Views: 222 Author: Dream Publish Time: 2025-04-06 Origin: Site
Content Menu
● Introduction to Dental Codes
>> Example of Dental Codes for Implants
>> Dental Code for Abutment Screw Removal
>> Dental Code for Abutment Screw Replacement
● Importance of Accurate Coding
● Best Practices for Dental Coding
>> Case Study: Custom vs. Prefabricated Abutments
● FAQs
>> 1. What is the dental code for abutment screw removal?
>> 2. How do I code for replacing an abutment screw?
>> 3. What is the purpose of custom abutments?
>> 4. Why is accurate dental coding important?
>> 5. How do I document a loose implant screw procedure?
Dental codes play a crucial role in the billing and documentation of dental procedures, including those involving abutment screws. Understanding these codes is essential for both dental professionals and patients to ensure accurate billing and insurance reimbursement. In this article, we will delve into the specifics of dental codes related to abutment screw procedures, including removal and replacement.

Dental codes are standardized by the American Dental Association (ADA) through the Current Dental Terminology (CDT). These codes cover a wide range of dental procedures, from routine cleanings to complex surgical interventions. For procedures involving dental implants and abutments, specific codes are used to document the type of procedure performed.
| Code | Description |
|---|---|
| D6010 | Surgical placement of implant body: endosteal implant |
| D6056 | Prefabricated abutment – includes modification and placement |
| D6057 | Custom fabricated abutment – includes placement |
Abutment screws are critical components in dental implant restorations, securing the crown or prosthesis to the implant. Procedures involving these screws include tightening, loosening, or replacing them.
When an abutment screw needs to be removed, there isn't a specific CDT code solely for this procedure. However, codes like D6080 can be used for implant maintenance procedures that involve removing and reinserting prostheses, which may include cleaning of the prosthesis and/or abutment. For a loose screw, D6089 is a new code introduced in 2024 for accessing and retorquing a loose implant screw.
If the screw is replaced during the procedure, additional codes might be necessary to document the replacement of restorative material, such as D6197, which is used for replacing restorative material in screw-retained implant-supported prostheses.
Custom abutments are designed specifically for each patient's unique oral anatomy. The code D6057 is used for custom fabricated abutments, which includes their placement.

Accurate coding is crucial for ensuring that dental practices receive proper reimbursement from insurance companies. Incorrect coding can lead to delays or denials of claims.
One of the challenges in dental coding is keeping up with updates and changes in the CDT codes. The ADA regularly updates these codes to reflect advancements in dental technology and procedures. For instance, the introduction of D6089 for accessing and retorquing loose implant screws highlights the need for continuous education on current coding practices.
Incorrect coding can result in financial losses for dental practices due to denied claims. It also affects patient care by potentially delaying necessary treatments if insurance coverage is disputed.
To ensure accurate coding, dental practices should:
- Stay Updated: Regularly review updates to the CDT codes.
- Use Specific Codes: Always use the most specific code available for each procedure.
- Document Thoroughly: Maintain detailed records of all procedures performed.
Advanced coding techniques involve understanding the nuances of each code and how they apply to different clinical scenarios. For example, distinguishing between prefabricated and custom abutments can significantly impact billing accuracy.
In a scenario where a patient requires a custom abutment due to complex oral anatomy, using the correct code (D6057) ensures that the practice is reimbursed for the additional work involved in custom fabrication. Conversely, using a prefabricated abutment code (D6056) would underrepresent the complexity and cost of the procedure.
Understanding dental codes for abutment screw procedures is essential for efficient practice management and patient care. By using the correct codes, dental professionals can ensure accurate billing and maintain clear records of patient treatments.

The dental code for procedures involving abutment screw removal is not specifically defined but can be documented under codes like D6080 for broader implant maintenance procedures. For accessing and retorquing a loose screw, D6089 is used.
Replacing an abutment screw might involve using codes like D6197 if restorative material is replaced during the procedure. However, there is no specific CDT code solely for screw replacement.
Custom abutments are designed to fit a patient's unique oral anatomy, providing a precise fit and enhancing the aesthetic and functional outcomes of dental restorations.
Accurate dental coding ensures that dental practices receive proper reimbursement from insurance companies and maintains clear patient treatment records.
For a loose implant screw, the new code D6089 can be used for accessing and retorquing the screw. This code was introduced in 2024 to better document such procedures.
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