Is D6068 covered by insurance?

Coverage varies by insurance provider. It's important to check with the patient's insurance for specific coverage details and pre-authorization requirements.

Can D6068 be used for a single missing tooth?

Yes, D6068 can be used when a single tooth is missing, provided there is an implant abutment available to support the retainer.

How does D6068 differ from a traditional bridge?

Unlike a traditional bridge that relies on natural teeth for support, D6068 utilizes an implant abutment, offering potentially greater stability and longevity.

What are the benefits of using a ceramic retainer?

Ceramic retainers offer excellent aesthetic results, mimicking the natural appearance of teeth, and are also durable and resistant to staining.

D6068

Abutment Supported Retainer - CDT Code Guide

Implant Services/Fixed Partial Denture (FPD) Retainer, Abutment Supported

Overview

CDT Code D6068 refers to an abutment supported retainer for a porcelain or ceramic fixed partial denture (FPD). This procedure involves the placement of a ceramic retainer that is supported by an abutment on a dental implant. It is designed to provide retention, support, and stability for the fixed partial denture, which is a type of dental prosthesis used to replace missing teeth. Typically, this code is used in scenarios where a patient has one or more missing teeth and requires a durable and aesthetically pleasing solution. The abutment supported retainer is crucial in ensuring that the FPD is securely anchored, providing both functional and cosmetic benefits.

When to Use This Code

When a patient has an implant and requires a fixed partial denture
In cases where a porcelain or ceramic material is preferred for aesthetic reasons
When additional stability and support are needed for the FPD
For patients with missing teeth adjacent to an implant
In situations where a traditional bridge is not feasible due to lack of natural teeth support

Documentation Requirements

Detailed patient chart notes documenting the need for an FPD
Radiographic evidence supporting the presence of an implant abutment
Clinical notes describing the procedure and materials used
Patient consent forms for implant and prosthetic procedures
Documentation of the patient's dental and medical history
Insurance pre-authorization, if required

Billing Considerations

When billing for D6068, ensure that the procedure is clearly documented and justified in the patient's records. Be aware of any frequency limitations imposed by insurance providers, as well as any specific coverage policies related to implant-supported prosthetics. Common modifiers may include those indicating the location of the procedure or specific patient conditions. Verify with the patient's insurance for any pre-authorization requirements to avoid claim denials.

Related CDT Codes

D6056 D6065 D6066 D6067 D6069

Frequently Asked Questions

The retainer is typically made from porcelain or ceramic, chosen for their aesthetic qualities and strength.

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