When is D2953 used?
The D2953 dental code is utilized to document each supplementary indirectly fabricated post needed in restoring an endodontically treated tooth. This CDT code applies specifically when multiple posts are necessary to ensure proper retention for a core buildup, particularly in situations where the crown portion of the tooth has significant damage. D2953 is charged alongside the main post and core service, such as D2952 (post and core in addition to crown, indirectly fabricated). Apply D2953 exclusively when a second or additional post is created and installed during the identical restorative visit.
D2953 Charting and Clinical Use
Thorough documentation is vital for correct reimbursement and audit security. When submitting D2953, include comprehensive clinical records describing:
The justification for requiring multiple posts (e.g., significant structural loss, broad canal configuration).
The quantity of posts installed and their positions.
Components utilized for each post (e.g., fiber, metal, ceramic).
Before and after radiographs demonstrating the necessity for and installation of extra posts.
Typical clinical situations include molars with several canals needing individual posts, or front teeth with broad or uneven canals where one post would not supply adequate retention. Always confirm the clinical justification for extra posts is properly documented in the patient's record.
Billing and Insurance Considerations
To optimize reimbursement and reduce rejections for D2953:
Confirm plan benefits prior to treatment, as certain dental insurance plans restrict the number of covered posts per tooth.
Provide supporting materials with the claim, including clinical records and radiographs.
Apply proper CDT coding: Submit D2952 for the initial indirectly fabricated post and D2953 for each extra post on the identical tooth.
Examine EOBs (Explanation of Benefits) thoroughly for bundling or rejection concerns. If rejected, start a claim appeal with extra documentation.
Monitor AR (accounts receivable) to guarantee prompt follow-up on outstanding or partially settled claims.
Recommended approach: Always discuss with the patient regarding possible out-of-pocket expenses if their plan has restrictions on post coverage.
How dental practices use D2953
Scenario: A patient arrives with an upper molar that has received endodontic treatment. Because of significant loss of crown structure and the existence of two large canals, the dentist decides that two indirectly fabricated posts are required to support the core and final crown.
Billing Process:
Submit D2952 for the initial post and core.
Submit D2953 for the additional post placed during the same visit.
Include clinical documentation and radiographs with the insurance claim, clearly showing the necessity for both posts.
Confirm that the patient's dental insurance permits reimbursement for multiple posts on one tooth.
Track the claim progress and respond quickly to any requests for extra information or claim appeals.
This method ensures proper billing, supports clinical choices, and helps dental offices receive correct reimbursement for advanced restorative treatments.
Common Questions
Can D2953 be applied to posts in primary (baby) teeth?
No, D2953 is typically not applicable for posts in primary teeth. Posts are seldom recommended for baby teeth due to their unique anatomical structure and the natural process of tooth exfoliation. The D2953 code is specifically designed for permanent teeth that require additional custom-fabricated posts for core support.
Are there restrictions on billing D2953 multiple times for the same tooth?
While the CDT code system doesn't establish a universal limit for billing D2953 on a single tooth, individual insurance providers may impose their own frequency restrictions or limitations. It's essential to verify coverage details with the patient's insurance plan and maintain comprehensive documentation to support the clinical necessity of multiple posts.
How do indirectly fabricated posts differ from prefabricated posts?
An indirectly fabricated post is specially crafted in a dental laboratory using impressions or digital scans of the prepared tooth, ensuring optimal fit and customization. In contrast, a prefabricated post is a ready-made, standardized component that the dentist selects and places during the appointment. The D2953 code exclusively covers additional indirectly fabricated posts and does not apply to prefabricated options.