Alerts

Service Procedure Code D2740 – Porcelain/Ceramic Substrate Crowns

11/17/2016

     PDF Version

     TO:  All Dental Providers, Oral Surgeons, Federally Qualified Health 
     Centers (FQHC), Rural Health Centers (RHC), Indian Health Services 
     (IHS), State Agencies, and Alabama Dental Association
 

Effective for dates of service on or after December 1, 2016, the Alabama Medicaid Agency (“Medicaid”) will begin coverage of porcelain/ceramic substrate crowns. Providers will be able to bill D2740 to Medicaid for this service.

 

This coverage will provide an additional service in restorative treatment. D2740 will be subject to the limit of 6 per date of service individually or in combination with D2750, D2751, D2752, D2792, D2930, D2931 and D2932 in the office setting, place of service 11.

 

A prior authorization will be required for this service in a hospital/ambulatory surgical center/outpatient setting, place of service 22.  Medicaid will cover D2740 only following root canal therapy (D3310, D3320, D3330) and providers will be reimbursed for only one code per tooth per lifetime for procedures D2740, D2750, D2751, D2752, D2791, and D2792.

 

The reimbursement rate will be $435.00 per unit.


You may contact the Dental program for questions by emailing

elizabeth.huckabee@medicaid.alabama.gov.