When is D2753 used?
The D2753 dental code applies to crown procedures categorized as "Crown – porcelain fused to titanium and titanium alloys." This CDT code should be utilized when patients need full-coverage restorations using porcelain bonded to a titanium-based framework. The code is particularly appropriate for patients experiencing metal sensitivities, those with biocompatibility issues, or situations requiring both durability and aesthetic appeal, including posterior tooth restorations or patients with bruxism.
Dental professionals should apply D2753 exclusively when the crown construction involves a titanium or titanium alloy foundation with porcelain overlay. Applying this code to crowns constructed with alternative metals (including high noble or base metal compositions) constitutes improper coding and may lead to claim rejections or processing delays.
D2753 Charting and Clinical Use
Proper documentation proves crucial for successful D2753 reimbursement. Clinical records must clearly document:
The specific tooth number receiving restoration
Clinical justification for selecting titanium-based crowns (such as metal hypersensitivity, strength requirements, or patient selection)
Pre-treatment and post-treatment radiographic images or clinical photographs
Comprehensive narrative when required by insurance carriers, including prior restorative treatments and any restoration failures
Typical clinical applications involve patients with documented base metal hypersensitivities, individuals needing implant-supported restorations (where titanium abutments are standard), or situations where previous porcelain fused to noble metal restorations have failed due to allergic responses.
Billing and Insurance Considerations
For optimal claim approval with D2753, dental billing professionals should implement these strategies:
Confirm patient coverage prior to treatment, validating titanium crown benefits and any usage restrictions.
Request pre-treatment authorization when feasible, including clinical documentation and detailed explanations for titanium material selection.
Apply accurate CDT coding—avoid substituting D2753 with similar crown codes unless materials correspond exactly.
Include supporting documentation and images with claims to minimize additional information requests or denials.
When EOB (Explanation of Benefits) indicates denial, examine carrier policies, compile additional clinical support, and file a claim appeal with clear medical necessity documentation.
Maintaining updated payer policy knowledge and comprehensive AR (accounts receivable) documentation helps optimize revenue cycle efficiency and reduce processing delays.
How dental practices use D2753
A patient with documented base metal allergies presents with a fractured posterior tooth requiring complete coverage restoration. Following material consultation, the dentist and patient select a porcelain fused to titanium crown. The clinical team records the allergy history, tooth identification, and treatment rationale in patient records. Pre-treatment radiographs and clinical images are archived. The billing specialist confirms insurance benefits, submits pre-authorization with complete supporting materials, and applies D2753 to the claim. The authorization receives approval, resulting in timely payment, illustrating how proper coding and comprehensive documentation ensure successful reimbursement.
Common Questions
How does D2753 differ from other porcelain fused to metal crown codes?
D2753 is specifically designated for crowns featuring a porcelain exterior bonded to a titanium or titanium alloy framework. In contrast, other codes like D2750 apply to porcelain fused to high noble metal substrates, while D2752 covers base metal alloy frameworks. The appropriate code selection is determined by the underlying substructure material and is essential for proper billing procedures and insurance claim processing.
What special considerations apply to patients with metal allergies when selecting D2753?
D2753 represents an excellent choice for patients who have documented sensitivities to various metals, since titanium demonstrates exceptional biocompatibility with minimal risk of triggering allergic responses. It's crucial to maintain thorough documentation of the patient's allergic history and provide clear justification for selecting a titanium-based restoration to support insurance claim approval and ensure optimal patient care.
Is D2753 suitable for crowns on both front and back teeth?
D2753 crowns are appropriate for placement on both anterior and posterior teeth when clinically indicated. The selection process should consider multiple factors including the tooth's position in the mouth, aesthetic requirements, chewing forces and functional demands, along with the patient's overall health profile and treatment preferences.