D6193

Implant Screw Replacement - CDT Code Guide

Implant Services

Overview

CDT Code D6193 refers to the replacement of an implant screw, a procedure often necessary when the screw securing a dental implant becomes loose or damaged. This procedure is crucial for maintaining the stability and functionality of the dental implant, ensuring that it remains securely attached to the jawbone. Typically, an implant screw replacement is performed when the existing screw shows signs of wear, corrosion, or mechanical failure, which can occur due to various factors including occlusal stress or improper initial placement. Dental professionals must assess the integrity of the implant and surrounding structures before proceeding with the replacement to ensure optimal outcomes.

When to Use This Code

  • When a dental implant screw is loose or has fallen out
  • In cases of implant screw corrosion or damage
  • When there is a mechanical failure of the implant screw
  • During routine maintenance if the screw shows signs of wear
  • When replacing an implant crown and the screw needs replacement

Documentation Requirements

  • Detailed clinical notes on the condition of the implant and screw
  • Radiographic evidence supporting the need for screw replacement
  • Patient consent for the procedure
  • Documentation of the type and size of the new screw used
  • Post-operative notes on the stability and function of the implant

Billing Considerations

When billing for D6193, ensure that the procedure is not being performed too frequently, as this may raise red flags with insurance providers. Use appropriate modifiers if the procedure is part of a larger treatment plan. Verify with the patient's insurance for coverage specifics, as some plans may have limitations on implant-related procedures.

Related CDT Codes

Frequently Asked Questions

Recovery is usually quick, with most patients experiencing minimal discomfort. Normal activities can often be resumed within a day.

Source: CDT 2023 © American Dental Association

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