[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-572500-105":53,"doc-detail-572500-en":120},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":113,"head_meta":115,"extra_data":117,"updated_unix":119},105,"en","mayjun-2024-insurance-solutions-newsletter-this-issue","May/Jun 2024 INSURANCE SOLUTIONS NEWSLETTER - THIS ISSUE","","May/Jun 2024 Insurance Solutions Newsletter focuses on CDT coding guidance for implant supported removable prostheses. It explains when implant dentures and partials are preferable, how to report the radiographic/surgical implant index, and common coding errors involving surgical stents or splints. The newsletter differentiates endosteal versus mini implant placement codes, addresses second-stage surgery reporting, and lists correct codes for complete and partial implant-supported removable dentures, including modifications after implant surgery and attachment assemblies.",{"@graph":63,"@context":112},[64,80,95],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":41,"@type":70,"position":76},"https://docshare.wps.com/template/letters/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/mayjun-2024-insurance-solutions-newsletter-this-issue/572500/",4,{"url":78,"name":59,"@type":81,"author":82,"headline":59,"publisher":85,"fileFormat":88,"inLanguage":57,"description":61,"dateModified":89,"datePublished":89,"encodingFormat":88,"isAccessibleForFree":90,"interactionStatistic":91},"DigitalDocument",{"name":83,"@type":84},"Ezra","Person",{"url":68,"name":86,"@type":87},"DocShare","Organization","application/pdf","2026-10-13",true,{"@type":92,"interactionType":93,"userInteractionCount":4},"InteractionCounter",{"@type":94},"ViewAction",{"@type":96,"mainEntity":97},"FAQPage",[98,104,108],{"name":99,"@type":100,"acceptedAnswer":101},"When is an implant supported removable prosthetic considered a better choice than a fixed hybrid option?","Question",{"text":102,"@type":103},"It may be preferred because it generally requires fewer implants, can be easily removed by the patient for routine cleaning, and needs little maintenance aside from occasional replacement of retentive o-rings or gaskets.","Answer",{"name":105,"@type":100,"acceptedAnswer":106},"What is the correct code for a radiographic/surgical implant index used for implant placement planning or osteotomy creation?",{"text":107,"@type":103},"Use D6190 RADIOGRAPHIC/SURGICAL IMPLANT INDEX, BY REPORT.",{"name":109,"@type":100,"acceptedAnswer":110},"Why should D5982 (surgical stent) or D5988 (surgical splint) not be reported for a surgical implant index for implant placement?",{"text":111,"@type":103},"These codes are for different purposes: D5982 relates to reshaping bone, while D5988 supports structures to aid healing after a jaw fracture, so they are not appropriate for surgical guides used for implant placement.","https://schema.org",{"og:url":78,"og:type":114,"og:title":59,"og:site_name":86,"og:description":61},"article",{"robots":116,"canonical":78},"index,follow",{"doc_id":118,"site_id":56},572500,1791927758,{"code":4,"msg":5,"data":121},{"doc_id":118,"user_id":122,"nickname":83,"user_avatar":123,"doc_module":9,"category_id":40,"category_name":41,"doc_title":59,"doc_description":61,"doc_content":124,"file_id":125,"file_url":126,"file_type":127,"file_size":128,"view_count":4,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":30,"language":129,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":130,"faqs":131,"seo_title":132,"seo_description":61,"update_tm":119,"read_time":133},1099514068035,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","May/Jun 2024 INSURANCE SOLUTIONS  \nNEWSLETTER  \nIN  \n1  \n8  \n11  \n13  \n15  \nTHIS ISSUE  \nCoding for Implant Supported Removable Prostheses  \nReporting Area of the Oral Cavity and Tooth Anatomy by CDT Code  \nNew Dental Compact Eases Professional Mobility Across States  \nDebridement Vs. Two-Stage Endodontic Treatment  \nPractice Booster Q&A  \nCoding for  \nImplant Supported Removable Prostheses  \nWhile fixed hybrid All-On-X restorations have surged in popularity (see the coding for All-on-4 article from ISN Mar/Apr 2022), there are still many times an implant supported removable prosthetic may be considered the better choice for patient treatment. These appliances generally require fewer implants to be placed, are easily removed by the patient for routine cleaning, and need little maintenance with the exception of occasionally replacing retentive o-rings or gaskets. Coding for these restorations is a frequent topic of questions submitted to our support center. This article will discuss coding for the different stages of fabrication of both implant dentures and partials as well as maintenance procedures for implant supported removable prosthetic restorations.  \nImplant Placement  \nThere are two common types of implants that may act as support for removable prostheses; full sized endosteal implants and mini implants. There are advantages and disadvantages of each, and the decision of which type to place is dependent on clinical evaluation and preference.  \nIf a surgical guide is utilized for implant placement, report D6190 .  \nD6190 RADIOGRAPHIC/SURGICAL IMPLANT INDEX, BY REPORT An appliance, designed to relate osteotomy or fixture position to existing anatomic structures, to be utilized during radiographic exposure for treatment planning and/or during osteotomy creation for fixture installation.  \nInsurance Solutions NEWSLETTER   \nIt is a common error to report either a surgical stent ( D5982) or surgical splint ( D5988) when providing a surgical implant index. These codes represent guides for reshaping bone (stent) or supporting structures to aid healing after a jaw fracture (splint) and are not appropriate for surgical guides for implant placement.  \nFor full sized endosteal implants (sometimes called“root form” implants), report:  \nD6010 SURGICAL PLACEMENT OF IMPLANT BODY: ENDOSTEAL IMPLANT  \nEndosteal implants ( D6010) are the most commonly used surgically placed (long-term) fullsize implants for the alveolus or basal bone. An alternative to full sized implants is the placement of mini implants ( D6013). These implants have a smaller diameter, integrate quickly, and generally have a lower cost for the patient. They also commonly have an integrated ball-shaped head which takes the place of a separate abutment. Nonetheless, mini implants transmit about twice the load to the supporting bone, and thus, control of occlusal loading is important. Indications for mini implants include areas with inadequate site length or width, atrophic bone, medical issues, fragility, financial hardship, patient declination of grafting, and patient fear of surgery1.  \nWhen reporting the placement of a mini implant, use:  \nD6013 SURGICAL PLACEMENT OF MINI IMPLANT  \nMost implant placements don’t require a second stage surgery since the healing caps are generally exposed. If required, subsequent tissue removal and placement of the healing cap or abutment (after osseous integration) is NOT included in the initial surgical placement fee for the implant body. Subsequent surgical exposure (after osseous integration) of the implant to enable placement of a  \nhealing cap is referred to as “second stage surgery”and is reported separately as D6011 if applicable. For second stage implant surgery, report:  \n\n| D6011 SURGICAL ACCESS TO AN IMPLANT BODY\u003Cbr>(SECOND STAGE IMPLANT SURGERY)\u003Cbr>Reporting and charging this procedure separately, even if you keep the same “global” implant fee, will also maximize reimbursements from insurance plans, as total fee schedule writ","cbCaipmEtos2NMVZ","https://ap.wps.com/l/cbCaipmEtos2NMVZ","pdf",950808,"English","# This Issue\n## Coding for Implant Supported Removable Prostheses\n## Implant Placement\n## Implant Supported Removable Prostheses\n## Common Coding Errors\n## Coding for Second Stage Surgery","[{\"question\":\"When is an implant supported removable prosthetic considered a better choice than a fixed hybrid option?\",\"answer\":\"It may be preferred because it generally requires fewer implants, can be easily removed by the patient for routine cleaning, and needs little maintenance aside from occasional replacement of retentive o-rings or gaskets.\"},{\"question\":\"What is the correct code for a radiographic/surgical implant index used for implant placement planning or osteotomy creation?\",\"answer\":\"Use D6190 RADIOGRAPHIC/SURGICAL IMPLANT INDEX, BY REPORT.\"},{\"question\":\"Why should D5982 (surgical stent) or D5988 (surgical splint) not be reported for a surgical implant index for implant placement?\",\"answer\":\"These codes are for different purposes: D5982 relates to reshaping bone, while D5988 supports structures to aid healing after a jaw fracture, so they are not appropriate for surgical guides used for implant placement.\"}]","May/Jun 2024 INSURANCE SOLUTIONS NEWSLETTER - THIS ISSUE | PDF",6]