Attention! Effective immediately, reserve D6010 for standard platform implants exclusively. Mini implants must now be reported using code D6013.
Note: While dental insurance plans typically exclude implant coverage, some may fall under a patient's medical insurance.
Pro Tip: When contacting a patient's dental insurance provider, specifically inquire about implant coverage to avoid surprises.
Beware: Dental insurance companies may invoke a missing tooth clause if the natural tooth was lost before the patient's enrollment, potentially denying benefits for implants and similar restorations.
Important: Billing surgical exposure with healing abutments separately is essential for smooth claims processing.
Heads up: Reimbursement for surgical exposure and/or healing caps, alias D6011 Second Stage Implant Surgery, varies across insurance companies, with most plans limiting coverage to placement costs.
Reminder: If a patient exhausts their annual maximum but still has implant coverage, the insurance provider won't contribute to the procedure cost. Be prepared!
D6010 Implant Body Placement Key Takeaways:
Use D6010 implant body placement for standard platform implants and D6013 for mini implants.
Always verify implant coverage with the patient's insurance provider.
Be aware of potential denial due to the missing tooth clause.
Separate billing for surgical exposure and healing abutments helps in smooth claims processing.
Coverage for D6011 Second Stage Implant Surgery can vary significantly.
Exceeding annual maximums means out-of-pocket expenses for patients.
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