What ADA CDT Dental Code is D2951?
The D2951 dental code is used for pin retention placed within a tooth to provide additional stability for a restoration, such as a filling or crown. This code is applied when a pin is added to secure a restoration on a tooth with compromised structure, offering enhanced retention.
What Procedure Does D2951 Refer To?
D2951 involves the placement of one or more small pins in a tooth to support a restoration. The dentist drills a small hole in the tooth structure and inserts a pin, which acts as an anchor for the filling or crown, providing added stability in areas with significant decay or structural damage.
Documentation Requirements and Best Practices for D2951
- Specify Tooth Number: Clearly document the specific tooth where pin retention is used.
- Justification for Pin Retention: Include reasons such as large areas of decay or weakened tooth structure that require additional support for the restoration.
- Procedure Details: Describe steps such as pin placement and its integration with the restoration.
- Post-Treatment Observations: Note the fit, stability of the restoration, and any patient feedback on comfort.
How Can I Verify Patient Eligibility and Coverage for D2951?
To verify eligibility and coverage for D2951, contact the patient’s insurance provider. Some insurance plans may cover pin retention when deemed necessary for stabilizing a restoration, while others might consider it part of the restoration cost. Confirming eligibility ensures the patient understands any out-of-pocket expenses.
How Should D2951 Be Submitted on an Insurance Claim, and Should a Site Be Included?
Submit D2951 with the specific tooth number, alongside the primary restoration code. Indicating that the pin was added to support a restoration on a specific tooth (e.g., upper left molar) helps clarify the claim.
D2951 Dental Code Cost
The cost of D2951 generally ranges from $25 to $75 per pin without insurance, depending on the provider and location. Patients should consult their dental office for an accurate estimate based on their insurance plan.
ADA D2951 Guidelines
The ADA recommends D2951 when additional retention is needed to secure a restoration. It should be used only when required for tooth stability and not as a routine part of every restoration.
What is the Difference Between D2951 and Other Similar Codes?
| Code | Description | Purpose |
|---|---|---|
| D2951 | Pin retention – per tooth, in addition to restoration | Adds retention for a restoration in weakened teeth |
| D2950 | Core buildup, including any pins | Provides a full core buildup for crown stability |
| D2954 | Prefabricated post and core in addition to crown | Adds a post for stability in endodontically treated teeth |
Why Was D2951 Specifically Used for My Treatment, and Are There Alternative Treatments with Different Codes and Costs?
D2951 is chosen for teeth with compromised structure that need extra retention to support a restoration. Alternatives include D2950 for a full core buildup if more extensive support is required, or D2954 if a post is necessary following a root canal. The choice depends on the level of support needed and the type of restoration planned.
How Often Can You Bill D2951?
D2951 is typically billed once per affected tooth as needed, in addition to the primary restoration. Insurance policies may have frequency limitations, so it’s advisable to confirm specific guidelines with the patient’s insurance provider.
