D6011

Surgical Access to Implant Body - CDT Code Guide

Implant Services/Surgical Services

Overview

CDT Code D6011 refers to the surgical access to an implant body, commonly known as second stage implant surgery. This procedure is essential for uncovering the implant body by removing the overlying tissue, allowing for the placement or replacement of fixtures such as healing caps, abutments, or the final restorative prosthesis. Typically, this procedure is performed after the initial implant placement has healed and osseointegration has occurred. It is crucial in preparing the implant site for the final prosthetic phase, ensuring the proper contouring of gingival margins and optimal placement of the restorative components. Dental professionals utilize this procedure in various clinical scenarios, particularly when transitioning from the healing phase to the restoration phase of dental implant treatment.

When to Use This Code

  • When the implant body needs exposure for the placement of a healing cap or abutment.
  • In preparation for the final prosthetic restoration after osseointegration.
  • When replacing an existing fixture with a different type to better contour gingival margins.
  • Following the initial healing period of an implant to assess integration and prepare for restoration.
  • When the tissue over the implant needs removal for any adjustments or replacements.

Documentation Requirements

  • Detailed clinical notes describing the need for surgical access to the implant.
  • Pre-operative and post-operative radiographs showing the implant site.
  • Patient consent forms specific to the second stage implant surgery.
  • Description of the type of fixture placed or replaced during the procedure.
  • Documentation of any complications or additional procedures performed.

Billing Considerations

When billing for D6011, ensure that the procedure is not billed in conjunction with the initial implant placement. It is important to check with the patient's insurance for coverage specifics, as some plans may have limitations on implant-related procedures. Common modifiers may include those indicating the specific quadrant or arch. Frequency limitations are generally based on the implant treatment plan and healing timelines.

Related CDT Codes

Frequently Asked Questions

The second stage implant surgery is performed to expose the implant body, allowing for the placement or replacement of fixtures necessary for the final restoration.

Source: CDT 2023 © American Dental Association

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