This month we feature the code for core buildup. This code is very tricky and relies solely on narratives to help obtain reimbursement.
D2950: Core buildup, including any pins when required
Purpose: To build up tooth structure when there is not enough retention to support a crown (pfm)
- Submitting a claim with x-rays is not enough to facilitate coverage and payment.
- This code should be applied only when rebuilding the tooth structure to support a crown.
- Dental insurance companies will refer to the patient's plan limitations and exclusions when considering the dental claim.
- This procedure has a limitation of once per lifetime, per tooth.
- Make sure to include a narrative reporting percentage of tooth after tooth prep.
- A narrative should be included indicating “core buildup is necessary in order to properly restore tooth #__ a crown prep has been performed and will be inserted."
- If the tooth is root canal-treated, indicate that endo treatment has been completed and a buildup is necessary.
- Pre-op and post-op x-rays must always accompany the claim form.
