Is D6190 covered by insurance?

Coverage varies by insurance provider; it's advisable to seek pre-authorization to confirm benefits.

Can D6190 be used for all implant cases?

While useful, D6190 is particularly beneficial in complex cases where anatomical landmarks are not easily discernible.

How is the index created?

The index is typically custom-made based on radiographic imaging and clinical evaluation to fit the patient's unique anatomy.

Are there any alternatives to using a radiographic/surgical implant index?

Alternatives may include advanced imaging techniques or digital planning tools, but the index provides a tangible guide during surgery.

D6190

Radiographic/Surgical Implant Index - CDT Code Guide

Implant Services/Pre-Surgical Services

Overview

CDT Code D6190 refers to the creation of a radiographic or surgical implant index. This appliance is crucial for accurately relating the position of osteotomies or fixtures to existing anatomical structures. It is used during radiographic exposures to aid in treatment planning and during the surgical phase for precise fixture installation. Dental professionals use this index to ensure that implants are placed accurately, minimizing complications and optimizing outcomes. This procedure is particularly important in complex cases where anatomical landmarks are not easily discernible, ensuring that the implant aligns correctly with the patient's anatomy.

When to Use This Code

When planning for dental implant placement in complex anatomical areas.
During the surgical phase of implant placement to ensure precise fixture positioning.
In cases where anatomical landmarks are not easily visible or accessible.
When a patient has undergone significant bone loss, requiring precise planning.
For treatment planning involving multiple implants in a single arch.

Documentation Requirements

Detailed report of the radiographic/surgical index creation.
Clinical notes outlining the necessity of the index for implant planning.
Radiographic images showing the use of the index during exposure.
Documentation of anatomical structures related to the index.
Surgical notes detailing the use of the index during fixture installation.

Billing Considerations

When billing for D6190, ensure that the procedure is documented thoroughly, as it is often scrutinized for medical necessity. Frequency limitations may apply, particularly if used in conjunction with other implant-related services. Common modifiers include those indicating the specific quadrant or arch involved. Insurance coverage can vary, so pre-authorization may be necessary to confirm patient benefits.

Related CDT Codes

D6010 D6191 D6192 D6194 D6199

Frequently Asked Questions

The primary purpose is to accurately relate the position of implants to anatomical structures, aiding in precise planning and placement.

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