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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!


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