The tables in this resource link frequently reported CDT Codes with one or more possible ICD-10-CM diagnostic codes as examples. This cookie is set by GDPR Cookie Consent plugin. Contact him atkylelsummerford@gmail.com. Preventive. What In most cases, an x-ray is taken to ensure a good fit. The cost for d2740 crown procedure depends on the plan chosen and hence, varies accordingly. Extractions - Oral and Maxillofacial, Figure 26. As explained by the experts at DentalRevu, A CAD/CAM porcelain/ceramic crown restoration milled from a Vita/Procad block and D2980 is a crown repair to a prosthetic not a filling in a natural tooth surface. Both serve the same purpose but with slight minor differences in practice. 2021 Zap Dental Billing |All Rights Reserved. Whats the average price of a porcelain crown? It is usually a non covered service and the patient would pay out of pocket. It is quite possible that other diagnoses and their associated codes may be appropriate for a given clinical scenario. WebCurrent Dental Terminology Figure 1 Diagnostic. Full Mouth Debridement, Figure 22. Clinical Crown Lengthening - Hard Tissue, Figure 18. Deceptive billing practices include reporting the retainer crowns of a fixed bridge as a single crown or Crown to receive a larger payment. Preventive. Deep cleaning Periodontal scaling and root planing (D4341) involves instrumentation of the crown and root surfaces or the teeth to remove deposit and/or roughness and is therapeutic, not prophylactic, in nature. D2950 Dental Code Dental Core Buildup Tips and Claims, D0150 Dental Code: A Guide to What Comprehensive Oral Evaluation Entails. Surgical. It involves the grinding and shaping of selected tooth surfaces to remove interferences from your teeth, thus correcting misaligned teeth. Preventive. The tooths decaying or weak parts must be removed, and its general form must be reduced before a crown can be placed over it. Periodontics. Placement of a pre-fabricated crown is allowed once per 36 months per patient per tooth without prior authorization. This code should only be used when reporting ceramic, porcelain or zirconia crowns. What is the difference between a ceramic crown and a porcelain crown? Dental Revu has explained everything in detailed manner. Kyle L. Summerfordis a nationally recognized practice management guru, author, and lecturer. WebCeramic Dental Crowns Bridges Veneers from Udell Dental Lab, over 60 years in fabricating dental prosthetics. These cookies track visitors across websites and collect information to provide customized ads. D2740: Crown porcelain/ceramic. Coverage or non-coverage is not based on the whim of a carrier, it is based on those contracts. The tooth appears weak, and there is very little natural tooth structure remaining that isnt a filling; this is preventative and subjective, making determining the appropriate time to crown challenging. Porcelain/ceramic crowns placed in the aesthetic zone are covered by dental PPO insurance (anterior region of the mouth). D2740: Crown porcelain/ceramic. D2740: Crown porcelain/ceramic. Dental crowns are caps that fit over teeth to make them look and feel natural. Should decay not be visible on the x-ray, include a narrative with the x-ray indicating location of such decay. Prosthodontics and Implant Services. Removal of a portion of the pulp and D4265 application of a medicament with the aim of maintaining the vitality of the remaining portion to encourage continued physiological development andormation of the root. This procedure is not to be construed as the first stage of root canal therapy. RECENT THURSDAY TROUBLESHOOTERSCan dentist force staff to take vacation when he's not in?How can new dentist inform patients about x-ray changes?Is there a dental code to reduce new-patient FMX fee? D2751 Crown porcelain fused to predominantly base metal. The patient can be charged no more than the difference between the contract rate for ceramic and the paid rate if the provider is in the PPOs network, even if the PPO plan offers an additional benefit like as a PFM. Evaluations and Exams Figure 2. But opting out of some of these cookies may affect your browsing experience. It becomes painful to bite down when a tooth suffers from cracked tooth syndrome. Fees are a different question. CDT D2740 Get information about CDT D2740 dental procedure code with description : D2740 Procedure Code Description. Include the lab bill as an attachment. ANSWER FROM PATTI DIGANGI, coauthor of the DentalCodeology" series of books: As asked here, this question combines and confuses related parts of billing coding, coverage, and fees. This week's question is about coding for zirconia vs. e.max crowns, and it actually has several moving parts for coding expert Patti DiGangi to answer. Unless the patient is between 12 and 13, they will not cover the cost of a permanent crown. Restorative. Endodontics. Although similar in functionality with dioxide, the difference between E-max and