such as D0140 (limited oral evaluation) or radiographic codes like D0220 (intraoral periapical first radiographic image).
  • It is part of restorative dentistry codes and specifically addresses the maintenance of existing dental work.

How can I verify patient eligibility and coverage for this procedure?

  • Contact the patient’s insurance provider to verify coverage.
  • Confirm any frequency limitations and whether prior authorization is needed.
  • Check for any specific documentation requirements for the insurance company.

What are the ethical considerations and common fraud indicators associated with D2920?

  • Ensure the procedure is necessary and the crown is in good condition for re-cementation.
  • Be vigilant about not overusing the code or misrepresenting the procedure performed.
  • Watch for signs of fraud, such as unnecessary re-cementation claims or inconsistent documentation.

What are the key differences between similar codes?

  • D2920 is for re-cementing or re-bonding a crown, not for placing a new crown.
  • Codes like D2740 (crown – porcelain/ceramic) or D2750 (crown – porcelain fused to high noble metal) are used for new crown placements and involve different procedures and materials.

Why was D2920 specifically used for my treatment, and are there alternative treatments with different codes and costs?

  • D2920 was used because your existing crown was in good condition but had become loose.
  • Alternative treatments include placing a new crown, which would be coded differently (e.g., D2740, D2750) and involve higher costs.
  • Your dentist determined that re-cementing was the most appropriate and cost-effective solution based on the condition of your crown.

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