D6049

Implant Scaling Peri-implantitis - CDT Code Guide

Implant Services

Overview

CDT Code D6049 refers to the scaling and debridement of a single dental implant when peri-implantitis is present. Peri-implantitis is an inflammatory condition affecting the soft and hard tissues surrounding dental implants, often characterized by inflammation and bleeding upon probing. This procedure is crucial for maintaining the health of dental implants and preventing further complications. It involves the careful removal of plaque and calculus from the implant surface to reduce inflammation and promote healing. Dental professionals perform this procedure in cases where non-surgical intervention is necessary to manage peri-implantitis effectively.

When to Use This Code

  • When a patient presents with signs of peri-implantitis, such as inflammation and bleeding around an implant.
  • In cases where radiographic evidence shows bone loss around a dental implant.
  • When non-surgical intervention is required to manage early-stage peri-implantitis.
  • For maintenance of implants in patients with a history of periodontal disease.
  • When probing depths around an implant indicate the presence of peri-implantitis.

Documentation Requirements

  • Detailed clinical notes describing the presence of peri-implantitis.
  • Radiographic evidence supporting the diagnosis of peri-implantitis.
  • Charting of probing depths and bleeding on probing around the implant.
  • Documentation of the scaling and debridement procedure performed.
  • Patient consent for the procedure and any post-operative care instructions provided.

Billing Considerations

When billing for D6049, it is important to note that this code is specific to the treatment of peri-implantitis and should not be used for routine implant maintenance. Insurance coverage may vary, and pre-authorization might be required. Frequency limitations may apply, so it is essential to verify with the patient's insurance provider. Common modifiers such as -25 for significant, separately identifiable services may be applicable if other procedures are performed on the same day.

Related CDT Codes

Frequently Asked Questions

Peri-implantitis is an inflammatory condition affecting the tissues around dental implants, often leading to bone loss and requiring professional intervention.

Source: CDT 2023 © American Dental Association

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