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Navigating Dental Coding with Kyle: D6010—Implant Body Placement: Regular Platform Endosteal Implant

Attention! Effective immediately, reserve D6010 for standard platform implants exclusively, while 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!

Don’t forget to join our vibrant community of dental office managers, where support, collaboration, and growth thrive. With over 15,000 like-minded professionals, our Facebook Community is a hub for knowledge, inspiration, and camaraderie. Together, we empower each other to navigate the dynamic landscape of dental office management, share the best practices, and elevate our collective expertise. Join us in shaping the future of dental office management and unlocking the possibilities for success! 


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