How do I get paid for a crown buildup?

Crown buildups required when a tooth does not have enough structure, after decay is removed, to physically retain a crown on its own and the anatomic crown must be "embelished". It is not a payable procedure to report replacing a filling, removing decay, placing a base or liner, etc. if the tooth could retain the crown without this additional restorative material.

Crown buildups are an abused procedure and these claims are often scrutinized more critically. If the tooth you are restoring does need this structuraly enhancement, make sure it is evident on the x-ray(s) you submit. And if necessity isn't evident, include a narrative for the consultant.

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