Understanding Dental Code D2915

When to Use D2915 dental code

The D2915 dental code is used to report the re-cementation or re-bonding of an indirectly fabricated or prefabricated post and core. This CDT code is appropriate when a previously placed post and core, which supports a crown, becomes dislodged but is still serviceable and can be reattached without the need for a new restoration. Common scenarios include post dislodgement due to trauma, recurrent decay that has been addressed, or loss of retention from normal function. It is important to distinguish this procedure from the initial placement of a post and core (D2952 for indirectly fabricated post and core, or D2954 for prefabricated post and core), as D2915 specifically covers the re-cementation or re-bonding, not new placement.

Documentation and Clinical Scenarios

Accurate documentation is essential for successful billing of D2915. Clinical notes should clearly indicate:

• The date and type of original post and core placement
• The reason for dislodgement or loss of retention
• Assessment confirming the post and core are intact and reusable
• Details of the re-cementation or re-bonding procedure performed

Photographs, radiographs, and a copy of the original treatment plan (if available) can strengthen your claim and support medical necessity. Common clinical scenarios include a patient presenting with a loose crown and post, where the post and core are undamaged and simply require reattachment.

Insurance Billing Tips

To maximize reimbursement and minimize denials when billing D2915:

• Verify coverage: Not all dental plans cover re-cementation or re-bonding of posts and cores. Check the patient’s benefits before treatment.
• Submit supporting documentation: Include clinical notes, radiographs, and intraoral photos with your claim to demonstrate necessity and that the procedure is not a replacement.
• Use correct CDT code: Ensure D2915 is used only for re-cementation or re-bonding, not for new post and core placements.
• Track EOBs: Review Explanation of Benefits (EOBs) carefully for denial reasons and be prepared to submit appeals with additional documentation if needed.
• AR follow-up: Monitor accounts receivable (AR) to ensure timely payment and follow up on outstanding claims promptly.

Example Case for D2915

Case: A patient returns to the office with a dislodged crown and post. Examination reveals the prefabricated post and core are intact, and there is no new decay. The dentist removes the crown, cleans the post and canal, and re-bonds the original post and core using appropriate adhesive. Clinical notes document the original placement date, reason for failure (loss of retention), and steps taken to re-bond. The claim is submitted with D2915, including radiographs and a narrative. The insurance carrier approves the claim, and payment is received without delay.

This example highlights the importance of thorough documentation and correct code selection for efficient dental billing and revenue cycle management.