When is D2722 used?
The D2722 dental code applies to an all-ceramic crown with titanium dioxide. This CDT code is utilized when patients need complete coverage restoration for natural teeth using high-strength ceramic material containing titanium dioxide. D2722 works best when both appearance and strength matter, particularly for front teeth or visible back teeth where metal-free options are desired. Choosing the right code helps ensure proper payment and meets insurance standards.
D2722 Charting and Clinical Use
Supporting the use of D2722 requires dental practices to record clinical reasons for crown treatment, including:
Initial X-rays showing decay, breaks, or failed previous restorations
Complete clinical records describing damage extent or tooth structure loss
Reasoning for material choice (explaining why titanium dioxide all-ceramic crowns are needed instead of other options like standard all-ceramic crowns or porcelain-metal crowns)
Clinical photos when possible to show the condition requiring crown treatment
Typical situations include broken front teeth, unsuccessful composite fillings, or patients allergic to metals. Make sure your records clearly show medical necessity for the D2722 crown to reduce claim rejections.
Billing and Insurance Considerations
Effective D2722 billing begins with thorough insurance checking. Verify that the patient's coverage includes all-ceramic crowns and review any usage limits, waiting periods, or downgrades to cheaper materials. For claim submission:
Apply the proper CDT code (D2722) and match it with your clinical records
Include supporting materials (X-rays, mouth photos, treatment notes)
Add written explanation for complex cases or when insurance typically downgrades crown types
Check the Explanation of Benefits carefully for payment information and any reduction reasons
When claims get denied for material downgrades or missing records, file appeals quickly with extra proof and clear explanation of why D2722 was medically required. Quick follow-up and complete documentation help maximize payments and reduce outstanding billing time.
How dental practices use D2722
Situation: A 38-year-old patient comes in with a broken upper front tooth. The tooth has multiple old composite fillings and the patient wants a metal-free, attractive solution. After checking X-rays and examining the tooth, the dentist suggests an all-ceramic crown with titanium dioxide for best strength and looks.
Processing Steps:
Check insurance benefits for D2722 and note any plan restrictions.
Capture before-treatment photos and X-rays, plus write detailed treatment notes.
File the claim using D2722, including all supporting materials and explanation for material selection.
Track claim progress, check the payment explanation, and file appeal if needed with extra documentation.
This method helps claims process smoothly and ensures the practice gets fair payment for quality patient care.
Common Questions
What types of materials are used for D2722 crown procedures?
D2722 crowns are manufactured in dental laboratories using resin-based composite materials. These full-coverage restorations are specifically designed to encompass the entire visible portion of the tooth and are distinct from porcelain, ceramic, or metal alternatives. Resin-based composite materials provide an aesthetically pleasing appearance while often offering a more economical option compared to other crown types.
What is the typical timeframe for receiving a D2722 crown versus same-day crowns?
D2722 crowns require a longer completion time compared to same-day crowns due to their laboratory fabrication process. The procedure typically involves a minimum of two dental visits: the initial appointment for tooth preparation and impression creation, followed by a second visit for crown placement once laboratory fabrication is complete. This contrasts with chairside crowns created using CAD/CAM technology, which can frequently be manufactured and placed during a single dental appointment.
Are D2722 crowns suitable for front teeth, or are they restricted to back teeth only?
D2722 crowns are appropriate for use on both front and back teeth, provided the clinical circumstances require a full-coverage, laboratory-made resin-based composite restoration. The suitability depends primarily on the degree of tooth damage and the necessity for complete coverage protection, rather than the specific position of the tooth within the mouth.
