Browse HCPCS Level II 2020 Edition

HCPCS Level II Table of Contents

D6051 - D6077  Implant Supported Prosthetics

D6051
Interim abutment
shortInterim abutment
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D6052
Semi-precision attachment abutment
shortSemi precision attach abut
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
OPH0.03 Date of Service Edit: ClinicalCMS Policy
D6055
Connecting bar - implant supported or abutment supported
shortImplant connecting bar
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D6056
Prefabricated abutment - includes modification and placement
shortPrefabricated abutment
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D6057
Custom fabricated abutment - includes placement
shortCustom abutment
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D6058
Abutment supported porcelain/ceramic crown
shortAbutment supported crown
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D6059
Abutment supported porcelain fused to metal crown (high noble metal)
shortAbutment supported mtl crown
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D6060
Abutment supported porcelain fused to metal crown (predominantly base metal)
shortAbutment supported mtl crown
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D6061
Abutment supported porcelain fused to metal crown (noble metal)
shortAbutment supported mtl crown
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D6062
Abutment supported cast metal crown (high noble metal)
shortAbutment supported mtl crown
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D6063
Abutment supported cast metal crown (predominantly base metal)
shortAbutment supported mtl crown
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D6064
Abutment supported cast metal crown (noble metal)
shortAbutment supported mtl crown
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D6065
Implant supported porcelain/ceramic crown
shortImplant supported crown
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D6066
Implant supported porcelain fused to metal crown (titanium, titanium alloy, high noble metal)
shortImplant supported mtl crown
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D6067
Implant supported metal crown (titanium, titanium alloy, high noble metal)
shortImplant supported mtl crown
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D6068
Abutment supported retainer for porcelain/ceramic fpd
shortAbutment supported retainer
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D6069
Abutment supported retainer for porcelain fused to metal fpd (high noble metal)
shortAbutment supported retainer
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D6070
Abutment supported retainer for porcelain fused to metal fpd (predominantly base metal)
shortAbutment supported retainer
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D6071
Abutment supported retainer for porcelain fused to metal fpd (noble metal)
shortAbutment supported retainer
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D6072
Abutment supported retainer for cast metal fpd (high noble metal)
shortAbutment supported retainer
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D6073
Abutment supported retainer for cast metal fpd (predominantly base metal)
shortAbutment supported retainer
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D6074
Abutment supported retainer for cast metal fpd (noble metal)
shortAbutment supported retainer
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D6075
Implant supported retainer for ceramic fpd
shortImplant supported retainer
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D6076
Implant supported retainer for porcelain fused to metal fpd (titanium, titanium alloy, or high noble metal)
shortImplant supported retainer
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D6077
Implant supported retainer for cast metal fpd (titanium, titanium alloy, or high noble metal)
shortImplant supported retainer
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX