Implant Supported Crown - CDT Code Guide
Overview
CDT code D6086 refers to a single metal crown restoration that is retained, supported, and stabilized by a dental implant. This procedure involves placing a crown made predominantly of base alloys onto an implant fixture, providing a durable and stable solution for tooth replacement. Typically used in cases where a patient has lost a tooth and requires a strong, long-lasting restoration, this procedure is essential for restoring both function and aesthetics. The crown is custom-fabricated to fit the patient's dental anatomy and is secured to the implant, which acts as an artificial tooth root. This code is part of the Implant Services category and specifically addresses single crowns that are implant-supported.
When to Use This Code
- When a patient requires a single tooth replacement with an implant-supported crown.
- In cases where the patient has sufficient bone structure to support an implant.
- For patients who prefer a metal crown due to its durability and strength.
- When the adjacent teeth are not suitable for a traditional bridge.
- In scenarios where the patient has an allergy to other crown materials.
Documentation Requirements
- Detailed patient records including diagnosis and treatment plan.
- Radiographic evidence supporting the need for an implant-supported crown.
- Documentation of implant placement and osseointegration status.
- Detailed notes on the crown fabrication process and material used.
- Patient consent forms acknowledging understanding of the procedure.
- Insurance pre-authorization if required by the patient's plan.
Billing Considerations
When billing for D6086, ensure that the implant placement is documented and that the crown is specifically noted as being implant-supported. Frequency limitations may apply based on the patient's insurance plan, and it's essential to check for any pre-authorization requirements. Common modifiers may include those indicating the quadrant or arch. Insurance plans may have specific guidelines for coverage, so verifying benefits beforehand is crucial.
Related CDT Codes
Frequently Asked Questions
The crown is made predominantly of base alloys, chosen for their strength and durability.
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