Abutment Supported Crown - CDT Code Guide
Overview
CDT Code D6097 refers to a dental procedure involving the placement of an abutment supported porcelain fused to titanium or titanium alloys crown. This type of restoration is specifically designed for use with dental implants, where the crown is supported by an abutment that is attached to the implant. This procedure is typically used in cases where a single tooth replacement is necessary, and the stability and aesthetics of a metal-ceramic crown are desired. The crown provides a durable and natural-looking solution, making it a popular choice for both anterior and posterior teeth. Dental professionals should consider this procedure when a patient has a healthy implant in place and requires a reliable and aesthetically pleasing crown restoration.
When to Use This Code
- When a patient has a single missing tooth and an existing implant.
- In cases where a metal-ceramic crown is preferred for its durability and aesthetics.
- For patients requiring a crown on an implant in either anterior or posterior regions.
- When the patient has an abutment already in place and needs a crown restoration.
- In scenarios where the patient desires a natural-looking tooth replacement with strong support.
Documentation Requirements
- Detailed patient records indicating the need for an implant-supported crown.
- Radiographic evidence of the implant and abutment in place.
- Clinical notes describing the condition of the surrounding oral structures.
- Documentation of the materials used in the crown fabrication.
- Patient consent forms acknowledging the procedure and materials used.
- Insurance pre-authorization, if applicable, detailing the necessity of the procedure.
Billing Considerations
When billing for D6097, ensure that the implant and abutment are documented as separate procedures if applicable. Be aware of frequency limitations, as some insurance plans may restrict the number of crowns covered per year. Common modifiers may include those indicating the specific quadrant or arch. Verify with the patient's insurance for coverage specifics, as some plans may have exclusions or require pre-authorization for implant-related services.
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Frequently Asked Questions
An abutment supported crown is specifically designed for use with dental implants, providing support and stability through an abutment, whereas a regular crown is placed over a natural tooth.
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