RCT Fill Access hole code

  • RCT Fill Access hole code

    Posted by Heather D on May 1, 2024 at 5:57 pm

    I’ve always used a filling code D2391 when closing the access hole in a crown after an RCT. However recently the code has been rejected. Some people say to use the D2980 crown repair code. However I’ve seen online that you can’t use that code because it is not considered to be a restorative material failure and it says to use a filling code. Any thoughts?

    Colleen- Dental Insurance Coach Huff replied 2 weeks ago 3 Members · 3 Replies
  • 3 Replies
  • Missy Pollard

    May 3, 2024 at 1:20 pm

    Heather – Thank you for posting your question! Colleen has reviewed it and is working on a response. She is currently traveling and will provide more information as soon as possible!

  • Heather D

    May 4, 2024 at 10:46 am

    Thank you.

  • Colleen- Dental Insurance Coach Huff

    May 6, 2024 at 9:01 am

    Heather- I am not sure which insurance companies are rejecting this or what the reason is but that is the correct code.

    Page 107 of the ADA Coding companion #13 addresses this specifically. So unfortunetly it may be something specific to that patients plan but I would try sending a copy of the ADA book with an appeal.

    I hope this helps

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