When is D2915 used?
The D2915 dental code applies to the re-cementation or re-bonding procedures for indirectly fabricated or prefabricated posts and cores. This CDT code is suitable when a previously installed post and core that supports a crown becomes loose but remains functional and can be reattached without requiring a new restoration. Typical situations include post displacement from trauma, treated recurrent decay, or retention loss from regular use. It's crucial to differentiate this procedure from initial post and core placement (D2952 for indirectly fabricated post and core, or D2954 for prefabricated post and core), since D2915 exclusively addresses re-cementation or re-bonding, not initial installation.
D2915 Charting and Clinical Use
Proper documentation is vital for successful D2915 billing. Patient records should clearly document:
Original post and core placement date and type
Cause of displacement or retention failure
Evaluation confirming the post and core remain intact and suitable for reuse
Specific details of the re-cementation or re-bonding treatment performed
Clinical photographs, radiographic images, and copies of the initial treatment plan (when available) can enhance your claim and demonstrate medical necessity. Typical clinical situations involve patients presenting with mobile crowns and posts, where the post and core components are undamaged and simply need reattachment.
Billing and Insurance Considerations
To optimize reimbursement and reduce claim denials when submitting D2915:
Confirm coverage: Many dental insurance plans do not cover post and core re-cementation or re-bonding. Review patient benefits prior to treatment.
Provide supporting documentation: Attach clinical records, radiographs, and intraoral photographs to your claim to establish necessity and confirm the procedure is not a replacement.
Apply correct CDT code: Confirm D2915 is used exclusively for re-cementation or re-bonding procedures, not for initial post and core installations.
Monitor EOBs: Carefully examine Explanation of Benefits for denial explanations and prepare to submit appeals with additional documentation when necessary.
AR management: Track accounts receivable to ensure prompt payment and follow up on pending claims quickly.
How dental practices use D2915
Scenario: A patient visits the practice with a displaced crown and post. Clinical examination shows the prefabricated post and core are undamaged, with no evidence of new decay. The dentist removes the crown, cleans the post and canal space, and re-bonds the existing post and core using suitable adhesive material. Patient records document the initial placement date, failure cause (retention loss), and re-bonding procedure steps. The claim is filed using D2915, accompanied by radiographs and a clinical narrative. The insurance company approves the claim, resulting in timely payment without complications.
This scenario demonstrates the significance of comprehensive documentation and proper code selection for effective dental billing and revenue cycle management.
Common Questions
Do all dental insurance plans provide coverage for D2915?
Insurance coverage for D2915 differs across various dental plans. Many insurance policies may not include benefits for re-cementing or re-bonding procedures involving posts and cores. Always confirm the patient's specific coverage details and review any frequency restrictions or exclusions prior to treatment.
Is it appropriate to bill D2915 when the post or core needs replacement due to damage?
D2915 is not the correct code when the post or core is broken, compromised, or requires replacement. In these situations, use the proper code for new post and core installation, such as D2952 for a laboratory-made post and core assembly.
What documentation should accompany a D2915 claim to improve approval chances?
Supporting documentation for D2915 claims should include comprehensive clinical documentation, original placement date, justification for re-cementation, verification that the post and core remain undamaged, plus relevant clinical photographs or X-rays when applicable. A detailed treatment narrative explaining the medical necessity can significantly reduce the likelihood of claim rejections.