Remove Indirect Implant Rest - CDT Code Guide
Overview
CDT Code D6196 pertains to the removal of an indirect restoration on an implant-retained abutment. This procedure is typically necessary when an existing restoration, such as a crown or bridge, needs to be removed due to damage, decay, or to facilitate further treatment. It involves carefully detaching the restoration from the implant abutment without causing damage to the underlying structures. Dental professionals may encounter this scenario during routine maintenance or when preparing for a new restoration. Understanding the nuances of this procedure ensures that the implant remains intact and ready for subsequent restorative work.
When to Use This Code
- When an existing implant-supported crown is damaged and needs replacement.
- In preparation for a new restoration after the failure of the current one.
- To access the implant abutment for inspection or maintenance.
- When there is decay or damage to the restoration that requires removal.
- Prior to performing implant surgery or adjustments.
Documentation Requirements
- Detailed patient records indicating the need for restoration removal.
- Pre-operative and post-operative clinical notes.
- Radiographic evidence supporting the procedure.
- Documentation of the condition of the existing restoration.
- Consent forms signed by the patient.
- Insurance pre-authorization, if applicable.
Billing Considerations
When billing for D6196, ensure that the procedure is not bundled with other implant services unless specified by the insurance provider. Frequency limitations may apply, and it's essential to check with the patient's insurance for coverage details. Common modifiers may include those indicating a distinct procedural service. Always verify the patient's benefits to avoid unexpected out-of-pocket expenses.
Related CDT Codes
Frequently Asked Questions
Coverage for D6196 varies by insurance plan. It's important to verify with the patient's provider to understand coverage specifics and any potential out-of-pocket costs.
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