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2020/2021 ADA Dental Implant Codes - Update

In 2020 the American Dental Association brought 37 new CDT codes or Code on Dental Procedures and Nomenclature. The purpose of the CDT Code “is to achieve uniformity, consistency and specificity in accurately documenting dental treatment.” I would also argue the purpose is to get paid by insurance companies. However, as they say “the inclusion of a code does not imply any right to reimbursement or guarantee claim payment. (Please see our other blog post about medical billing).

2020 was a big year for implants specifically. In the Implant Services Section, D6000-D6199 there was an addition of 13 codes and 6 editorial changes. In 2021 there was an additional 2 codes added. 

We have included a list that will be a quick reference for you and your staff to help you in your implant journey. Also, please contact your sales representative for a laminated printed version with or without descriptions. 

2020/2021 ADA Codes D6000-D6199  VIII. Implant Services

Pre-Surgical Services

D6190  radiographic/surgical implant index, by report

An appliance, designed to relate osteotomy or fixture position to existing anatomic structures, to be utilized during radiographic exposure for treatment planning and/or during osteotomy creation for fixture installation.

  • D6191  semi-precision abutment - placement

This procedure is the initial placement, or replacement, of a semi-precision abutment on the implant body.

  • D6192  semi-precision attachment - placement

This procedure involves the luting of the initial, or replacement, semi-precision attachment tot he removable prosthesis.

Surgical Services

Report surgical implant procedure using codes in this section

D6010  surgical placement of implant body: endosteal implant

D6011  second stage implant surgery

Surgical access to an implant body for placement of a healing cap or to enable placement of an abutment.

D6012  surgical placement of interim implant body for transitional prosthesis: endosteal implant

Includes removal during later therapy to accommodate the definitive restoration, which may include placement of other implants.   

D6013  surgical placement of mini implant

D6040  surgical placement: eposteal implant

An eposteal (subperiosteal) framework of a biocompatible material designed and fabricated to fit on the surface of the bone of the mandible or maxilla with permucosal extension which provide support and attachment of a prosthesis. This may be a complete arch or unilateral appliance. Eposteal implants rest upon the bone and under the periosteum.

D6050  surgical placement: transosteal implant

A transosteal (transosseous) biocompatible device with threaded posts penetrating both the superior and inferior cortical bone plates of the mandibular symphysis and exiting through the permucosa providing support and attachment for a dental prosthesis. Transosteal implants are placed completely through the bone and into the oral cavity from extraoral or intraoral.

D6100  implant removal, by report

This procedure involves the surgical removal of an implant. Describe procedure.

D6101  debridement of a peri-implant defect or defects surrounding a single implant, and surface cleaning of the exposed implant surfaces, including flap entry and closure 

D6102  debridement of the osseous contouring of a peri-implant defect or defects surrounding a single implant and includes surface cleaning of the exposed implant surfaces including flap entry and closure

D6103  bone graft for repair of peri-implant defect – does not include flap entry and closure

Placement of a barrier membrane or biologic materials to aid in osseous regeneration, are reported separately.

D6104  bone graft at time of implant placement

Placement of a barrier membrane or biologic materials to aid in osseous regeneration are reported separately.

Implant Supported Prosthetics

Supporting Structures

D6055  connecting bar – implant supported or abutment supported

Utilized to stabilize and anchor a prosthesis

D6056  prefabricated abutment – includes modification and placement

Modification of a prefabricated abutment may be necessary

D6057  custom fabricated abutment - includes placement

Created by a laboratory process, specific for an individual application.

D6051  interim abutment

Includes placement and removal. A healing cap is not an interim abutment.

D6052  semi-precision attachment abutment

Includes placement and removal.  A healing cap is not an interim abutment.

