Dental bridges are custom-made replacements for missing teeth. They’re anchored to the teeth on either side of the gap, restoring both the look and function of your smile.
To keep things consistent, dentists use CDT (Current Dental Terminology) codes when billing for procedures. These codes help ensure accurate billing and clear communication with insurance companies.
This article focuses specifically on the CDT codes related to Maryland bridges – a type of bonded fixed partial denture – so you can better understand the costs associated with this tooth replacement option.
Understanding CDT Codes for Maryland Bridges
Dental procedures are assigned specific Current Dental Terminology (CDT) codes for billing and record-keeping. Let’s break down the CDT codes that relate to Maryland bridges.
What is a Maryland Bridge?
A Maryland bridge is a type of fixed partial denture. It’s bonded to the teeth next to the gap using a resin or composite material. The teeth that support the bridge usually don’t require much preparation.
Maryland bridges have advantages and disadvantages compared to traditional bridges. On the plus side, a Maryland bridge requires less tooth structure removal, and the procedure is potentially reversible. On the other hand, Maryland bridges aren’t as strong as traditional bridges and can sometimes become unbonded.
Key CDT Code: D6210
CDT code D6210 refers to a pontic (the artificial tooth) for a Maryland bridge. Specifically, this code is for a pontic made of cast metal, either precious or high noble metal.
You’d use this code when the pontic is made from a precious or high noble cast metal.
CDT Codes for Bonded Fixed Prostheses
When it comes to Maryland bridges, knowing the correct CDT codes is essential for accurate billing and documentation. A key component of these bridges is the wing retainer.
Wing Retainers: An Overview
Wing retainers are the parts that attach the bridge to the teeth right next to the gap. They’re bonded to the back sides of those adjacent teeth, providing a secure hold.
Specific CDT Codes for Wing Retainers
Here are the specific codes you’ll need, depending on the material used:
- D6545: Wing Retainer, Cast Metal for Bonded Fixed Prosthesis. Use this for cast metal wing retainers.
- D6548: Wing Retainer, Porcelain/Ceramic for Bonded Fixed Prosthesis. This one’s for porcelain or ceramic wing retainers.
- D6549: Wing Retainer, Composite or Resin. Use this code when the wing retainer is made of composite or resin.
Factors Influencing Code Selection
The material of the wing retainer is what determines the correct code. So, whether it’s metal, ceramic, or composite, make sure you pick the code that matches.
Related Bridge Codes and Materials
When coding for Maryland bridges, it’s essential to also understand the codes for the components that make up the bridge. These include codes for retainer crowns and pontic materials.
Retainer Crown Codes
- D6740: Retainer Crown – Porcelain/Ceramic. Use this code when a full crown is used as a retainer and the crown is made of porcelain or ceramic.
- D6791: Retainer Crown – Full Cast, Predominantly Base Metal. This code applies to full cast crowns made of predominantly base metal.
- D6790: Retainer Crown – Full Cast High Noble Metal. Use this code for full cast crowns made of high noble metal.
Pontic Material Codes
- D6245: Pontic – Porcelain/Ceramic. This code is for a pontic made entirely of porcelain or ceramic.
- D6240: Pontic, Porcelain Fused to Precious/High Noble Metal. Use this code when the pontic is porcelain fused to precious or high noble metal.
- D6241: Pontic, Porcelain Fused to Predominantly Base Metal/Non-Precious Metal. This code is for pontics made of porcelain fused to predominantly base metal.
- D6242: Pontic, Porcelain Fused to Semi-Precious/Noble Metal. This code applies when the pontic is porcelain fused to semi-precious or noble metal.
Importance of Material Selection
The materials you choose for the bridge will affect how long it lasts, how it looks, and how much it costs. Selecting the right materials is crucial for a successful and satisfying outcome.
Frequently Asked Questions
What’s the code for the Maryland bridge?
The specific code for a Maryland bridge is D6608, which refers to a “pontic – cast metal with porcelain/ceramic veneer.” This code covers the portion of the bridge that replaces the missing tooth and is attached to the adjacent teeth.
What are the dental codes for a bridge?
Dental codes for a bridge vary depending on the type of bridge and the materials used. Common codes include D6240 (pontic – porcelain fused to metal), D6245 (pontic – porcelain/ceramic), D6750 (crown – porcelain fused to metal), and D6752 (crown – porcelain/ceramic). Remember that each abutment tooth (the teeth supporting the bridge) will also have its own code.
What is a D6750 dental code?
D6750 is a dental code that describes a “crown – porcelain fused to metal (predominantly base metal).” This code is used when a crown is made with a metal base that is then covered with porcelain for a more natural appearance and better aesthetics.
What is dental code D6245?
Dental code D6245 refers to a “pontic – porcelain/ceramic.” This means the pontic, which is the artificial tooth replacing the missing one in a bridge, is made entirely of porcelain or ceramic material. This option is often chosen for its natural appearance and biocompatibility.
Conclusion
When it comes to Maryland bridges and other bonded fixed prostheses, it’s important to understand the relevant CDT codes. Accurate coding is essential for billing and insurance claims.
Your dentist is in the best position to determine the appropriate code based on your individual needs, the materials used, and the specific design of the bridge.
If you think a Maryland bridge might be right for you, talk with your dentist. They can give you a proper diagnosis, explain your treatment options, and help you understand the associated costs.