CDT-2024 D6058

ABUTMENT SUPPORTED PORCELAIN/CERAMIC CROWN

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

© 2023 American Dental Association

warning
  1. 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.
  2. It is an error to report an “abutment supported” crown code for a screw retained crown that attaches directly to the implant body.
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 attached to a separate abutment.

Comments

 

    3D printed crowns may be reported as porcelain/ceramic provided the material is greater than 50% inorganic fillers.

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