Can D6099 be used for any type of implant?

D6099 is specifically for porcelain fused to noble alloys, so it is important that the materials used match this description to ensure proper billing.

Are there any specific patient conditions that might contraindicate the use of D6099?

Patients with insufficient bone structure for implant placement or those with certain systemic health issues may not be suitable candidates for this procedure.

How does D6099 differ from other implant-supported prosthetic codes?

D6099 specifically refers to a retainer for a fixed partial denture that is porcelain fused to noble alloys, whereas other codes may refer to different materials or prosthetic types.

Is pre-authorization required for D6099?

Many insurance plans do require pre-authorization for implant-supported prosthetics, so it is advisable to check with the patient's insurance provider beforehand.

D6099

Implant Supported Retainer - CDT Code Guide

Implant Services/Fixed Partial Denture (FPD) Retainer, Implant Supported

Overview

CDT code D6099 refers to an implant-supported retainer for a fixed partial denture (FPD) that is porcelain fused to noble alloys. This procedure involves the use of a metal-ceramic retainer that provides retention, support, and stability from an implant. Typically, this is used in cases where a patient requires a fixed partial denture and the support is derived from dental implants rather than natural teeth. The metal-ceramic construction ensures durability and aesthetic appeal, making it a preferred choice for patients needing long-term solutions for missing teeth. Clinically, this is often used when a patient has lost one or more teeth and requires a stable and reliable prosthetic solution that integrates seamlessly with existing dental structures.

When to Use This Code

When a patient requires a fixed partial denture supported by implants.
In cases where natural teeth are insufficient for supporting a traditional FPD.
When aesthetic and functional restoration is needed for missing teeth.
For patients with a history of periodontal disease affecting natural teeth support.
In scenarios where long-term durability and stability are priorities.

Documentation Requirements

Detailed patient history and clinical examination notes.
Radiographic evidence supporting the need for an implant-supported retainer.
Documentation of the implant placement and integration status.
Treatment plan outlining the use of porcelain fused to noble alloys.
Patient consent forms specifically for implant-supported prosthetics.

Billing Considerations

When billing for D6099, ensure that the procedure is not being performed more frequently than allowed by the patient's insurance plan. Common modifiers may include those indicating the quadrant or arch involved. Insurance considerations should include verifying coverage for implant-supported prosthetics, as some plans may have specific exclusions or limitations.

Related CDT Codes

D6056 D6065 D6066 D6058 D6067

Frequently Asked Questions

The main advantage is the enhanced stability and support provided by the implant, which can result in better long-term outcomes compared to traditional FPDs.

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