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Good afternoon. My question for you is the following: I submitted a claim for code D2752 which is crown- porcelain fused to nobel metal. The submission was sent with an x-ray of the tooth (#29) and an explanation on why a crown was the best treatment. The insurance company is telling me the code is wrong and that I need to resubmit with code D2792 Crown- full cast nobel metal. Why do I hae to submit for a full cast when a porcelain crown was done? Have the codes changed? How do I resubmit this? Thank you for your prompt attention.

October 26, 2012 by Admin

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  • Good afternoon. My question for you is the following: I submitted a claim for code D2752 which is crown- porcelain fused to nobel metal. The submission was sent with an x-ray of the tooth (#29) and an explanation on why a crown was the best treatment. The insurance company is telling me the code is wrong and that I need to resubmit with code D2792 Crown- full cast nobel metal. Why do I hae to submit for a full cast when a porcelain crown was done? Have the codes changed? How do I resubmit this? Thank you for your prompt attention.

Good afternoon. My question for you is the following: I submitted a claim for code D2752 which is crown- porcelain fused to nobel metal. The submission was sent with an x-ray of the tooth (#29) and an explanation on why a crown was the best treatment. The insurance company is telling me the code is wrong and that I need to resubmit with code D2792 Crown- full cast nobel metal. Why do I hae to submit for a full cast when a porcelain crown was done? Have the codes changed? How do I resubmit this? Thank you for your prompt attention.

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Posted by Admin
Asked on October 26, 2012 11:02 am
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I would contact the insurance carrier and ask for an explanation as to why they are requesting you to change your CDT code when it does not match the description of the procedure performed.It could be that the carrier only covers full cast nobel metal crowns. Unfortunately, this is a carrier issue not a coding issue.

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Answered on October 27, 2012 11:02 am
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