Understanding Dental Code D2953

When to Use D2953 dental code

The D2953 dental code is used to report each additional indirectly fabricated post required in the restoration of an endodontically treated tooth. This CDT code is specifically indicated when more than one post is needed to provide adequate retention for a core buildup, typically in cases where the coronal tooth structure is severely compromised. D2953 is billed in addition to the primary post and core procedure, such as D2952 (post and core in addition to crown, indirectly fabricated). Use D2953 only when a second or subsequent post is fabricated and placed during the same restorative appointment.

Documentation and Clinical Scenarios

Accurate documentation is essential for proper reimbursement and audit protection. When billing D2953, include detailed clinical notes describing:

• The reason multiple posts are required (e.g., extensive loss of tooth structure, wide canal anatomy).
• The number of posts placed and their locations.
• Materials used for each post (e.g., fiber, metal, ceramic).
• Pre- and post-operative radiographs showing the need for and placement of additional posts.

Common clinical scenarios include molars with multiple canals requiring individual posts, or anterior teeth with wide or irregular canals where a single post would not provide sufficient retention. Always ensure the clinical rationale for additional posts is clearly justified in the patient's chart.

Insurance Billing Tips

To maximize reimbursement and minimize denials for D2953:

• Verify plan coverage before treatment, as some dental benefit plans limit the number of reimbursable posts per tooth.
• Submit supporting documentation with the claim, including clinical notes and radiographs.
• Use correct CDT coding: Bill D2952 for the first indirectly fabricated post and D2953 for each additional post on the same tooth.
• Review EOBs (Explanation of Benefits) carefully for bundling or denial issues. If denied, initiate a claim appeal with additional documentation.
• Track AR (accounts receivable) to ensure timely follow-up on unpaid or partially paid claims.

Best practice: Always communicate with the patient about potential out-of-pocket costs if their plan has limitations on post coverage.

Example Case for D2953

Scenario: A patient presents with a maxillary molar that has undergone root canal therapy. Due to extensive loss of coronal tooth structure and the presence of two large canals, the dentist determines that two indirectly fabricated posts are necessary to support the core and final crown.

Billing Steps:

1. Bill D2952 for the first post and core.
2. Bill D2953 for the second post placed during the same appointment.
3. Attach clinical notes and radiographs to the insurance claim, clearly indicating the need for both posts.
4. Verify that the patient’s dental plan allows reimbursement for multiple posts on a single tooth.
5. Monitor the claim status and respond promptly to any requests for additional information or claim appeals.

This approach ensures accurate billing, supports clinical decision-making, and helps dental practices receive appropriate reimbursement for complex restorative procedures.