When is D6093 used?
The D6093 dental code applies to the re-cementation or re-bonding of fixed partial dentures supported by implants or abutments. This CDT code is appropriate when an existing implant-supported bridge becomes loose or separates from its abutments, yet the prosthetic device remains in good condition and doesn't need replacement. Dental professionals should choose D6093 when the clinical situation requires reattaching a previously installed, undamaged fixed partial denture to its implant or abutment supports, rather than creating a new restoration or making repairs to the prosthetic device.
D6093 Charting and Clinical Use
Proper documentation is crucial for effective billing and claim acceptance. When applying D6093, make sure your clinical records contain:
The patient's primary concern (such as loose bridge or prosthetic device)
Evaluation of the prosthesis and abutments (verifying they remain intact and undamaged)
Procedure specifics performed (such as cleaning, re-cementing, or re-bonding methods)
Materials utilized and results (prosthesis stability following procedure)
Typical situations for D6093 include:
A patient arrives with an implant-supported bridge that has come loose but remains undamaged.
Regular maintenance where the fixed partial denture needs re-bonding after multiple years of use.
Make sure to distinguish from codes like D6092 (re-cementation of implant/abutment supported crown) or D6980 (fixed partial denture repair), since incorrect usage may result in claim rejections.
Billing and Insurance Considerations
To achieve the best reimbursement results, implement these recommended practices:
Check coverage: Confirm with the patient's insurance plan whether D6093 is included as a covered service, since some policies may restrict coverage for maintenance treatments.
Include supporting materials: Provide intraoral photographs, X-rays, and comprehensive clinical notes to demonstrate the procedure's medical necessity.
Apply clear terminology: In your claim description, explicitly indicate that the prosthesis remained intact and only needed re-cementation/re-bonding, not repair or replacement.
Monitor EOBs and AR: Keep track of Explanation of Benefits (EOBs) and Accounts Receivable (AR) to promptly spot underpayments or rejections. When denied, examine the insurer's reasoning and prepare for claim appeals with extra documentation when necessary.
Being proactive with insurance verification and record-keeping can greatly minimize delays and rejections for D6093 claims.
How dental practices use D6093
Practice Example: A 62-year-old patient schedules an appointment after detecting movement in their lower implant-supported bridge. Clinical assessment shows the bridge remains undamaged, without cracks or deterioration, but has separated from the abutments. The dentist carefully removes the prosthesis, thoroughly cleans the abutments and internal surfaces, then re-cements the bridge using suitable bonding materials. The patient receives care instructions and a follow-up appointment is scheduled. The treatment is coded as D6093, with comprehensive documentation and photographs submitted with the claim. The claim receives approval, and payment is processed promptly.
This practice example demonstrates the significance of accurate code selection, complete documentation, and effective payer communication to maintain smooth revenue cycle operations.
Common Questions
Are there frequency restrictions when billing D6093 to dental insurance carriers?
Most dental insurance carriers establish frequency restrictions on D6093 billing for identical prostheses or treatment sites. Practitioners should verify specific plan requirements with each patient's insurance carrier, as coverage may be limited to one re-cementation or re-bonding procedure within designated timeframes (typically 12 to 24 months). Maintaining thorough clinical documentation demonstrating medical necessity can support claims when frequency restrictions may apply.
Is it possible to bill D6093 with other dental treatments during the same appointment?
D6093 may be billed concurrently with additional dental services provided in the same visit, including routine examinations or prophylaxis procedures. Each treatment requires individual clinical documentation and supporting narratives. Verify that services are considered separate billable procedures by the insurance carrier and apply correct CDT codes for each distinct treatment provided.
Which materials are commonly utilized for re-cementation or re-bonding procedures under D6093?
Practitioners frequently employ resin-based or glass ionomer cements when performing re-cementation of implant-supported prostheses under D6093. Material selection varies based on prosthesis type, clinical circumstances, and practitioner expertise. The chosen cement should deliver optimal retention while preserving the integrity of implant and abutment surfaces.