03 Jan Coding Tip: D2950 Core Build-up Debunked
This code is overused and misused in many situations. To understand it’s true application read the definitions from Coding with Confidence by Charles Blair, DDS http://drcharlesblair.com/
According to Dr. Blair “A core build-up(no longer called crown build-up) must be necessary for crown retention to be considered a build-up. The core build-up should rebuild the internal anatomy of the tooth structure as prepared for a crown. Many payers will not cover a build-up unless there is a crown being placed or will not pay for the build-up without the seat date of the crown provided. Often a core-build-up is reimbursed for a crown placed after endodontic seal because it is common for severe loss of tooth structure from decay.
Dental Billing Tips and News for Pros; Edition #131