D6057

Custom Fabricated Abutment - CDT Code Guide

Implant Supported Prosthetics/Supporting Structures

Overview

CDT code D6057 refers to the custom fabrication and placement of an abutment, which is a critical component in implant-supported prosthetics. This procedure involves creating a unique abutment tailored to the patient's specific dental structure and needs, ensuring optimal fit and function. Typically, this process is conducted in a dental laboratory where the abutment is crafted using precise measurements and materials suitable for long-term durability. This code is commonly used in scenarios where a patient requires a personalized solution for their dental implants, often following the placement of the implant fixture itself. The custom abutment serves as a connector between the implant and the final prosthetic restoration, such as a crown or bridge, providing stability and support.

When to Use This Code

  • When a patient requires a custom abutment for a newly placed dental implant.
  • In cases where standard abutments do not fit due to unique anatomical considerations.
  • When enhancing the aesthetic outcome of an implant-supported restoration.
  • For patients with complex dental implant cases requiring tailored solutions.
  • When replacing an existing abutment that has failed or is no longer suitable.

Documentation Requirements

  • Detailed patient records including diagnosis and treatment plan.
  • Documentation of the need for a custom abutment over a standard option.
  • Laboratory prescription and fabrication details.
  • Clinical notes on the placement procedure and patient response.
  • Photographic evidence or radiographs supporting the necessity of the custom abutment.

Billing Considerations

When billing for D6057, ensure that the procedure is documented thoroughly to justify the custom nature of the abutment. Frequency limitations may apply, particularly if a replacement is needed within a short period. Common modifiers may include those indicating a replacement or repair. Insurance plans may have specific guidelines on coverage for custom abutments, so verifying benefits prior to treatment is advisable.

Related CDT Codes

Frequently Asked Questions

A custom fabricated abutment is tailored to the patient's specific dental anatomy, providing a better fit and aesthetic result compared to standard, off-the-shelf options.

Source: CDT 2023 © American Dental Association

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