Audience
Zip code - drawer
County - drawer

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Policy No:  18

Originally Created: 03/01/1997

Section: Restorative

Last Reviewed:  01/01/2019

Last Revised:  01/01/2018

Approved: 01/01/2018

Effective:  01/01/2018

Description

Core buildup, including any pins when required (D2950)

  • Refers to building of coronal structure when there is insufficient retention for a separate extracoronal restorative procedure.  A core buildup is not a filler to eliminate any undercut, box form, or concave irregularity in a preparation.

Post and core in addition to crown, indirectly fabricated (D2952)

  • Cast post and core is separate from crown

Prefabricated post and core in addition to crown (D2954)

  • Core is built around a prefabricated post. This procedure includes the core material.

Each additional, indirectly fabricated post – same tooth (D2953)

  • To be used with D2952

Each additional prefabricated post – same tooth (D2957)

  • To be used with D2954

Policy/criteria

Procedure is in accordance with generally accepted standards of dental practice.

Administrative guidelines

Process to contract benefits.

Procedure code D2950 is inclusive of D2952, D2953 and/or D2954, D2957 and separate charges are not reimbursable for the same date of service.

Codes

CDT - D2000-D2999 - see above

Disclaimer

Your use of this Dental Policy constitutes your agreement to be bound by and comply with the terms and conditions of the Dental Policy Disclaimer.