Understanding D6740 Dental Code and Tooth Bridges

What ADA CDT dental code is D6740?

D6740 is the ADA CDT dental code for the abutment/retainer tooth of a bridge. This typically refers to a tooth bridge, not an implant bridge. Specifically, D6740 is the abutment tooth of the bridge, not the pontic (D6240), and applies when the bridge is made of all-ceramic or all-porcelain. The code description is officially “retainer crown – porcelain/ceramic.”

Frequently Asked Questions About D6740 Dental Code

What procedure does D6740 refer to?

The D6740 code refers to the placement of a retainer crown made of porcelain fused to high noble metal, typically used as part of a fixed partial denture or bridge.

What are the documentation requirements and best practices for D6740?

  • Record the reason for crown placement and patient symptoms.
  • Include radiographs and any diagnostic tests.
  • Document the materials used and the clinical indications.

What are the typical reimbursement rates and guidelines for D6740?

  • Reimbursement rates generally range from $700 to $1,200.
  • Guidelines often include specifics on material costs and clinical necessity.

Are there any common errors or pitfalls to avoid with D6740?

  • Avoid under-documenting the clinical necessity and materials used.
  • Ensure accurate coding to differentiate from similar procedures.

How should D6740 be submitted on an insurance claim, and what modifiers are required?

  • Submit with detailed notes on the necessity and materials.
  • No specific modifiers are generally required unless specified by the insurer.

Is D6740 often used with other codes, and how does it fit into the overall coding system?

  • Often used with codes for diagnostic exams (D0140) and radiographs (D0220).
  • Part of the broader category of crown and bridge procedures.

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

  • Verify with the patient’s insurance provider for coverage details.
  • Confirm any limitations on materials and necessity documentation.

What are the ethical considerations and common fraud indicators associated with D6740?

  • Ensure the use of high noble metal is clinically justified.
  • Avoid overbilling or misrepresenting the materials used.

What are the key differences between similar codes?

  • D6740 involves high noble metal, whereas D6750 is for base metal, affecting cost and insurance coverage.

Why was D6740 specifically used for my treatment, and are there alternative treatments with different codes and costs?

  • D6740 was chosen for its durability and aesthetics.
  • Alternatives include crowns made with base metals (D6750) or different materials, which may be less costly but offer different benefits.

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