CDT-2023 D6058

ABUTMENT SUPPORTED PORCELAIN/CERAMIC CROWN

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

© 2022 American Dental Association

warning

It is misleading to report “implant type” crowns D60XX as “routine” individual crowns D27XX for natural teeth, solely to increase reimbursement.  This may be considered a fraudulent act.  Report exactly what you do rather than what may gain a higher reimbursement.

caution

D6058 reports an “abutment supported” crown. It is an error to report an “implant supported” single screw-retained tooth prosthesis when the crown is anchored to an abutment. 

match

D6058 reports a porcelain/ceramic crown anchored to an implant abutment. This code describes an “abutment supported” crown anchored over either a prefabricated (D6056) or custom abutment (D6057). D6058 is not attached directly to the implant body but is instead cemented to a separate abutment.

Limitations

 
    1. If an alternative benefit is provided or if covered by an implant policy rider, then reimbursement for “implant type” crowns is typically subject to the five to ten year limitation period.
    2. Age, waiting periods, missing tooth clauses, or other limitations may also apply.

Narratives

 

    Ask for the alternate benefit of a similar material type crown if there is no implant coverage.

Additional Information

 

    Reporting the incorrect type of material (ceramic,high noble, noble, base, etc.) used in fabricating the crown is a common coding error.  Be careful to report the correct code based on the material classification.  Document the correct material used in the crown on the claim form as represented in the treatment plan, the lab prescription, and the documentation from the lab.  Following this protocol should eliminate reporting errors.

 

D6980

REVISED CODE

Fixed Partial Denture Repair

A single cast metal crown restoration that is retained, supported and stablized by an abutment on an implant; may be screw retained or cemented.

NOTE: May be orthodontic related

VIEW CODE
 

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