How often should D6080 be performed?

The frequency depends on the patient's specific needs and insurance coverage, but it is typically performed annually or as needed based on clinical findings.

Is D6080 covered by all dental insurance plans?

Coverage varies by plan. It's important to verify with the patient's insurance provider to understand the specific coverage and any limitations.

Can D6080 be performed on a single implant?

D6080 is specifically for full arch fixed hybrid prostheses, not individual implants. For single implant maintenance, other codes may be more appropriate.

What should be included in the patient record for D6080?

Include detailed notes on the procedure, condition of the prosthesis and implants, any adjustments made, and patient instructions.

D6080

Implant Maintenance Removable - CDT Code Guide

Implant Services/Other Implant Services

Overview

CDT code D6080 refers to implant maintenance procedures specifically for cases where a full arch fixed hybrid prosthesis is removed and reinserted. This procedure is crucial for ensuring the longevity and functionality of the prosthesis, as well as maintaining oral health around the implant site. Typically, this involves a thorough cleaning of the implant components and surrounding tissues, assessment of the prosthesis fit, and any necessary adjustments. Dental professionals often perform this procedure during routine maintenance visits to prevent complications such as peri-implantitis or mechanical failures.

In clinical practice, D6080 is used when a patient presents with a full arch fixed hybrid prosthesis that requires removal for maintenance. This could be due to plaque accumulation, discomfort, or to assess the condition of the underlying implants. The procedure ensures that both the prosthesis and the implants remain in optimal condition, thereby extending their lifespan and maintaining patient satisfaction.

When to Use This Code

When a full arch fixed hybrid prosthesis needs routine maintenance.
If there is evidence of plaque accumulation around the implant site.
When the prosthesis requires removal for assessment of fit and function.
In cases where the patient reports discomfort or mobility of the prosthesis.
To prevent or address early signs of peri-implantitis.

Documentation Requirements

Detailed clinical notes on the condition of the prosthesis and implants.
Documentation of the removal and reinsertion process.
Records of any adjustments made to the prosthesis.
Patient consent for the procedure.
Notes on oral hygiene instructions provided to the patient.
Photographic evidence, if applicable, to support the need for maintenance.

Billing Considerations

When billing for D6080, it's important to note any frequency limitations set by the patient's insurance plan, as some may only cover this procedure annually. Common modifiers may include those indicating the quadrant or arch involved. Ensure that the patient's insurance policy covers implant maintenance procedures, as coverage can vary widely. Coordination with the insurance provider beforehand can prevent claim denials.

Related CDT Codes

D6010 D6056 D6065 D6081 D6090

Frequently Asked Questions

D6080 is for maintenance involving the removal and reinsertion of a full arch fixed hybrid prosthesis, while D6081 is for scaling and debridement in the presence of inflammation around an implant.

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