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Coding with Kyle: Overdenture coding after implant placement

April 18, 2021

Kyle Summerford guides fellow office managers through the tricky world of dental coding in this monthly feature.

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].

About the Author

Kyle L. Summerford

With more than 22 years of experience in dental, Kyle L. Summerford has a unique approach to case presentation and patient acceptance. As an OM and financial dental consultant, he leverages his knowledge to assist new and struggling dental practices. Through his education programs, Kyle empowers staff members with effective patient education skills and persuasion techniques. He has lectured at CE events and academic institutions. His expertise is further recognized through his column, Dental Coding with Kyle. He’s the founder of the Dental Office Managers Community. Visit his website at kylesummerford.com.