When is D6092 used?
The D6092 dental code applies to the re-cementation or re-bonding of crowns supported by implants or abutments. This CDT code is appropriate when a previously installed implant or abutment-supported crown has become loose or detached and needs reattachment, without replacing the restoration entirely. It's crucial to differentiate this from codes for natural tooth crowns or complete crown replacement procedures. Correct application of D6092 helps ensure proper billing practices and reduces the likelihood of claim rejections.
D6092 Charting and Clinical Use
Proper documentation is critical when submitting claims for D6092. Clinical records should clearly indicate the visit purpose, implant and crown status, and procedures performed for re-cementing or re-bonding the restoration. Essential documentation elements include:
Original crown placement date
Implant or abutment system specifications
Crown and abutment evaluation (e.g., undamaged condition, proper margins)
Re-cementation or re-bonding materials utilized
Patient outcome and follow-up care instructions
Typical clinical situations involve crowns loosened by chewing forces, minor injuries, or cement deterioration. When the crown or abutment requires replacement due to damage, use appropriate alternative codes, such as D6096 for implant crown removal and replacement.
Billing and Insurance Considerations
To optimize reimbursement and minimize accounts receivable delays, implement these recommended practices when billing D6092:
Confirm benefits: Many dental insurance plans exclude implant procedures. Check patient coverage and restrictions prior to treatment.
Provide comprehensive documentation: Include clinical records, before and after radiographs or photographs, and detailed explanations for the re-cementation necessity.
Apply appropriate coding: Avoid using D6092 for natural tooth crowns or new crown construction. Additional codes may be required if abutment or implant repairs are performed.
Contest claim denials: When claims are rejected, examine the Explanation of Benefits, address insurer concerns, and resubmit with thorough supporting evidence.
Maintaining current knowledge of insurance policies and CDT code revisions is essential for effective dental practice billing and financial management.
How dental practices use D6092
Case: A patient arrives with a loosened implant-supported crown on tooth #30. The restoration was installed two years prior and shows no other damage. Following examination, the dentist confirms both crown and abutment remain intact, then re-cements the crown using suitable implant cement. The treatment is properly documented, and D6092 is submitted to insurance with comprehensive notes and intraoral photographs. The claim receives approval and payment based on the plan's implant benefit structure.
This scenario demonstrates how complete documentation and accurate code usage ensure prompt reimbursement while maintaining compliance with dental insurance requirements.
Common Questions
Are there frequency restrictions for billing D6092 for the same patient?
Most dental insurance plans establish frequency limitations for procedures such as D6092. It's essential to review each patient's individual policy, as certain plans may restrict coverage for re-cementation or re-bonding of implant crowns to once every 12 or 24 months. Always confirm benefits before providing treatment and maintain thorough documentation of any special circumstances if a repeat procedure becomes necessary within the restricted timeframe.
Is D6092 appropriate for re-cementing or re-bonding crowns on natural teeth or bridges?
No, D6092 is exclusively designated for implant or abutment-supported crowns. When re-cementing or re-bonding crowns or bridges on natural teeth, appropriate CDT codes include D2920 (re-cement or re-bond crown) or D6930 (re-cement or re-bond fixed partial denture).
What steps should be taken when insurance denies a D6092 claim?
When a D6092 claim receives a denial, carefully examine the Explanation of Benefits (EOB) to identify the specific reason. Typical denial causes include insufficient documentation or coverage limitations. Respond to the denial by filing an appeal accompanied by comprehensive supporting documentation, including detailed clinical notes, radiographic images, and a thorough narrative demonstrating medical necessity. Contact the insurance provider for clarification when needed and maintain regular communication with the patient throughout the appeals process.