Dental Implant Maintenance Coding Frustration
QUESTION: We have patients without regular dentition, so we are not able to use code D1110. They have implants on the maxillary and mandibular with an implant-supported prosthesis on both, so we cannot use 1110 for their prophies. D6080 specifically states removing the fixed prostheses. Delta Dental advises using D6999 by report, but then they changed the code to D6080 (even though we didn’t remove the fixed prostheses). Other insurances don’t recognize that code or don’t have implant coverage, therefore they deny the claim. If you have any advice as to how to submit claims for these procedures, I would love to hear from you...
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