Implant/Abutment Supported Removable Dentures

D6110  implant/abutment supported removable denture for edentulous arch – maxillary

D6111  implant/abutment supported removable denture for edentulous arch – mandibular

D6112  implant/abutment supported removable denture for partially edentulous arch – maxillary

D6113  implant/abutment supported removable denture for partially edentulous arch – mandibular

Implant/Abutment Supported Fixed Dentures (Hybrid Prosthesis)

D6114  implant/abutment supported fixed denture for edentulous arch – maxillary

D6115  implant/abutment supported fixed denture for edentulous arch – mandibular

D6116  implant/abutment supported fixed denture for partially edentulous arch – maxillary

D6117  implant/abutment supported fixed denture for partially edentulous arch – mandibular

D6118  implant/abutment supported interim fixed denture for edentulous arch – mandibular

Used when a period of healing is necessary prior to fabrication and placement of a permanent prosthetic.

D6119  implant/abutment supported interim fixed denture for edentulous arch – maxillary

Used when a period of healing is necessary prior to fabrication and placement of a permanent prosthetic.

Single Crowns, Abutment Supported

D6058  abutment supported porcelain/ceramic crown

A single crown restoration that is retained, supported and stabilized by an abutment on an implant.

D6059  abutment supported porcelain fused to metal crown (high noble metal)

A single metal-ceramic crown restoration that is retained, supported and stabilized by an abutment on an implant.

D6060  abutment supported porcelain fused to metal crown  (predominately base metal)

A single metal-ceramic crown restoration that is retained, supported and stabilized by an abutment on an implant.

D6061  abutment supported porcelain fused to metal crown (noble metal)

A single metal-ceramic crown restoration that is retained, supported and stabilized by an abutment on an implant.

  • D6097 abutment supported crown – porcelain fused to titanium or titanium alloys

A single metal-ceramic crown restoration that is retained, supported and stabilized by an abutment on an implant.

D6062  abutment supported cast metal crown (high noble metal)

A single cast metal crown restoration that is retained, supported and stabilized by an abutment on an implant.

D6063  abutment supported cast metal crown (predominately base metal)

A single cast metal crown restoration that is retained, supported and stabilized by an abutment on an implant.

D6064  abutment supported cast metal crown (noble metal)

A single cast metal crown restoration that is retained, supported and stabilized by an abutment on an implant.

#D6094  abutment supported crown titanium and titanium alloys

A single crown restoration that is retained, supported and stabilized by an abutment on an implant.

Single Crowns, Implant Supported

D6065  implant supported porcelain/ceramic crown

A single crown restoration that is retained, supported and stabilized by an implant.

#D6066  implant supported crown – porcelain fused to high noble alloys

A single metal-ceramic crown restoration that is retained, supported and stabilized by an implant.

  • D6082 implant supported crown – porcelain fused to predominately base alloys

A single metal-ceramic crown restoration that is retained, supported and stabilized by an implant.

  • D6083 implant supported crown – porcelain fused to noble alloys

A single metal-ceramic crown restoration that is retained, supported and stabilized by an implant.

  • D6084 implant supported crown – porcelain fused to titanium or titanium alloys   

A single metal-ceramic crown restoration that is retained, supported and stabilized by an implant.

#D6067  implant supported crown – high noble alloys

A single metal crown restoration that is retained, supported and stabilized by an implant.

  • D6086 implant supported crown – predominately base alloys

A single metal crown restoration that is retained, supported and stabilized by an implant.

  • D6087 implant supported crown – noble alloys

A single metal crown restoration that is retained, supported and stabilized by an implant.

D6088  implant supported crown – titanium and titanium alloys

A single metal crown restoration that is retained supported and stabilized by an implant.

Fixed Partial Denture (FPD) Retainer, Abutment Supported

D6068  abutment supported retainer for porcelain/ceramic FPD

A ceramic retainer for a fixed partial denture that gains retention, support and stability from an abutment on an implant.

D6069  abutment supported retainer for porcelain fused to metal FPD (high noble metal)

A metal-ceramic retainer for a fixed partial denture that gains retention, support and stability from an abutment on an implant.

D6070  abutment supported retainer for porcelain fused to metal FPD (predominately base metal)

A metal-ceramic retainer for a fixed partial denture that gains retention, support and stability from an abutment on an implant.

