Is D6100 covered by insurance?

Coverage varies by insurance plan; it's important to verify with the patient's provider and document medical necessity.

What should be included in the documentation for D6100?

Include clinical notes, radiographic evidence, patient consent, and any anesthesia records.

Can D6100 be billed with other implant-related procedures?

Yes, but ensure each procedure is justified and documented separately to avoid denials.

What anesthesia options are available for this procedure?

Local or general anesthesia may be used, depending on the complexity of the removal and patient needs.

D6100

Surgical Removal of Implant Body - CDT Code Guide

Implant Services/Surgical Services

Overview

The CDT code D6100 refers to the surgical removal of an implant body, a procedure often required when an implant fails or complications arise. This procedure involves the careful extraction of the implant from the jawbone, which may be necessary due to infection, implant fracture, or improper placement. Dental professionals perform this surgery under local or general anesthesia, depending on the complexity and patient needs. Understanding the clinical context is crucial, as this procedure is typically considered when other corrective measures are not viable. Patients undergoing this procedure should be informed about the potential risks and the recovery process.

When to Use This Code

When an implant has failed due to infection or peri-implantitis.
In cases of implant fracture or structural failure.
When there is persistent pain or discomfort associated with the implant.
If the implant is improperly positioned and causing functional issues.
When preparing the site for a new implant or alternative restoration.

Documentation Requirements

Detailed clinical notes explaining the reason for implant removal.
Radiographic evidence supporting the need for removal.
Patient consent forms acknowledging understanding of the procedure.
Anesthesia records if applicable.
Post-operative care instructions provided to the patient.

Billing Considerations

Ensure to check the patient's insurance policy for coverage details, as some plans may have specific criteria for implant removal. Frequency limitations typically do not apply to this code, but it's essential to document the medical necessity thoroughly. Common modifiers like -22 for increased procedural services may apply if the removal is more complex than usual.

Related CDT Codes

D6010 D6199 D6057 D6080

Frequently Asked Questions

Implants are usually removed due to infection, implant fracture, or improper placement causing discomfort.

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