Implant Supported Denture - CDT Code Guide
Overview
CDT Code D6113 pertains to the provision of an implant/abutment supported removable denture specifically for a partially edentulous mandibular arch. This procedure involves the fabrication and placement of a denture that is supported by dental implants or abutments, offering enhanced stability and function compared to traditional dentures. Typically, this code is used in cases where patients have lost some, but not all, of their lower teeth and require a prosthetic solution that provides improved retention and comfort. The process includes the surgical placement of implants, followed by the attachment of a custom-made denture that fits securely over these implants. This approach is particularly beneficial for patients who experience difficulty with conventional dentures due to bone loss or other anatomical challenges.
When to Use This Code
- When a patient has partial tooth loss in the mandibular arch and desires improved denture stability.
- In cases where traditional dentures are insufficient due to significant bone resorption.
- For patients seeking a removable prosthetic solution that offers enhanced comfort and function.
- When implant-supported solutions are preferred over fixed prosthetics for ease of cleaning.
- In scenarios where patient-specific anatomical considerations necessitate additional support for a removable denture.
Documentation Requirements
- Detailed patient records indicating partial edentulism in the mandibular arch.
- Clinical notes documenting the need for implant support due to anatomical challenges.
- Radiographic evidence supporting the placement of implants or abutments.
- Treatment plan outlining the procedure and expected outcomes.
- Consent forms signed by the patient acknowledging understanding of the procedure.
- Post-operative notes detailing the fit and function of the denture.
Billing Considerations
When billing for D6113, ensure that the patient's insurance plan covers implant-supported prosthetics, as coverage can vary significantly. Be aware of any frequency limitations regarding prosthetic replacements. Common modifiers may include those indicating the specific arch or quadrant treated. It's crucial to verify whether pre-authorization is required by the insurance provider to avoid claim denials.
Related CDT Codes
Frequently Asked Questions
The primary advantage is enhanced stability and retention compared to traditional dentures, improving comfort and function for the patient.
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