D6191

Semi-Precision Abutment Placement - CDT Code Guide

Implant Supported Prosthetics/Supporting Structures

Overview

CDT code D6191 refers to the semi-precision abutment placement procedure, which is crucial in the field of implant-supported prosthetics. This procedure involves the initial placement or replacement of a semi-precision abutment onto the implant body. Typically, this is performed to ensure the proper fit and function of a dental prosthesis, such as a crown or bridge, which relies on the abutment for support. Dental professionals perform this procedure to enhance the stability and longevity of the prosthetic solution, ensuring that patients receive optimal outcomes. In clinical practice, this code is used when a semi-precision abutment is necessary to accommodate specific prosthetic designs or when a replacement is warranted due to wear or damage.

When to Use This Code

  • When initially placing a semi-precision abutment on a new implant
  • Replacing a worn or damaged semi-precision abutment
  • Adjusting the prosthetic fit for improved function
  • In cases where a semi-precision attachment is required for specific prosthetic designs
  • When upgrading from a standard to a semi-precision abutment for better stability

Documentation Requirements

  • Detailed patient records indicating the need for a semi-precision abutment
  • Documentation of the implant type and location
  • Clinical notes on the condition of the existing abutment, if applicable
  • Radiographic evidence supporting the procedure
  • Patient consent forms
  • Details of the prosthetic design requiring a semi-precision abutment

Billing Considerations

When billing for D6191, ensure that the procedure is not performed more frequently than necessary, as insurance providers may have frequency limitations. Common modifiers include those indicating the quadrant or arch. Verify with the patient's insurance for coverage specifics, as some plans may have restrictions on implant-related procedures.

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Frequently Asked Questions

A semi-precision abutment is a type of dental implant component that provides a more tailored fit for prosthetics, enhancing stability and function.

Source: CDT 2023 © American Dental Association

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