What ADA CDT Dental Code is D2792?
The D2792 dental code is used for a crown made of full cast noble metal. This type of crown provides full coverage and is constructed entirely from noble metal (e.g., gold or palladium), making it an ideal choice for patients needing a highly durable and long-lasting restoration. Full cast noble metal crowns are commonly placed on posterior teeth due to their strength.
What Procedure Does D2792 Refer To?
D2792 involves the placement of a full cast crown made entirely of noble metal on a tooth requiring complete coverage. The dentist prepares the tooth by removing decay and reshaping it to accommodate the crown. The noble metal crown is then fitted and cemented, providing a highly durable restoration.
Documentation Requirements and Best Practices for D2792
- Specify Tooth Number: Document the specific tooth receiving the crown.
- Justification for Crown Use: Include reasons such as decay, fractures, or structural damage necessitating a full-coverage restoration.
- Procedure Details: Describe preparation steps, including decay removal, reshaping, and crown fitting.
- Post-Treatment Observations: Note the final fit, appearance, and any feedback on comfort or function.
How Can I Verify Patient Eligibility and Coverage for D2792?
To verify eligibility and coverage for D2792, contact the patient’s insurance provider. Many insurance plans cover full cast noble metal crowns, though coverage may vary depending on the type and percentage of noble metal used. Confirming eligibility can help clarify the patient’s financial responsibility.
How Should D2792 Be Submitted on an Insurance Claim, and Should a Site Be Included?
Submit D2792 with the specific tooth number. This code applies to both anterior and posterior teeth, but it is typically used on posterior teeth due to its high durability. Specifying the tooth location (e.g., lower right molar) aids in accurate claim processing.
D2792 Dental Code Cost
The cost of D2792 typically ranges from $900 to $1,600 without insurance, depending on the type and amount of noble metal used, as well as the provider and location. Patients should consult their provider for an exact cost estimate based on their insurance coverage.
ADA D2792 Guidelines
The ADA recommends D2792 for patients needing a durable, full-coverage crown, particularly on posterior teeth where strength and longevity are priorities over aesthetics. Noble metal crowns are less likely to wear down and can withstand significant bite forces.
What is the Difference Between D2792 and Other Similar Codes?
| Code | Description | Purpose |
|---|---|---|
| D2790 | Crown – full cast high noble metal | Crown made entirely of high noble metal for maximum strength |
| D2791 | Crown – full cast predominantly base metal | Cost-effective option with a base metal structure |
| D2792 | Crown – full cast noble metal | Durable, mid-range option with noble metal |
| D2740 | Crown – porcelain/ceramic | Aesthetic-focused, all-porcelain option |
Why Was D2792 Specifically Used for My Treatment, and Are There Alternative Treatments with Different Codes and Costs?
D2792 is often chosen for teeth requiring both durability and a metal crown option that balances strength and cost. Alternatives include D2790 for maximum durability with high noble metal, D2791 for a more economical base metal crown, and D2740 for an all-porcelain crown that focuses on aesthetics. The choice depends on tooth location, durability requirements, and patient preference.
How Often Can You Bill D2792?
D2792 is typically billed once per affected tooth as needed for long-term restoration. Since crowns are intended to last many years, insurance providers may impose restrictions on replacement frequency for the same tooth. Confirming these guidelines with the patient’s specific insurance policy is advisable.
