Can D6089 be used for multiple screws in one visit?

Yes, D6089 can be billed per screw, so if multiple screws require retorquing, each can be billed separately.

Is pre-authorization required for D6089?

Pre-authorization requirements vary by insurance provider. It is advisable to check with the patient's insurance plan to determine if pre-authorization is needed.

How often can D6089 be billed for the same patient?

Frequency limitations depend on the patient's insurance policy. Generally, it should only be billed when clinically necessary.

What should be included in the clinical notes for D6089?

Clinical notes should include the patient's symptoms, the condition of the implant, the torque specifications used, and any follow-up care instructions.

D6089

Implant Screw Retorque - CDT Code Guide

Implant Services

Overview

CDT code D6089 refers to the procedure of accessing and retorquing a loose implant screw. This is a critical service in implant dentistry, ensuring the stability and functionality of dental implants. The procedure involves carefully accessing the implant site, checking the screw for looseness, and retightening it to the manufacturer's specifications. This service is typically performed when a patient reports discomfort or instability in their dental implant, or during routine maintenance visits to prevent potential complications. Ensuring that implant screws are properly torqued is vital for the longevity of the implant and the health of the surrounding oral structures.

When to Use This Code

When a patient reports discomfort or mobility in an existing dental implant.
During routine maintenance checks of dental implants.
If radiographic evidence suggests a loose implant screw.
When preparing for restorative procedures involving the implant.
Following trauma or impact to the implant area.

Documentation Requirements

Detailed clinical notes describing the patient's symptoms and the need for retorquing.
Radiographic evidence, if applicable, showing the condition of the implant.
Documentation of the torque specifications used, as per the implant manufacturer's guidelines.
Patient consent for the procedure.
Post-procedure notes on the outcome and any follow-up care instructions.

Billing Considerations

When billing for D6089, it is important to note that this code is used per screw, meaning multiple charges may apply if multiple screws are retorqued. Check with the patient's insurance for coverage details, as some plans may have specific limitations or require pre-authorization. Common modifiers such as -52 (reduced services) may apply if the procedure is not fully completed due to patient conditions or other factors.

Related CDT Codes

D6057 D6066 D6080 D6090 D6199

Frequently Asked Questions

D6089 is specifically for retorquing a loose implant screw, while D6090 is for repairing an implant prosthesis when it is not functioning properly.

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