Fee for crown plus fee for "core."
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The average crown prep may need only removal of old amalgam, and a
minor re-basing before the ideal prep is obtained.
This often occurs when a single cusp fractures off a molar and a crown
is needed.
But what about the odd case with a fracture, or deep caries, AND an
endo recently completed? By the time you prep for a crown, there's no
tooth structure left to put a crown on. This case requires the
"buildup." I wouldn't call it a "core" but I guess other dentists
might use the term in conversation.
This should be quite distinct from the concept of "POST and core."
When I have to spend the time on a massive buildup, I first explain to
the patient (as I did yesterday) that the buildup is necessary, and I
obtain his acknowledgement that there will be an additional charge,
because I'm doing the additional work, that is not usually required
for the average crown.
I would have to draw a big distinction between "core" on one hand, and
"post and core" on the other. I don't know of any CDT code for "core,"
so how could anybody bill for a "core?" There's no code to bill with!
The "buildup," however, does indeed have a billing code.
Using the CDT code for "post and core" when only a buildup without a
post has been done, would not seem accurate.
- dentaldoc
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