Understanding Dental Code D2722

When to Use D2722 dental code

The D2722 dental code is designated for an all-ceramic crown (titanium dioxide). This CDT code should be used when a patient requires a full-coverage restoration on a natural tooth, and the material used is a high-strength ceramic containing titanium dioxide. D2722 is most appropriate when aesthetics and durability are priorities, such as for anterior or visible posterior teeth where metal-free solutions are preferred. Proper code selection ensures accurate reimbursement and compliance with insurance requirements.

Documentation and Clinical Scenarios

To support the use of D2722, dental teams must document the clinical necessity for a crown, including:

• Pre-operative radiographs showing decay, fracture, or existing restoration failure
• Detailed clinical notes describing the extent of damage or loss of tooth structure
• Material selection rationale (why an all-ceramic, titanium dioxide crown is indicated over other types such as all-ceramic crowns or porcelain fused to metal crowns)
• Photographs, if available, to illustrate the condition and need for a crown

Common clinical scenarios include fractured anterior teeth, failed composite restorations, or patients with metal allergies. Always ensure that your documentation clearly supports the medical necessity for the D2722 crown to minimize claim denials.

Insurance Billing Tips

Successful billing for D2722 starts with accurate insurance verification. Confirm the patient’s plan covers all-ceramic crowns and check for frequency limitations, waiting periods, or downgrades to less expensive materials. When submitting claims:

• Use the correct CDT code (D2722) and ensure it matches your clinical documentation
• Attach supporting documents (radiographs, intraoral photos, chart notes)
• Include a narrative if the case is complex or if the insurance plan typically downgrades to other crown types
• Review the Explanation of Benefits (EOB) for payment details and reasons for any reductions or denials

If a claim is denied due to material downgrades or lack of documentation, promptly appeal with additional evidence and a clear explanation of why D2722 was medically necessary. Timely follow-up and thorough records are key to maximizing reimbursement and reducing accounts receivable (AR) days.

Example Case for D2722

Case: A 38-year-old patient presents with a fractured upper central incisor. The tooth has extensive previous composite restorations and the patient requests a metal-free, highly aesthetic solution. After evaluating radiographs and clinical findings, the dentist recommends an all-ceramic crown with titanium dioxide for optimal strength and appearance.

Billing Steps:

1. Verify insurance coverage for D2722 and document plan limitations.
2. Take pre-op photos and radiographs, and record detailed clinical notes.
3. Submit the claim with D2722, attaching all supporting documents and a narrative explaining the material choice.
4. Monitor the claim status, review the EOB, and appeal if necessary with additional documentation.

This approach ensures the claim is processed efficiently and the practice receives appropriate reimbursement for the high-quality care provided.