What ADA CDT Dental Code is D2931?
The D2931 dental code is used for placing a prefabricated stainless steel crown on a permanent tooth. This type of crown is typically used for extensive decay or damage, providing a long-lasting and durable restoration option, often in cases where full coverage is essential to maintain the tooth’s structure.
What Procedure Does D2931 Refer To?
D2931 involves fitting a prefabricated stainless steel crown on a permanent tooth. The dentist prepares the tooth by removing decay, shaping it for a secure fit, and then cementing the crown onto the tooth to provide complete coverage and protection.
Documentation Requirements and Best Practices for D2931
- Document Tooth Number: Clearly specify which permanent tooth receives the crown.
- Justify Crown Necessity: Note any decay, fractures, or extensive damage requiring the crown.
- Record Preparation and Placement: Include details on decay removal and crown fit adjustments.
- Post-Treatment Notes: Document patient comfort, fit, and appearance after crown placement.
How Can I Verify Patient Eligibility and Coverage for D2931?
To verify eligibility and coverage for D2931, contact the patient’s insurance provider. Coverage for stainless steel crowns on permanent teeth varies, as some plans may limit coverage to primary teeth or specific cases. Confirming eligibility helps prevent unexpected out-of-pocket expenses.
How Should D2931 Be Submitted on an Insurance Claim, and Should a Site Be Included?
When submitting D2931 on an insurance claim, include the specific tooth number for accuracy. As this code applies to permanent teeth, detailing the location (e.g., lower right molar) is essential for proper claim processing.
D2931 Dental Code Cost
The cost for D2931 typically ranges from $200 to $400 without insurance, depending on the provider and location. Patients should check with their provider for an exact estimate based on their insurance plan.
ADA D2931 Guidelines
The ADA supports using D2931 for durable restoration of permanent teeth, particularly for teeth needing complete coverage to restore function and prevent further decay or structural damage.
What is the Difference Between D2931 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 option for visible surfaces |
Why Was D2931 Specifically Used for My Treatment, and Are There Alternative Treatments with Different Codes and Costs?
D2931 is chosen for permanent teeth that need robust protection due to extensive decay or structural damage. Alternatives may include porcelain-fused or resin crowns, which provide a more natural appearance but at a higher cost. The choice depends on the degree of damage, the need for durability, and aesthetic preferences.
How Often Can You Bill D2931?
D2931 is typically billed per tooth as required for restorative purposes. Given that stainless steel crowns are durable, they are usually only billed once per affected tooth. However, some insurance policies may have limitations or restrictions on replacement frequency, so verifying individual policy details is recommended.