D6071  abutment supported retainer for porcelain fused to metal FPD (noble metal)

A metal-ceramic retainer for a fixed partial denture that gains retention, support and stability from an abutment on an implant.

  • D6195 abutment supported retainer - porcelain fused to titanium and titanium alloys

A metal-ceramic retainer for a fixed partial denture that gains retention, support and stability from an abutment on an implant.

D6072  abutment supported retainer for cast metal FPD (high noble metal)

A cast metal retainer for a fixed partial denture that gains retention, support and stability from an abutment on an implant.

D6073  abutment supported retainer for cast metal FPD (predominately base metal)

A cast metal retainer for a fixed partial denture that gains retention, support and stability from an abutment on an implant.

D6074  abutment supported retainer for cast metal FPD (noble metal)

A cast metal retainer for a fixed partial denture that gains retention, support and stability from an abutment on an implant.

#D6194  abutment supported retainer crown for FPD – titanium and titanium alloys

A cast metal retainer for a fixed partial denture that gains retention, support and stability from an abutment on an implant.

Fixed Partial Denture (FPD) Retainer, Implant Supported

D6075  implant supported retainer for ceramic FPD

A ceramic retainer for a fixed partial denture that gains retention, support and stability from an implant.

 #D6076  implant supported retainer for FPD – porcelain fused to high noble alloys

A metal-ceramic retainer for a fixed partial denture that gains retention, support and stability from an implant.

  • D6098 implant supported retainer – porcelain fused to predominately base alloys

A metal-ceramic retainer for a fixed partial denture that gains retention, support and stability from an abutment on an implant.

  • D6099 implant supported retainer for FPD – porcelain fused to noble alloys

A metal-ceramic retainer for a fixed partial denture that gains retention, support and stability from an implant.

  • D6120 implant supported retainer – porcelain fused to titanium and titanium alloys

A metal-ceramic retainer for a fixed partial denture that gains retention, support and stability from an implant.

#D6077  implant supported retainer for metal FPD – high noble alloys 

A metal retainer for a fixed partial denture that gains retention, support and stability from an implant.

  • D6121 implant supported retainer for metal FPD – predominately base alloys

A metal retainer for a fixed partial denture that gains retention, support, and stability from an implant.

  • D6122 implant supported retainer for metal FPD – noble alloys

A metal retainer for a fixed partial denture that gains retention, support, and stability from an implant.

  • D6123 implant supported retainer for metal FPD – titanium and titanium alloys

A metal retainer for a fixed partial denture that gains retention, support, and stability from an implant.

Other Implant Services

D6080  implant maintenance procedures when prostheses are removed and reinserted, including cleansing of prostheses and abutments     

This procedure includes active debriding of the implant(s) and examination of all aspects of the implant system(s), including the occlusion and stability of the superstructure.  The patient is also instructed in thoroughly daily cleansing of the implant(s). This is not a per implant code and is indicated for implant supported fixed prostheses.

D6081  scaling and debridement in the presence of inflammation or mucositis of a single implant, including cleaning of the implant surfaces, without flap entry and closure

This procedure is not performed in conjunction with D1110, D4910, or D4346.

D6085  Provisional implant crown

Used when a period of healing is necessary prior to fabrication and placement of permanent prosthetic.

D6090  repair implant supported prosthesis, by report

This procedure involves the repair or replacement of any part of   the implant supported prosthesis.

D6091  replacement of semi-precision or precision attachment (male or female component) or implant/abutment supported prosthesis, per attachment

This procedure applies to the replaceable male or female component of the attachment.

D6092  re-cement or re-bond implant/abutment supported crown 

D6093  re-cement or re-bond implant/abutment supported fixed partial denture

D6095  repair implant abutment, by report

This procedure involves the repair or replacement of any part of the implant abutment.

D6096  remove broken implant retaining screw

D6199  unspecified implant procedure, by report

Use for a procedure that is not adequately described by a code. Describe the procedure.

Local anesthesia is usually considered to be part of Implant Services procedures

  • new procedure code                                 # Editorial

 

 

 

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