CDT D2750: Crown — Porcelain Fused to High Noble Metal
Headline: CDT D2750: Porcelain-Fused-to-High-Noble-Metal Crown Gains Focus in Dental Coverage
Lead: CDT code D2750 represents the placement of a crown combining a high noble metal substructure with a porcelain exterior to restore tooth structure, function, and appearance. It is a common restorative dentistry service with implications for benefit design, coverage policy, and clinical decision-making across major national payers.
What the code represents and why it matters: CDT code D2750 identifies a specific restorative crown type used when strength and esthetics are both priorities. Nationally, crowns of this type factor into coverage determinations, patient cost-sharing, and provider billing workflows because they sit between all-metal and all-ceramic options in cost and clinical application.
Key payers covered: Aetna; Blue Cross Blue Shield; Cigna Health; UnitedHealthcare. These payers commonly include CDT code D2750 in dental and dental-related coverage policies, influencing prior authorization, allowable amounts, and benefit categorizations.
Overview of reader takeaways: This publication provides a clinical and billing profile of CDT code D2750, including typical use cases, common associated diagnoses, comparable related CDT codes, and modifier and coding considerations where applicable. Readers will find benchmark context for restorative crown services, common clinical indications, and references to adjacent procedures used in crown workflows. Data not available in the input is identified where applicable.
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Billing Code Overview
CDT code D2750 denotes a crown — porcelain fused to high noble metal. This procedure involves fabricating and placing a fixed dental crown that combines a high noble metal substructure with a porcelain exterior to restore form, function, and esthetics of a damaged or decayed tooth.
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Service type: Dentistry
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Typical site of service: Dental Office (POS 11)
National Reimbursement Benchmarks
Nationwide, Medicare-equivalent commercial averages (BUCA) have a mean allowed rate of $604.45 compared with Medicare benchmarks included in the data appendix (if present). The commercial mean for BUCA sits between lower commercial payers like Aetna and Cigna and higher payers such as Blue Cross Blue Shield and UnitedHealthcare.
Rate dispersion (P75 minus P25) varies across payers: Blue Cross Blue Shield shows a wide spread ($254.00), UnitedHealthcare also shows a large spread ($144.33), while Aetna ($79.00) and Cigna Health ($87.00) are comparatively tighter. The table and chart below present the full numerical breakdown for national mean rates and percentiles.