Zirconia crowns is that E-max is more translucent than Zirconia. Zirconia Crowns and E-max crowns cost approximately the same as all- porcelain crowns. $18.00 D0272 Bitewings - two radiographic images. Network plan write-offs The difference between the dentists full fee and the sum of all dental benefit plan payments and patient payments is the amount of the write-off. It does not apply to the UK. A final word of caution. Reporting retainer crowns of a fixed bridge as a single crown(s) in order to earn a bigger reimbursement is deceptive. This month, learn more about D2740. This treatment is known as crown lengthening. A porcelain/ceramic crown (D2740) Source: Practice Booster. The Best Technical and Innovative Podcasts you should Listen, Essay Writing Service: The Best Solution for Busy Students, 6 The Best Alternatives for WhatsApp for Android, The Best Solar Street Light Manufacturers Across the World, Ultimate packing list while travelling with your dog. Can you use D2740 and by report to charge for a crown upgrade? Adjunctive General Services - Occlusal Guards, Figure 33. Numbing will be administered on the day of your procedure; however, a tooth with a root canal will not require numbing in very unusual cases. What can I text my friend to make her smile? Does that include all types of porcelain crowns, which means patients cannot be charged an upgrade fee? We may have lost too much tooth structure to save it. E.max is a porcelain, and zirconia is a white metal covered over with porcelain. We use cookies to ensure that we give you the best experience on our website. Pulpotomies and Endodontic Therapy, Figure 15. Used in front teeth as they are more esthetically appealing though cost might be a considerations they are expensive,. A practice may charge whatever it chooses for the care provided. In cases when less tooth structure needs to be removed and where patients have metal allergy concerns, porcelain-fused-to-metal crowns are frequently recommended. Dental Implants VS Dentures: Which One Is Right For You? Crown is the part of your tooth above the gum line that is visible in a healthy mouth. I talked about this in a recent Thursday Troubleshooter entitled Correct use of core buildup code. This post is written for the USA Dental Patient to help them understand treatment coding. This dental code d2740 is used to report the porcelain or ceramic crown on your teeth, often the front teeth. Approval Date: December 14, 2022 . Zirconia crown is a better choice than other materials because of its numerous advantages. D9951 Procedure Code Description Occlusal adjustment limited CDT D9951 Category : ADJUNCTIVE GENERAL SERVICES Adjunctive refers to any treatment or service that is provided in conjunction with another to increase the first treatments efficacy. Remember, you'll be helping others who share the same issue. Most PPO dental plans will not reimburse for porcelain/ceramic crowns when placed in the posterior region of the mouth. DHMO differs as you can charge for lab fees up to $200 How can you tell the difference between Emir and zirconia crowns? Two CDT codes that we discussed in particular were D3331 (treatment of root canal obstruction) and D2955 (post removal). This procedure is performed via a lateral open approach. This procedure is what many dentists were previously doing, but incorrectly submitting as a D2950 buildup. We are a full-service dental billing company with the best in the field on board, and we have a proven track record of delivering outstanding services utilizing tried-and-true methods. RESIN RESTORATIONS (FILLINGS) D2330 Resin-based composite one surface, anterior. Analytical cookies are used to understand how visitors interact with the website. When patients dont accept the treatment the dentist recommends, its frustrating for, A common question surrounding dental billing processes and provider credentialing is National, Choosing whether or not to participate with an insurance plan can have, 4 ways dental billing outsourcing can help improve. All inquiries will be answered anonymously each Thursday here on DIQ. A root canal procedure will incur additional costs. Coding with Kyle: Overdenture coding after implant placement. Restorative. You can bill the upgrade fees as the miscellaneous code with a narrative. WebD2740: Crown Porcelain/Ceramic. WebCDT codes, also known as Current Dental Terminology, are a reference manual codes published annually by the ADA (American Dental Association), and used to reference the . We anticipate that most dental crowns will still be in place when the patient dies or the tooth is removed due to some other cause, with a lifespan of at least 20 years. The price of a dental crown is affected by the number of operations required to place it. https://www.linkedin.com/company/dentistry-iq. D9944 occlusal guard hard appliance, full arch Removable dental appliance designed to minimize the effects of bruxism or other occlusal factors. In Chapter 3 of the CDT 2017 Companion, Dr. Ronald Riggins clarifies it this way, Dental crowns use zirconia, which is an oxide and considered chemically to be a ceramic. There is no ambiguity here from a coding perspective. D2740 can also be reimbursable as a porcelain-fused-to-metal crown or a gold metal crown. What is resin based composite two posterior? 