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Dental Laboratory

American Dental Association (ADA) Insurance Codes
for Laboratory Procedures:

CROWN & BRIDGE
Porcelain, Ceramic Inlays/Onlays (include all indirect ceramic and porcelain type inlays/onlays)

D2610 Inlay - porcelain/ceramic - one surface

D2620 Inlay - porcelain/ceramic - two surfaces

D2630 Inlay - porcelain/ceramic - three or more surfaces

 

CROWN & BRIDGE
Crowns - Single restorations only

D2710 Crown - resin (indirect) - Refers to any resin-based composite crown that is indirectly fabricated. All fiber, porcelain or ceramic reinforced polymer materials/systems are considered resin-based composites. Unfilled or non-reinforced resin crowns should be reported using D2999

D2720 Crown - resin with high noble metal

D2721 Crown - resin with predominantly base metal

D2740 Crown - porcelain / ceramic substrate

D2750 Crown - porcelain fused to high noble metal

D2751 Crown - porcelain fused to predominantly base metal

D2780 Crown - ¾ cast high noble metal

D2781 Crown - ¾ cast predominantly base metal

D2783 Crown - ¾ porcelain/ceramic - This code does not include facial veneers

D2790 Crown - full cast high noble metal

D2791 Crown - full cast predominantly base metal

D2799 Provisional crown

D2952 Cast post and core in addition to crown - Cast post and core is separate from crown

D2953 Each additional cast post - same tooth - To be used with D2952

D2962 Labial veneer (porcelain laminate) - laboratory - Refers to facial veneers that extend interproximally and/or cover the incisal edge. Porcelain/ceramic veneers presently include all ceramic and porcelain veneers

D2980 Crown repair, by report - Includes removal of crown, if necessary. Describe procedure.

D2999 Unspecified restorative procedure, by report.

 

CROWN & BRIDGE
Fixed Partial Denture Pontics

D6210 Pontic - cast high noble metal

D6211 Pontic - cast predominantly base metal

D6240 Pontic - porcelain fused to high noble metal

D6241 Pontic - porcelain fused to predominantly base metal

D6245 Pontic - porcelain/ceramic

D6250 Pontic - resin with high noble metal

D6251 Pontic - resin with predominantly base metal

D6253 Provisional pontic - Pontic utilized as an interim of at least six months duration during restorative treatment to allow adequate time for healing or completion of other procedures. This is not to be used as a temporary pontic for routine prosthetic fixed partial dentures.

 

CROWN & BRIDGE
Fixed Partial Denture Retainers

D6545 Retainer - cast metal for resin bonded fixed prosthesis

D6548 Retainer - porcelain/ceramic for resin bonded fixed prosthesis

 

CROWN & BRIDGE
Fixed Partial Denture Retainers - Crowns

D6740 Crown - porcelain/ceramic

D6750 Crown - porcelain fused to high noble metal

D6790 Crown - full cast high noble metal

D6791 Crown - full cast predominantly base metal

D6793 Provisional retainer crown - Retainer crown utilized as an interim of at least six months duration during restorative treatment to allow adequate time for healing or completion of other procedures. This is not to be used as a temporary retainer crown for routine prosthetic fixed partial dentures.

 

CROWN & BRIDGE
Other Fixed Partial Denture Services

D6920 Connector bar - A device attached to fixed partial denture retainer or coping which serves to stabilize and anchor a removable over-denture prosthesis.

D6930 Re-cement fixed partial denture

D6940 Stress breaker - A non-rigid connector.

D6950 Precision attachment - Report attachment separately from crown; a male and female pair constitutes one precision attachment. Describe type of attachment used.

D6970 Cast post and core in addition to fixed partial denture retainer

D6971 Cast post as part of fixed partial denture retainer

D6972 Prefabricated post and core in addition to fixed partial denture retainer

D6973 Core build up for retainer, including any pins

D6975 Coping - metal - To be used as a definitive restoration

D6976 Each additional cast post - same tooth - To be used with D6970 or D6971

D6977 Each additional prefabricated post - same tooth - To be used with D6972

D6980 Fixed partial denture repair, by report

D6999 Unspecified fixed prosthodontic procedure, by report - Used for procedure that is not adequately described by a code. Describe procedure.

