Code Tip: D6085 Provisional Implant Crown

This code is applicable when a period of healing is required prior to the fabrication and seat of the permanent prosthetic.

It is viable and necessary but with insurance policy provisions may be excluded as a payable code or will be considered as “inclusive” of the permanent restorative.  Some PPO contracts will disallow the code or will consider it if the permanent prosthetic is never placed (then it would be considered an alternate treatment) You must read the fine print in the policy processing manual to see how this code is managed.  

 

Dental Billing Tips and News for Pros; Edition #128

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