2023 Endeavor Business Media, LLC. Complete Dentures, Figure 23. WebDental codes are a four-digit alphanumeric code that begins with the letter "D" (the procedure code) and ends with four digits (the nomenclature). Is there a dental code to reduce new-patient FMX fee? The code D2740 was revised this year (2018) to exclude the word substrate. Periodontal Maintenance. Dental Billing Service; D2740 D2740 may now be used to report any porcelain or ceramic crown. D2740: Crown porcelain/ceramic. Root canal The material used should be consistent with what is documented in the insurance claim form, treatment plan, clinical note, or lab slip. This column from Kyle Summerford is designed to guide office managers through the tricky world of dental coding. Inhalation of Nitrous Oxide, Figure 31. Retreatment of Previous Root Canal Therapy, Figure 16. D2331 Resin-based composite two surfaces, anterior. Dental PPO plans will reimburse when placing the porcelain/ceramic crown when placed in the esthetic zone (anterior region of the mouth). Dental PPO insurance will reimburse for porcelain/ceramic crown placement in the aesthetic zone (anterior region of the mouth). Courtesy of KHN (Makris Music Society; Boja Kragulj), Dental device purported to fix jaws results in wrecked teeth, allege patients, Medical History Mysteries: Benzodiazepines vs. barbiturates: What to know before you prescribe, 162063215 Sergey Chuyko | Dreamstime.com, Dentists top 5 financial mistakes (and how to avoid them), 66404851 Iakov Filimonov | Dreamstime.com, In brief: Why toothpaste flavor matters; Senate concerned about HCW shortage. RESIN RESTORATIONS (FILLINGS) D2330 Resin-based composite one surface, anterior. The dental lab will use the impression to create your Crown specifically for your bite. Dental restoration statusZ98.811 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.The 2021 edition of ICD-10-CM Z98.811 became effective on October 1, 2020.This is the American ICD-10-CM version of Z98.811 - other international versions of ICD-10 Z98.811 may differ. This code should be used only when reporting a porcelain/ceramic or zirconia crown. The occlusal adjustment-limited code (D9951) is frequently used to identify a single-visit procedure that addresses only a specific tooth, site or quadrant. If you have any further questions regarding dental codes, detailed guides on reimbursements by insurance companies or anything similar, it is advised to consult dental billing companies for a better guidance. WebIt is also used more colloquially to describe the dental procedure of having a prosthetic crown placed over a decayed, chipped, cracked, or otherwise damaged tooth. WebD0251 Extra-oral posterior dental radiographic image. there are other crown restorative procedures listed on their treatment list at a savings to a customer, but I was not aware it would not be covered. If your teeth are healthy, you will be able to see the crowns of your teeth when you smile. The crown used can be either full metal, porcelain or ceramic. WebInclude the lab bill as an attachment. If the patient is under the age of 18, always check to see if there is an age used exclusion before beginning therapy. Purpose: Esthetic full-coverage crown. Root-canal treated tooth; tooth undergoing root canal treatment (front teeth often do not need a crown even with a root canal, more on that here). D7951, Sinus Augmentation With Bone or Bone Substitutes Via a Lateral Open Approach. Responses will come from various dental consultants, as well as other experts in the areas of human resources, coding, front office management, and more. The plan may limit reimbursement for crown replacement, which can range from five to ten years after the last placement. Such fillings are referred to as tooth-colored because of their unique ability to mirror the color, texture and luminescence of your own teeth. Precision CAD equipment for a first time, perfect fit. Deep fissures and a huge filling characterize this tooths condition (not superficial cracks often hard to know if the crack is deep or not, so this is subjective). The content on this site is not to be considered dental advice. WebCIGNA Dental Care (*DHMO) Patient Charge Schedule Di erent codes may be used to describe these covered procedures. However, Ceramic crown on the other hand is quite the opposite. Purpose: Esthetic full-coverage crown. Adjunctive General Services - Application of Desensitizing Medicament, Figure 32. Pre-Fabricated Crown Criteria. Dental CDT codes are the Level 1 codes that report procedures for dental works by the medical payers. Amalgam Restorations, Figure 8. Dental