April 12, 2022
Knowing when to apply each of these dental codes can help you avoid insurance audits and fraudulent claims.
Kyle L. Summerford, Editorial Director
Are you using the correctpostcode on your dental claim form? To be sure, first you need to know the difference between these codes and how they must be applied.
D2952:Post and core in addition to crownindirectly fabricated
D2953:Eachadditionalindirectly fabricatedpost—same tooth
D2954:Prefabricatedpost and core in addition to crown
D2957:Each additionalprefabricatedpost—same tooth
Are you submitting the correct code?
Anindirectly fabricatedpost and core (D2952) is usually placed when aprefabricated(out-of-the-box) post will not provide the right fit and/or stability for the tooth. It's usually custom-made and may require assistance from a dental laboratory. Be sure to report D2953 if there is more than one post to be placed on the same tooth.
Aprefabricatedpost and core (D2954) is a standard (out-of-the-box) post, and it typically comes in various sizes. A standard post will be placed if the size and fit are perfect to stabilize the tooth without the need of a dental laboratory fabrication. Most dental practices will use this method. Be sure to report D2957 if there is more than one post to be placed on the same tooth.
Things to keep in mind:
- Either code can be used after a tooth has undergone root canal treatment.
- Anterior teeth typically do not have post and cores placed.
- These codes can be used for a single-unit crown or a bridge (except a pontic tooth, of course).
- Either code can be used for a crown or bridge. An indirectly fabricated post and core (D2952) usually yields a higher reimbursem*nt rate, but be sure to submit the correct code to avoid fraudulent claim practices.
- To facilitate claim reimbursem*nt, post-op x-rays should be submitted along with the claim to show the need for the post and core.
More "Coding with Kyle":
- D2950 core buildup, including pins when required
- Are dental sealants ever covered by dental insurance?
- What exactly is a root amputation?
Editor's note: Originally published in 2018; updated regularly.
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