Crown — ¾ Cast Noble Metal (D2782) — National Rates

About D2782 — Crown — ¾ Cast Noble Metal

D2782 refers to a ¾ cast noble metal crown, which is typically used to restore a tooth that has been significantly damaged due to decay or trauma. This type of crown provides strength and durability, making it suitable for posterior teeth where chewing forces are greater. Clinical indications for this procedure include extensive caries, fractures, or after root canal therapy. Proper documentation is essential, including radiographs and clinical notes detailing the condition of the tooth and the rationale for crown placement. Reimbursement for D2782 can vary significantly by payor and state, with average reimbursement around $744. Some insurance plans may have specific limitations or require prior authorization, while others may cover a percentage of the cost based on the patient's plan. It's crucial for billing professionals to verify coverage details and ensure that all necessary documentation is submitted to avoid claim denials.

Reimbursement rates for D2782 vary significantly by state, payor, and provider network. The national average negotiated rate is $744. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.