What ADA CDT Dental Code is D2930?
The D2930 dental code is used for a prefabricated stainless steel crown placed on a primary (baby) tooth. This type of crown is often used for extensive decay or damage, providing a durable and cost-effective solution to maintain the structure of the tooth until it naturally exfoliates.
What Procedure Does D2930 Refer To?
D2930 involves fitting a prefabricated stainless steel crown on a primary tooth. The dentist prepares the tooth by removing decay, shaping it to fit the crown, and then cementing the crown onto the tooth, covering it completely.
Documentation Requirements and Best Practices for D2930
- Document Tooth Number: Note the primary tooth receiving the crown.
- Condition Justifying Crown Use: Describe decay, fractures, or damage necessitating full coverage.
- Treatment Details: Document any preparation steps, such as decay removal or reshaping.
- Post-Treatment Observations: Note the fit and patient comfort post-placement.
How Can I Verify Patient Eligibility and Coverage for D2930?
Check with the patient’s insurance provider, as many plans cover D2930 for primary teeth when medically necessary. Policies can vary, so confirming coverage, particularly for pediatric treatments, can help ensure the patient’s financial responsibility is clear.
How Should D2930 Be Submitted on an Insurance Claim, and Should a Site Be Included?
Submit D2930 with the specific tooth number for accurate processing. Since this code is site-specific to primary teeth, providing detailed information on the tooth location (e.g., upper left primary molar) helps avoid claim issues.
D2930 Dental Code Cost
The cost of D2930 typically ranges from $150 to $300 without insurance, depending on location and provider. Patients should contact their dental office for an exact cost estimate based on their coverage.
ADA D2930 Guidelines
The ADA recommends D2930 for primary teeth when a prefabricated crown is needed to maintain tooth integrity, support chewing, and prevent further decay or damage until the tooth exfoliates.
What is the Difference Between D2930 and Other Similar Codes?
Code | Description | Purpose |
---|---|---|
D2930 | Prefabricated stainless steel crown – primary tooth | Full coverage for a primary tooth |
D2931 | Prefabricated stainless steel crown – permanent tooth | Full coverage for a permanent tooth |
D2929 | Prefabricated porcelain/ceramic crown – primary tooth | Aesthetic crown option for primary teeth |
D2933 | Prefabricated stainless steel crown with resin window | Aesthetic stainless steel crown option |
Why Was D2930 Specifically Used for My Treatment, and Are There Alternative Treatments with Different Codes and Costs?
D2930 is typically chosen for primary teeth requiring extensive protection due to decay or fracture. It provides durability at a lower cost compared to porcelain options. Alternatives include D2929 for aesthetic purposes or D2933 for a blend of durability and natural appearance. The selection depends on the degree of damage, cost, and aesthetic preference.
How Often Can You Bill D2930?
D2930 is billed per tooth as needed. Since it’s used for permanent restorative purposes, it’s generally only billed once per affected primary tooth, given that these crowns last until natural exfoliation. However, insurance policies may have restrictions on frequency or replacement, so verify coverage guidelines.