What ADA CDT Dental Code is D2394?
The D2394 dental code refers to a resin-based composite restoration for posterior teeth, covering four or more surfaces. This code is used when a patient requires an extensive filling to restore the structure of a decayed or damaged posterior tooth using a composite resin that blends with the natural tooth color.
What Procedure Does D2394 Refer To?
D2394 involves placing a composite filling that spans four or more surfaces of a posterior tooth. The dentist prepares the tooth, removes any decay, and carefully applies the resin in layers, hardening it with a curing light to ensure strength and durability.
Documentation Requirements and Best Practices for D2394
- Record Tooth Number and Surfaces Treated: Document the specific tooth and the surfaces (e.g., occlusal, buccal) restored.
- Describe Condition Justifying Restoration: Note decay, fractures, or other damage requiring a multi-surface restoration.
- Include Pre- and Post-Treatment Findings: Provide details about the tooth’s condition before and after the restoration for complete records.
- Materials Used: Specify the resin type used and any additional materials applied for bonding.
How Can I Verify Patient Eligibility and Coverage for D2394?
To verify eligibility and coverage for D2394, contact the patient’s insurance provider. Many plans cover resin-based composites, but policies may vary in terms of reimbursement for multi-surface restorations, particularly on posterior teeth.
How Should D2394 Be Submitted on an Insurance Claim, and Should a Site Be Included?
Submit D2394 with the appropriate CDT code and specify the tooth number and surfaces involved. Avoid generalizing, as insurers often require precise details for multi-surface composite restorations to approve the claim.
D2394 Dental Code Cost
The cost of D2394 varies based on location, the extent of the restoration, and insurance coverage. Uninsured costs range from $200 to $500. Patients should consult their provider for exact pricing.
ADA D2394 Guidelines
The ADA guidelines support using D2394 for composite restorations that cover four or more surfaces, especially in posterior teeth needing both functionality and a natural appearance.
What is the Difference Between D2394 and Other Similar Codes?
| Code | Description | Purpose |
|---|---|---|
| D2391 | Resin-based composite – one surface, posterior | Restoration for a single surface on posterior teeth |
| D2392 | Resin-based composite – two surfaces, posterior | Restoration for two surfaces on posterior teeth |
| D2393 | Resin-based composite – three surfaces, posterior | Restoration for three surfaces on posterior teeth |
| D2394 | Resin-based composite – four or more surfaces, posterior | Restoration covering four or more surfaces on posterior teeth |
Why Was D2394 Specifically Used for My Treatment, and Are There Alternative Treatments with Different Codes and Costs?
D2394 is chosen when extensive restoration is needed on a posterior tooth, covering multiple surfaces. Alternative options may include D2391-D2393 for fewer surfaces or amalgam fillings if aesthetic appearance isn’t a priority. The choice depends on the extent of the damage and patient preferences.
How Often Can You Bill D2394?
D2394 is typically billed per tooth as needed, depending on decay or damage. It’s not subject to a routine frequency limit, but insurance may limit coverage for the same tooth within a certain timeframe, so verifying individual policy restrictions is advisable.
