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D2710 documentation requirements

For crown claims (D2710–D2799), the published payer rules converge on one core requirement: a current, dated pre-operative radiograph — Delta Dental Ins. criteria specify a periapical (not panoramic) taken within one year of the prep, Aetna and MetLife require recent dated pre-op images, and Cigna pays when the evidence confirms decay or fracture too extensive for a filling. Replacement crowns also need the prior placement date and the reason for replacement. Confirm the current rule in the payer's own policy document linked on this page.

Last verified
2026-08-28
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