Can D6999 be used for temporary prosthodontic solutions?

No, D6999 is intended for permanent fixed prosthodontic procedures. Temporary solutions should be coded differently.

Is pre-authorization required for D6999?

Pre-authorization may be required depending on the insurance provider, as this code is for unspecified procedures. It's advisable to check with the provider beforehand.

How often can D6999 be billed for the same patient?

Frequency limitations depend on the insurance policy. Typically, this code is used for unique, one-time procedures rather than routine treatments.

Are there any common modifiers used with D6999?

Modifiers may be used to indicate specific circumstances, such as reduced services or unusual complexity, but should be applied judiciously and in accordance with payer guidelines.

D6999

Unspecified Prosthodontic Procedure - CDT Code Guide

Prosthodontics, fixed/Other Fixed Partial Denture Services

Overview

CDT code D6999 is designated for unspecified fixed prosthodontic procedures that do not fall under existing specific codes. This code is essential when a unique or uncommon procedure is performed that cannot be accurately described by other CDT codes. Dental professionals use this code to ensure proper documentation and billing for procedures that are innovative or tailored to a patient's specific needs. Typically, this might involve custom prosthodontic solutions that require detailed reporting to justify the procedure and its necessity. Clinicians should provide a comprehensive description of the procedure, including the materials used, the technique, and the expected outcomes, to support the use of this code.

When to Use This Code

When a custom fixed prosthodontic device is fabricated that does not fit existing codes
For experimental or innovative procedures in fixed prosthodontics
When a procedure involves unique materials or techniques not covered by other codes
In cases where a patient's specific anatomical needs require a tailored prosthodontic solution
When a standard code does not adequately describe the complexity of the procedure

Documentation Requirements

Detailed description of the procedure performed
Justification for why existing codes are inadequate
Clinical notes explaining the necessity of the procedure
Materials and techniques used in the procedure
Photographic or radiographic evidence if applicable
Patient consent and understanding of the procedure

Billing Considerations

When billing with D6999, it is crucial to provide a detailed report justifying the procedure's necessity and uniqueness. This code may require pre-authorization from insurance providers due to its unspecified nature. Be aware of potential frequency limitations and ensure that any modifiers used are appropriate for the specific circumstances of the procedure. Insurance coverage may vary, so verify with the patient's provider beforehand.

Related CDT Codes

D6791 D6792 D6930 D6980 D6990

Frequently Asked Questions

The report should include a detailed description of the procedure, the rationale for its necessity, and why existing codes are insufficient. Include any supporting documentation such as images or patient records.

Need help with dental coding?

Our AI-powered assistant can answer your CDT code questions instantly.

Try CDT Code Lookup Browse All CDT Codes