 

REMOVABLE PROSTHETICS
Adjustments to Dentures

D5410 Adjust complete denture - maxillary

D5411 Adjust complete denture - mandibular

D5421 Adjust partial denture - maxillary

D5422 Adjust partial denture - mandibular

REMOVABLE PROSTHETICS
Repairs to Complete Dentures

D5510 Repair broken complete denture base

D5520 Repair missing or broken teeth - complete denture (each tooth)

 

REMOVABLE PROSTHETICS
Repairs to Partial Dentures

D5610 Repair resin denture base

D5620 Repair cast framework

D5630 Repair or replace broken clasp

D5640 Replace broken teeth - per tooth

D5650 Add tooth to existing partial denture

D5660 Add clasp to existing partial denture

D5670 Replace all teeth and acrylic on cast metal framework (maxillary)

D5671 Replace all teeth and acrylic on cast metal framework (mandibular)

 

REMOVABLE PROSTHETICS
Denture Reline Procedures
Reline is the process of resurfacing the tissue side of a denture with new base material.

D5730 Reline complete maxillary denture (chair side)

D5731 Reline complete mandibular denture (chair side)

D5740 Reline maxillary partial denture (chair side)

D5741 Reline mandibular partial denture (chair side)

 

REMOVABLE PROSTHETICS
Interim Prosthesis
A provisional prosthesis is designed for use over a limited period of time, after which it is to be replaced by a more definitive restoration.

D5810 Interim complete denture (maxillary)

D5811 Interim complete denture (mandibular)

D5820 Interim partial denture (maxillary) - Includes any necessary clasps and rests.

D5821 Interim partial denture (mandibular) - Includes any necessary clasps and rests.

REMOVABLE PROSTHETICS
Miscellaneous Services

D9940 Occlusal guard, by report - Removable dental appliances, which are designed to minimize the effects of bruxism (grinding) and other occlusal factors.

D9941 Fabrication of athletic mouthguard

ADA Insurance Codes for Dental Implants:

IMPLANTS
Implant Services

D6010 Surgical placement of implant body: endosteal implant - Includes second stage surgery and placement of healing cap.

D6020 Abutment placement or substitution: endosteal implant - An abutment is placed to permit fabrication of a dental prosthesis. This procedure may include the removal of a temporary healing cap or replacement with an abutment of alternate design. The intention of this code is to report this procedure by other than the dentist who placed the implant.

D6040 Surgical placement: eposteal implant - An eposteal (subperiosteal) framework of a bio-compatible material designed and fabricated to fit on the surface of the bone of the mandible or maxilla with perimucosal extensions which provide support and attachment of a prosthesis. This may be a complete arch or unilateral appliance. Eposteal implants rest upon the bone and under the periosteum.

D6050 Surgical placement: transosteal implant - A transosteal (transosseous) bio-compatible device with threaded posts penetrating both the superior and inferior cortical bone plates of the mandibular sympysis and exiting through the perimucosa providing support and attachment for a dental prosthesis. Transcosteal implants are placed completely through the bone and into the oral cavity from extraoral or intraoral.

 

IMPLANTS
Implant Supported Prosthetics

D6053 Implant/abutment supported removable denture for completely edentulous arch

D6054 Implant/abutment supported removable denture for partially edentulous arch

D6055 Dental implant supported connecting bar - A device attached to transmucosal abutments to stabilize and anchor a removable overdenture prosthesis.

D6056 Prefabricated abutment - A connection to an implant that is a manufactured component usually made of machined high noble metal, titanium, titanium alloy or ceramic. Modification of a prefabricated abutment may be necessary, and is accomplished by altering its shape using dental burs/diamonds.

