What ADA CDT Dental Code is D2949?
The D2949 dental code is used for a restorative foundation placed in preparation for an indirect restoration, such as a crown, inlay, or onlay. This foundation supports the tooth structure, providing a stable base for the subsequent indirect restoration.
What Procedure Does D2949 Refer To?
D2949 involves placing a restorative foundation to build up a tooth before an indirect restoration is applied. The dentist removes decay or weakened tooth structure and then builds a strong, stable foundation using restorative materials. This foundation helps reinforce the tooth, ensuring the stability and longevity of the final restoration.
Documentation Requirements and Best Practices for D2949
- Specify Tooth Number: Document the specific tooth receiving the foundation.
- Justification for Foundation Use: Record reasons for needing a foundation, such as significant decay or damage that compromises the tooth’s stability.
- Procedure Details: Describe steps like decay removal, preparation, and foundation placement.
- Post-Treatment Observations: Note the tooth’s condition after the foundation, along with patient comfort and readiness for the next restorative phase.
How Can I Verify Patient Eligibility and Coverage for D2949?
To verify eligibility and coverage for D2949, contact the patient’s insurance provider. Coverage for a foundation buildup can vary; some plans cover it as part of the indirect restoration process, while others may consider it an additional, necessary preparation step. Confirming eligibility ensures that the patient is aware of any out-of-pocket costs.
How Should D2949 Be Submitted on an Insurance Claim, and Should a Site Be Included?
Submit D2949 with the specific tooth number to clarify which tooth received the foundation. Including the treatment purpose (e.g., preparing for a crown) can help support the claim.
D2949 Dental Code Cost
The cost of D2949 typically ranges from $100 to $300 without insurance, depending on the extent of the foundation needed and the location. Patients should consult their dental office for an exact cost estimate based on their insurance coverage.
ADA D2949 Guidelines
The ADA recommends D2949 as a preparatory step for indirect restorations where additional tooth structure support is needed. This foundation is not considered a final restoration but rather a necessary reinforcement to ensure the success of the subsequent restoration.
What is the Difference Between D2949 and Other Similar Codes?
| Code | Description | Purpose |
|---|---|---|
| D2949 | Restorative foundation for an indirect restoration | Builds foundation for indirect restorations |
| D2950 | Core buildup, including any pins | Provides extensive core buildup for crown placement |
| D2954 | Prefabricated post and core in addition to crown | Adds a post for core support in endodontically treated teeth |
Why Was D2949 Specifically Used for My Treatment, and Are There Alternative Treatments with Different Codes and Costs?
D2949 is selected when a tooth needs additional support before an indirect restoration, like a crown or inlay. Alternatives include D2950 for a full core buildup if the tooth requires more extensive structural support, or D2954 if the tooth has undergone root canal treatment and requires a post for stability. The choice depends on the degree of damage and the type of restoration planned.
How Often Can You Bill D2949?
D2949 is typically billed once per affected tooth as needed, before placing an indirect restoration. Insurance policies may vary regarding frequency for foundations, so it’s advisable to confirm specific guidelines with the patient’s insurance provider.