implants should be seriously considered if all that is required. They will not pay for a permanent crown unless the patient is between the ages of 12 and 13. This code should be used only when reporting a porcelain/ceramic or 2025 Guadalupe Street, Suite 260 Austin, Texas 78705, A Comprehensive Guide on Dental Billing: Everything a Dentist Needs to Know, ICD 10 Code for Sleep Apnea: Everything You Need to Know. Partial Dentures and Implants, Figure 25. WebWhat is a dental crown? Range of ceramic caps is 5k- 15k with warranty also ranging from 5yrs- 15yrs, depending upon the dentist, and the lab where the crowns are being fabricated. What is the new name of the meaningful use program? When you click on an affiliate link to purchase an item, you will buy the item from the seller directly. Can you use D2740 and by report to charge for a crown upgrade? What is the dental code for a laser treatment? Purpose: Esthetic full-coverage crown. This code should be used only when reporting a porcelain/ceramic or zirconia crown. All rights reserved. The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". Unlike zirconia crown, a porcelain crown is not as strong, durable and long-lasting. 2740 is an all ceramic/porcelain crown. With use of zirconium oxide (stronger than some metal alloys) it causes less stress and damage than the porcelain crown and is thus commonly recommended. New code in CDT 2014. As explained by the experts at DentalRevu, A CAD/CAM porcelain/ceramic crown restoration milled from a Vita/Procad block and a zirconium crown would be reported using the D2740 dental code. This replacement exclusion may be overridden if there is a trauma that necessitates a new crown. There have been stains and show many areas of supra-and sub-gingival tooth surfaces like 4mm, 5mm, or even 6mm pockets around teeth that $38.00 PERIAPICAL: D0220, D0230 The maximum amount considered for x-ray radiographic images taken on one day will be equivalent to an allowance of a D0210. Discing, odontoplasty, and enamoplasty are the most frequent single-visit procedures. D7291 transseptal fiberotomy/supra crestal fiberotomy, by report The supraosseous connective tissue attachment is surgically severed around the involved teeth. This code should be used only when reporting a porcelain/ceramic Be very clear in the narrative what material it is and what is different from the covered service. Topical Flouride Treatment, Figure 4. Can dentist force staff to take vacation when he's not in? Information in these articles should not be taken as dental advice and are for general information only, you should always seek advice of your local dentist, if you do not have a local dentist you might like to search our register. Dental Revu will construct a temporary dental crown to cement if we decide to have the Crown fabricated in a lab. Laser bacterial reduction uses a laser not to change or affect a patients teeth or gums, but instead to kill bacteria. Courtesy of KHN (Makris Music Society; Boja Kragulj), Dental device purported to fix jaws results in wrecked teeth, allege patients, Medical History Mysteries: Benzodiazepines vs. barbiturates: What to know before you prescribe, 162063215 Sergey Chuyko | Dreamstime.com, Dentists top 5 financial mistakes (and how to avoid them), 66404851 Iakov Filimonov | Dreamstime.com, In brief: Why toothpaste flavor matters; Senate concerned about HCW shortage. It is the responsibility of the practice and practitioners to use the most accurate codes that describe the care rendered. Some providers file a D3331 for every root canal treatment. And if the Use this code for a client whose appliance was placed by an orthodontic provider not participating with the agency, or whose treatment was previously covered by another third-party payer, or both. Restorative. The codes are part of the American Dental Associations Code on Dental Procedures and Nomenclature. A dental implant can also be capped with a crown. Code D2950 indicates construction. Write-offs should not be posted until all plans have paid accordingly. Most insurance companies will not cover coverage if the patient is over a certain age. We also use third-party cookies that help us analyze and understand how you use this website. Code D7465 is the one and only procedure code that is specifically technique-sensitive to the laser. Coverage is a contractual agreement between parties, most often an employer and an insurance benefit carrier. D1110 Dental Code: What is it and What Does it Mean for You? Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. Orthodontics. Teeth already on the verge of needing a root canal may be pushed over the brink by the cumulative effects of a crack, decay, and the dentists drill. WebWhat does dental Code D2740 mean? If you continue to use this site we will assume that you are happy with it. We can employ a fluid medium or a camera-like gadget to capture an impression. D0270 Bitewing - single radiographic image. The insurance company plans often limit the reimbursement of the crown replacement to every 10 years, regardless of the materials used. Facial veneers should not be referred to as a porcelain/ceramic crown (D2740). That means no use of the metal piece while crowning. He is founder and president of Summerford Solutions Inc., and cofounder ofElitedentalclaims.com. How much does an occlusal adjustment cost? Dental insurance companies will refer to the patient plans limitations and exclusions when considering the dental claim. As an alternative benefit, D2740 may be reimbursed as a porcelain fused to metal crown or a gold metal crown. Ceramic crown means that the tooth will be more fragile as compared to porcelain crown method but at the same time cause no allergies or metal sensitivities. All rights reserved. On the other hand the insurance company will not reimburse for porcelain or ceramic crown if done in the rear section of the mouth. 631-M26. Surgical. An occlusal adjustment may also be necessary when you have undergone restorative procedures, such as a crown or filling, since the teeth may not come together properly after the tooth restoration is placed. Wisdom Teeth and Straightening: Here is What to Expect, Everything You Need to Know About Teeth Whitening Kits: What Works, What Doesnt, It is dishonest to claim that a crown supported by an. If you continue to use this site we will assume that you are happy with it. Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. These folks will assist dental professionals with their various issues on DentistryIQ because they're very familiar with the tough challenges day-to-day practice can bring. In addition to this, Zirconia is one other type of ceramic, a rising procedure for dental crown. Don't be shy! The D2740 code is for a dental crown. D2949 - Restorative Foundation. Thus, the tooth is crowned. If your tooth decay is not clearly visible in the X-Ray done, mention the location of the decay in the narrative along with the X-Ray result. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. D2954 is the postal-service dental code. Discing, While metal crowns are more long lasting, the ceramic ones are much better in terms of sensitivities and are hence, recommended over the metal ones. If you submitted a claim for payment for placement of a composite resin within the last few months on the same tooth, the patients insurance plan may deduct the amount paid once the claim for the buildup has been processed. Crown porcelain/ceramic substrate D2740 is used to report any porcelain or ceramic crown. Conclusively, the d2740 procedure code for dental crown is to be claimed in case of a crown placement on a damaged tooth. $33.00 We use cookies to ensure that we give you the best experience on our website. Adjunctive General Services. Reporting a crown placed on a normal tooth is deceptive if the restoration is an implant supported or abutment supported crown. It is to repair a material failure as in fracture. We use cookies to ensure that we give you the best experience on our website. Sprig has been working along with the AAPD to obtain a specific code applicable to our pediatric zirconia crowns. The cost of doing business changes with the material selected. Posterior Resin-Based Composite Restorations, Figure 10. document.getElementsByClassName('breadcrumbs')[0].childNodes[4].childNodes[0].innerHTML = "DENTAL CODE"; 175 S. Bloomingdale Road Bloomingdale, IL 60108, Everything You Need to Know about Dental Codes, Optimizing the Dental Claims Billing Process for Your Success, Dental Billing 101 All You Need to Know. Used in front teeth as they are more esthetically appealing though cost might be a considerations they are expensive,. The final part of the question does not come into play unless the practice has signed a contract with a carrier. D2954 is the postal-service dental code. Read and print out these instructions for dental code D2740 so you can refer to it each time you have a question. Even after a crown and root canal, a poorly broken tooth might cause discomfort. (This is a rare instance of its use.) The most accurate code, whether zirconia crowns or e. max, is D2750 crownporcelain/ceramic substrate. CDT Codes are a set of medical codes for dental procedures that cover oral health and dentistry. That difference is the use of metal in the method. Most PPO dental plans limit reimbursement for crown replacement to every 10 years, regardless of material. All restorative codes are now defined as including local anesthesia.Restorative codes represent the majority of dental procedures done in a general dental practice on a day-to-day basis. One such ada code 2740 refers to when reporting Zirconia or Porcelain Ceramic Crown. However, there are benefits and drawbacks to this at the same time. Bone Replacement Grafts, Figure 28. If the tooth is root canal-treated, indicate that endo treatment has been completed and include a post-op x-ray and endo report. SOUTHEAST (FL, GA, AL, SC, MS, LA, AR, TN). If the plan downgraded the crown to a D2791 or D2792, you are able to charge the difference based on the fee schedule not the office fee. This code should be used only when reporting a porcelain/ceramic or zirconia crown. Insurance claim forms, treatment plans, clinical notes, and lab slips should all match the substance used. Implant/abutment supported removable denture for edentulous arch maxillary. Protective Restorations, Figure 14. D4342 set your fee at 75% of the quadrant, while D4341 set your practice fee at 40-50%. Sealants, Figure 6. Can a practice charge a different fee depending on the material used? Using a dental bur, we shall file down the tooth by 0.5-2mm in each direction to create a circular stump. The temporary Crown will be removed after the permanent Crown has arrived at the dental practice. D6110. D2332 Resin-based composite three surfaces, anterior. Now, lets take todays question apart. WebADA Dental Codes, Dental benefit provider plans with affordable individual dental insurance plans, family dental plans, and dental health benefits. Above which the porcelain is then fused, and the metal piece hidden in process. Purpose: Esthetic full-coverage crown. The occlusal adjustment-limited code (D9951) is frequently used to identify a single-visit procedure that addresses only a specific tooth, site or quadrant. Evaluations and Exams, Figure 2. The vast majority of dental insurance plans carry a missing tooth clause. A missing tooth clause protects the insurance company from paying for the replacement of a tooth that was missing before the policy was in effect. The cookie is used to store the user consent for the cookies in the category "Analytics". 92032 809111 a 11/09 DC-07-2-CIGNA Dental Care D2740 Crown Porcelain/Ceramic Substrate $420.00 D2750 Crown Porcelain Fused to High Noble Metal $285.00 D2751 Crown Porcelain Fused to Predominantly Figure 1 Diagnostic. If the tooth has been treated with root-canal, make sure to mention that along with the X-Ray documents as well. Adjunctive General Services - Occlusal Guard Adjustment, Court amends schedule in ADA's class action lawsuit against Delta Dental, ADA seeks volunteers to develop standard on gathering patient data to determine benefits eligibility, Unspecified diagnostic procedure, by report, Other specified temporomandibular joint disorders. D7290 surgical reposition of teeth Grafting procedure(s) is/are additional. Your dentist may recommend placing a dental crown to cover your tooth to protect and strengthen it, restore the tooths shape, size, and/or improve its Amazon and/or other companies pay this website a small commission or other compensation for promoting their website or products through their affiliate program. (For a single-unit crown, you can get 80% back from the UCR, whereas, for a retainer crown, youll get 50% back.). Call Us: (630) 963-5881. As of 2015, the main dental procedure codes used for veneers include D2960 to D2962, and procedure codes related to porcelain crowns include D2740, D2750 to D2752 and D2783, according to ICD9 Data. Gloves Off: Can a nightguard kill a sleep apnea patient? Preventive. not present CDT Code Description D5140 Immediate denture mandibular D5211 Maxillary partial denture resin base ( D5212 Mandibular partial denture resin base D5213 Maxillary partial denture cast metal f. Used in front teeth as they are more esthetically appealing though cost might be a considerations they are expensive,. D2740: Crown porcelain/ceramic. By clicking Accept All, you consent to the use of ALL the cookies. Both porcelain and complete ceramic produce pleasing aesthetic results when used to create a crown, although porcelain is preferable due to its lighter appearance. D2740 Crown porcelain/ceramic substrate. Periodontics. The dentist will take out all rot and old, faulty fillings. What is the medical code for occlusal guard? Palliative (Emergency) Treatment of Dental Pain, Figure 30. Its often used in conjunction with procedures that can sometimes result in bleeding, like a routine tooth cleaning. What is the code for a zirconia crown? When evaluating a dental claim, dental insurance companies will refer to the patient plans limitations and exclusions. D2740 is used to report any porcelain or ceramic crown. Purpose: Esthetic full-coverage crown. Should the PPO plan pay for an alternate benefit, such as a PFM, you can only charge the patient the difference between the contract rate for ceramic and the paid rate, if you are in-network. (Includes all pre-fabricated crowns: stainless steel/ esthetic coated stainless steel, resin and porcelain/ceramic.) Prosthodontics. Code D4249 indicates a crown lengthening. Dental insurance companies will refer to the patient plans limitations and exclusions when considering the dental claim. The majority of payers have an age restriction exclusion. Kyle also serves as editorial director ofDental Office Manager Digeste-newsletter.