D6057 Custom abutment - A connection to an implant that is a fabricated component, usually by a laboratory, specific for an individual application. A custom abutment is typically fabricated using a casting process and usually is made of noble or high noble metal. A "UCLA" abutment is an example of this type abutment.

D6058 Abutment supported porcelain/ceramic crown - A single crown restoration that is retained, supported and stabilized by an abutment on an implant; may be screw retained or cemented.

D6060 Abutment supported porcelain fused to metal crown (predominantly base metal) - A single metal-ceramic crown restoration that is retained, supported and stabilized by an abutment on an implant; may screw retained or cemented.

D6062 Abutment supported cast metal crown (high noble metal) - A single cast metal crown restoration that is retained, supported and stabilized by an abutment on an implant; may be screw retained or cemented.

D6063 Abutment supported cast metal crown (predominantly base metal) - A single cast metal crown restoration that is retained, supported, and stabilized by an abutment on an implant; may be screw retained or cemented.

D6065 Implant supported porcelain/ceramic crown - A single crown restoration that is retained, supported, and stabilized by an implant; may be screw retained or cemented.

D6066 Implant supported porcelain fused to metal crown (titanium, titanium alloy, high noble metal) - A single metal-ceramic crown restoration that is retained,supported, and stabilized by an implant; may be screw retained or cemented.

D6067 Implant supported metal crown (titanium, titanium alloy, high noble metal) - A single cast metal crown restoration that is retained, supported and stabilized by an abutment on an implant; may be screw retained or cemented.

D6068 Abutment supported retainer for porcelain/ceramic FPD - A ceramic retainer for a fixed partial denture that gains retention, support and stability from an abutment on an implant; may be screw retained or cemented.

D6074 Abutment supported retainer for cast metal FPD (noble metal) - A cast metal retainer for afixedpartialdenturethatgainsretentionsupportandstabilityfromanabutmentonanimplant; may be screw retained or cemented.

D6075 Implant supported retainer for ceramic FPD - A ceramic retainer for a fixed partial denture that gains retention, support and stability from an implant; may be screw retained or cemented.

D6076 Implant supported retainer for porcelain fused to metal FPD (titanium, titanium alloy, or high noble metal) - A metal-ceramic retainer for a fixed partial denture that gains retention, support and stability from an implant; may be screw retained or cemented.

D6077 Implant supported retainer for cast metal FPD (titanium, titanium alloy, or high noble metal) - A cast metal retainer for a fixed partial denture that gains retention, support and stability from an implant; may be screw retained or cemented.

D6078 Implant/abutment supported fixed denture for completely edentulous arch - A prosthesis that is retained, supported and stabilized by implants or abutments placed on implants, but does not have specific relationships between implant positions and replacement teeth; may be screw retained or cemented; commonly referred to as a "hybrid prosthesis."

D6079 Implant/abutment supported fixed denture for partially edentulous arch - A prosthesis that is retained, supported and stabilized by implants or abutments placed on implants, but does not have specific relationships between implant positions and replacement teeth; may be screw retained or cemented; commonly referred to as a "hybrid prosthesis." 

 

IMPLANTS
Other Implant Services

D6080 Implant maintenance procedures, including removal of prosthesis, cleansing of prosthesis and abutments and reinsertion of prosthesis - This procedure includes a prophylaxis to provide active debriding of the implant and examination of all aspects of the implant system, including the occlusion and stability of the superstructure. The patient is also instructed in thorough daily cleansing of the implant.

D6090 Repair implant supported prosthesis, by report - This procedure involves the repair or replacement of any part of the implant supported prosthesis.

D6095 Repair implant abutment, by report - This procedure involves the repair or replacement of any part of the implant abutment.

D6100 Implant removal, by report - This procedure involves the surgical removal of an implant. Describe procedure.

D6199 Unspecified implant procedure, by report - Use for procedure that is not adequately described by a code. Describe procedure.

 

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