This month I provide you with the knowledge and codes to reference when submitting a dental claim for an implant overdenture with precision attachments. Implant overdentures can be confusing and difficult to navigate, but this clear and concise guide will explain exactly how you should submit paperwork to your patients' dental insurance plans to maximize reimbursement.
Happy coding!
Kyle
Overdenture coding after implant placement
Upper
D5863: Complete maxillary
D5865: Complete mandibular
Lower
D5864: Partial maxillary
D5866: Partial mandibular
Initial placement
D5862: Precision attachments, by report*
*Report per “set” (male and female)
Replacement
Precision attachments report D5867: Replacement of replaceable part of semi-precision or precision attachment
If an in-office reline is necessary in order to replace the attachments, be sure to report one of the following:
D5730: Reline complete maxillary denture (chairside)
D5731: Reline complete mandibular denture (chairside)
D5740: Reline maxillary partial denture (chairside)
D5741: Reline mandibular partial denture (chairside)
Pre-op and Post-op x-rays must always accompany the claim form, and must include an explanation of what has been accomplished.
Kyle L. Summerford is a nationally recognized practice management guru, author, and lecturer. He is founder and president of Summerford Solutions Inc., and cofounder of Elitedentalclaims.com. Kyle also serves as editorial director of Dental Office Manager Digest e-newsletter. He lectures extensively to dentists and their staff on topics such as insurance coding and billing and useful practice management tips. Contact him at [email protected].
