Can D6059 be used for multiple crowns on the same patient?

Yes, but each crown must be documented separately, and insurance coverage should be verified for each restoration.

Is prior authorization required for D6059?

This depends on the patient's insurance plan. It's advisable to check with the insurer to determine if prior authorization is necessary.

How does D6059 differ from D6058?

D6059 is specifically for abutment-supported crowns using high noble metal, while D6058 may refer to other types of implant-supported crowns.

What are the advantages of using a porcelain fused to metal crown?

These crowns offer the aesthetic benefits of porcelain with the strength and durability of metal, making them ideal for both anterior and posterior restorations.

D6059

Abutment Supported Porcelain Crown - CDT Code Guide

Implant Services/Single Crowns, Abutment Supported

Overview

CDT code D6059 refers to an abutment supported porcelain fused to metal crown, specifically using high noble metal. This procedure involves placing a single metal-ceramic crown that is retained, supported, and stabilized by an abutment on an implant. It is typically used in cases where a dental implant has been placed, and a durable, aesthetic restoration is required. The high noble metal component ensures strength and longevity, while the porcelain provides a natural appearance. This code is commonly used in restorative dentistry to restore function and aesthetics in patients who have lost a tooth and opted for an implant-supported solution.

When to Use This Code

When a single tooth is missing and an implant has been placed.
In cases where a high aesthetic result is desired with the strength of metal support.
When the patient prefers a durable restoration with high noble metal.
For replacing a failed crown on an existing implant abutment.
In scenarios where a natural-looking restoration is necessary for anterior teeth.

Documentation Requirements

Detailed treatment plan outlining the need for an implant-supported crown.
Radiographic evidence showing the implant and abutment placement.
Clinical notes describing the patient's oral health status and treatment rationale.
Documentation of the materials used, specifically noting the high noble metal.
Patient consent forms acknowledging understanding of the procedure and materials.
Post-operative notes detailing the fit and function of the crown.

Billing Considerations

When billing for D6059, ensure that the implant and abutment are properly documented, as this code is specific to abutment-supported crowns. Frequency limitations may apply, so verify with the patient's insurance provider. Common modifiers may include those indicating the quadrant or arch. It's important to check if the patient's insurance plan covers high noble metal restorations, as this can affect reimbursement.

Related CDT Codes

D6058 D6065 D6066 D6067 D6094

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Frequently Asked Questions

High noble metal crowns contain a higher percentage of precious metals, providing superior strength and biocompatibility compared to base metal or noble metal crowns.

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