How should an All-on-4 treatment be reported? (2024)

Answer

If a complete denture has been fabricated and placed immediately after the extractions are done, the denture may be reported using the corresponding immediate denture code.

  • D5130 Immediate denture – maxillary
  • D5140 Immediate denture – mandibular

On the other hand, if a new denture is provided for the patient to wear while the implants are being placed and at any time during the integration and healing process, report that prosthesis as a provisional denture.

  • D5810 Interim complete denture (maxillary)
  • D5811 Interim complete denture (mandibular)

If an immediate denture, previously existing denture, or a provisional denture is modified to accommodate healing caps and/or when the existing prosthesis is modified to receive retentive elements, this service is reported using code D5875. D5875 is not typically reimbursed, but a denture reline may be reimbursed as an alternate benefit if a limitation or exclusion does not apply and the entire prosthesis is relined as part of the modification process. Be aware, if the reline is reimbursed, the normal 5 to 7 year replacement limitation may be “reset.” Generally either prefabricated abutments (D6056) or custom abutments (D6057) support the fixed substructure (D6114 or D6115).

  • D5875 Modification of removable prosthesis following implant surgery
  • D6056 Prefabricated abutment – includes modification and placement
  • D6057 Custom prefabricated abutment – includes placement
  • D6114 Implant/abutment supported fixed denture for edentulous arch – maxillary
  • D6115 Implant/abutment supported fixed denture for edentulous arch – mandibular

The final All-on-Four prosthesis can be reported using code D6114/D6115 for the fixed complete denture prosthesis for each arch restored. This is commonly referred to as a “hybrid prosthesis.”

Again, there will be frequency limitations associated with the delivery of multiple prostheses for each arch. Be aware of the frequency limitations associated with the plan(s) covering the patient and submit the claims accordingly. Consider the payer’s mandated write-offs if you are a participating provider.

How should an All-on-4 treatment be reported? (2024)

FAQs

How should an All-on-4 treatment be reported? ›

Common dental codes used for All-on-4 procedures include D6010 for surgical extraction, D6056 for implant-supported prosthesis, and D6066 for interim implant prosthesis.

What is the All-on-4 treatment protocol? ›

As a concept, the All-on-4® treatment concept is usually performed in one treatment, which comprises both surgery and prosthetic restoration on the same day. Two straight implants are inserted in the anterior region (usually lateral incisor) and two dorsally tilted implants in the posterior zone (2nd premolar).

What is the maintenance code for All-on-4? ›

Maintenance Visits

Once the prosthesis is delivered, subsequent periodic maintenance is described using code D6080, implant maintenance procedures when fixed prostheses are removed and reinserted.

What is the downside of all on four dental implants? ›

All-on-4 dental implants are expensive and can be cost prohibitive for some patients. The All-on-4 implant surgery can cause tender gums and difficulty eating during the healing process.

Does food get stuck under all on four dental implants? ›

They are designed to look natural and are permanently fixed to the mouth using 4 or more implants placed across the jawbone. In some cases, yes, it is possible to get food stuck under them, but you can usually resolve this problem with a bit of precaution, and the right care.

What is the all on 6 procedure? ›

The All-on-6 procedure is simpler and faster than the procedure for traditional dental implants. At the same time, All-on-6 dental implants create more strength in the jaw than All-on-4 dental implants. In the All-on-6 procedure, six dental screws are placed around the jaw at roughly equal distances.

How long does all on four last? ›

How Long Does All-on-4 Last? All-in-4 implants are proven to stand the test of time. In fact, data shows they can last for 20 years or longer with the right care. The implant posts should never need to be replaced; however, your denture will experience daily wear and tear.

How does All-on-4 work? ›

In dental processes, an all-on-four implant procedure is designed to improve the look of people who are facing the problem of missing teeth by placing permanent implant restorations in four dental implants placed in the jaw bone. The procedure is typically performed by experts and does not require any stitches.

How long is All-on-4? ›

It takes anywhere between four and six months for the All-on-4 implant process to be completed. It may take longer for those who are in need of additional dental work, which can add another month or two to the overall process.

What is the truth about all on 4 dental implants? ›

They are an amazing permanent alternative to dentures

Unlike dentures, All-on-4 dental implants are fixed permanently and securely onto your gum. That means they never get loose or shift like dentures often do. Plus, All-on-4 implants are a more economical and practical choice than replacing each tooth individually.

Are All-on-4 worth the money? ›

A full set of All-on-4 implants can be pricey. In comparison, traditional dentures can be way more economical. While the initial investment for All-on-4 implants is higher, they are worth the long-term investment. All-on-4 implants are more durable and have a longer lifespan than other teeth replacement options.

Do All-on-4 have fake gums? ›

The procedure involves placing 4 implants through the jaw, with a horse shoe shaped porcelain bridge and does not have an artificial gum line. This fixed prosthesis will allow a person's mouth to perform all the functions that it would with all natural teeth.

Can you eat steak with all on four implants? ›

If you are considering All-On-4 Dental Implants, you may be looking forward to eating some juicy steak again as soon as possible. And you will eat that amazing steak, the apple, and corn on the cob with confidence! But first, your bone and implants need to heal together for the first 3-4 months.

Can I eat popcorn with All-on-4? ›

Avoiding certain foods in the weeks following surgery is crucial to the success of your implant. Hard, crunchy foods like nuts, popcorn, and chips can interfere with your implants' healing process. You should also avoid sticky, gooey foods like caramel and chewy candy that can twist or dislodge your implants.

Can you eat steak with All-on-4 dental implants? ›

In the initial stages of healing, you may need to stick to softer foods to avoid putting excessive pressure on the implants. As your dentist clears you for a normal diet, you can gradually reintroduce steak into your meals.

What is the maintenance code for implant crown? ›

In the case of an implant-supported fixed prosthesis that is removed from the patient, cleaned, and then reinserted, use the code D6080 (implant maintenance procedures when the prosthesis is removed and reinserted, including cleansing the prosthesis and abutments.)

What is maintenance of code? ›

Code in information theory and computer science is simply program instructions and, Maintenance is to care or upkeep. Combining these two words, it clearly states that code maintenance is to take care of or to keep the code in good condition.

What is maintenance minder code 0? ›

Engine Oil Change (Maintenance "A" or Minder "0")

Most basic but essential service for a vehicle's engine.

What is the maintenance code a 1 2? ›

A-1-2 Service – Oil change, tire rotation, tire pressure check, air cleaner element replacement, drive belt check, and dust and pollen filter replacement required.

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