New Codes Coming Jan. 1, 2013: Resin Infiltration and Prefabricated Crowns

July 2012 Volume XLVIII Number 4

Icon is a caries infiltrant that is being used in many dental offices to treat early carious lesions and carious white spot lesions with a minimally invasive procedure. Icon is manufactured by DMG America, which relies upon research showing that effective treatment of an early carious lesion does not always rely on removal of decay. The concept is that if early caries can be stopped, the decay becomes inactive and is no longer a threat to healthy tooth structure.
 
At the February 2012 Code Advisory Committee (CAC) meeting, two code requests for variations of this procedure were discussed. One request was for "resin infiltration of facial non-cavitated white spot lesions." The other request was for "resin infiltration of proximal incipient lesions." It was the requestor’s contention that these procedures
are unique and that under the current coding system there is no effective way to accurately code for them. DMG America contends that when placed properly, Icon material penetrates enamel tubules into the dentinoenamel junction (DEJ), whereas sealant material only seals the surface layer of enamel.
 
The ADA approved one of the requests. The new code will read:

D29XX – resin infiltration of incipient smooth surface
 
Placement of an infiltrating resin restoration for strengthening, stabilizing and/or limiting the progression of the lesion.
 
The specific code number assigned to this procedure will be released in October 2012 when the CDT is published.
 
The ADA also approved a proposal put forth from the AAPD Council on Dental Benefit Programs for a prefabricated crown:

D29XX - Prefabricated Porcelain /ceramic crown – primary tooth

With the advent of new products, it is necessary to create a new code for this particular product. Currently, the only code to report this procedure is D2999.

The specific code number assigned to this procedure will be released in October 2012 when the CDT is published.
For more information, please contact AAPD Dental Benefits Manager Mary Essling at (312) 337-2169 or messling@aapd.org.