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# Dental Code D6190: The Radiographic/Surgical Implant Index Explained

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- March 12, 2025

Are you confused about Dental Code D6190? Do you mix up the codes very often? You are not alone in this confusion. People usually misunderstand this code, even though it is vital for precise dental implant placement. D6190 refers to a radiographic/Surgical implant index by report. Dentists use it as a specialized code to plan and execute dental implant surgeries accurately. Think of it as a 3D roadmap for your jawbone. It involves creating a digital or physical custom guide that maps a dental implant’s exact position, angle, and depth. It uses advanced imaging and surgical planning software.

Understanding and mastering Dental Code D6190 is not just about knowledge; it can empower patients and professionals by ensuring clear communication, accurate billing, and thorough care with essential diagnostic imaging. It plays a pivotal role in planning and executing dental implant surgeries, bringing optimal results, and instilling a sense of control and confidence in patients and professionals.

Let’s break down why Dental code D6190 matters, how it works, and who needs it the most.

## What is Dental Code D6190?

The American Dental Association (ADA) defines dental code D6190 as a radiographic/surgical implant index by the report. This code covers the comprehensive evaluation and planning process for dental implant placement. The method includes radiographic imaging and surgical index creation. It is billed when an oral surgeon or a dentist presents a detailed report.

The reports mention that the implant aligns with the patient’s bone structure, nerves, and sinuses. The dental code makes things more organized and precisely successful. In simpler terms, the CDT code D6190 involves creating a detailed guide that assists dental surgeons in accurately positioning implants relative to adjacent teeth and anatomical structures.

## Role of CDT Code D6190

Dental Code D6190 plays a vital role in dental implant procedures by ensuring accurate diagnostic imaging and thorough assessments. This code assists dentists in gathering essential information, including bone structure and nerve locations, which are crucial for the safe planning and placement of dental implants. Additionally, it promotes consistent documentation and effective communication among dental professionals, contributing to more precise surgical outcomes. Significantly, implementing this code enhances patient safety by reducing risks associated with the implant process.

## Significance of D6190 for Implant Success

Successful dental implants result from careful planning, skilled technique, and precise execution rather than luck. There is no magic potion for a perfect surgical implant other than precision and efficiency. To maximize precision, we must follow the dental codes.

Following are some of the benefits:

### 1. Precision of implant

Medical and dental practice is all about accuracy. The precision of the implant is essential to reduce nerve damage. The surgical guide prevents speculations or implant failure.

### 2. Efficiency

Dental code D6190 aims to reduce surgery time by 30-50% compared to freehand placement.

### 3. Customization

Every jaw is not the same. The surgical solutions tailored to your anatomy (3D imaging and digital models) provide customized results to the patients.

### 4. Risk mitigation

Accurate planning decreases potential surgical complications like nerve damage and improper alignment.

### 5. Documentation

Proper documentation ensures thorough records for insurance claims and future references.

## Who Needs CDT Code D6190

D6190 is helpful for patients with low bone density and limited bone volume. It ensures precise placement of the implant. Patients who need multiple implants in a single arch also benefit from this code. D6190 also helps in cases that involve immediate load implants. The CDT code D6190 keeps implants clear of nerves, sinuses, and blood vessels.

## Procedure Breakdown of Dental Code D6190

The process starts with a cone beam CT scan capturing the jawbone structure. Software is used to design implant positioning, and the lab 3D prints (or mills) the surgical stent. The last step is report creation, which involves details about implant location, angulation, and other supporting data. Let’s explain these steps below:

### Cone beam CT scan

This cone beam CT scan is an essential step in this dental process of D6190. It captures 3D images of the patient’s jawbone. These detailed images are necessary for planning the implant procedure and treatment.

### Designing implant positioning with software

After the 3D scan, implant planning software is used to design the implant’s optimal position, angle, and depth for dental implants. The software allows the dentist or surgical team to virtually plan the implant procedure by considering various factors, including the available bone structure, surrounding anatomical elements, and specific characteristics unique to the patient.

### 3D printing or milling of surgical stent

Creating a surgical stent through 3D printing or milling is a vital follow-up step that guides accurate implant placement during surgery. This process enhances precision during the surgery and is based on the diagnostic imaging that has been collected. However, it is essential to note that this step is often not included in the D6190 code. The stent is derived from the diagnostic imaging that has been obtained, highlighting its role in improving surgical outcomes.

### Surgical report creation

After the completion of the procedure planning, a surgical report is created. This report includes essential details about the following:

- The implant location (exact position within the jaw),
- The implant angulation (the angle at which the implant will be placed),
- Supporting data from the CBCT scan (such as bone quality, nerve proximity, etc.).

D6190 covers radiographic diagnostic imaging (like the CBCT scan), the interpretation of those images, and the generation of a report.

## Costs and Insurance of Dental Code D6190

The D6190 is considered a planning service. The cost varies based on the procedure’s complexity, location, and dental practice. Insurance rarely covers the D6190 code services. Some insurers may provide 20-30% coverage if the procedure is medically justified.

## CDT Code D6190 vs. Other Implant Codes

A proper understanding of medical codes is crucial for medical billing. Some people may find CDT codes confusing, while others may find these hard to remember.

Following are a few vital dental codes for medical billing:

CDT Code | Description
Dental code D6010 | It refers to the surgical placement of an implant.
Dental code D6057 | This code is used for custom abutments.
Dental code D6190 | It focuses only on the planning guide and report, not the implant itself.

## Frequently Asked Questions About Dental Code D6190

### 1. What does CDT Code D6190 cover?

Dental code D6190 covers the creation of a radiographic and surgical implant index. It helps in the accurate planning and placement of dental implants.

### 2. Does insurance typically cover the cost of D6190?

Coverage of CDT code D6190 varies by insurance provider. Some providers consider the fee for D6190 to be a part of the total implant treatment cost, while others may not cover it separately.

### 3. Why is a radiographic/surgical implant index important?

The radiographic/surgical implant index ensures precise implant placement. It reduces surgical risks and enhances dental implants’ functional and aesthetic outcomes.

### 4. How is D6190 different from other dental implant codes?

Other dental codes may pertain to surgical placement or the restoration of implants. D6190 refers only to the preparatory phase, including radiographic evaluation and surgical guide creation. Treatment procedures are not covered in this code.

### 5. Can D6190 be billed separately from the implant procedure?

CDT code D6190 may be considered inclusive of the overall implant treatment and might not be eligible for separate billing. All of this depends on providers’ insurance policies. It is essential to consult with the insurance provider for specific and detailed guidelines to avoid any misunderstanding.

## Final Words Regarding Dental Code D6190

CDT code D6190 is not just a set of numbers and letters; it’s a key player in the meticulous planning and execution of dental implant procedures. It reassures dental professionals and patients that with comprehensive radiographic evaluations and precise surgical guides, successful implant outcomes are not just a possibility but a likelihood.

With the help of Dental Code D6190, patients and dental professionals can collaborate effectively to achieve successful implant outcomes. It ensures both functional excellence and aesthetic satisfaction.

For queries about CDT code D6190, contact the Apex Dental RCM (ADR). Our team can help optimize your billing processes, maximize revenue, and simplify operations. Contact us for support with CDT codes and more to achieve financial success for your practice.

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