What is dental code hybrid denture? 2015 ADA codes
This post covers dental codes for both hybrid dentures, bars and over-dentures, locators/ERA dentures and implant supported full arch bridges. For those of us providing FFS care, the codes are kind of irrelevant because we are maxing out any dental insurance plan and the cost is mostly out-of-pocket. These codes would matter to someone in-network providing this service. For those working on in-network patients, the doctor needs to study the fee schedule closely to ensure that the procedure can be done without them losing thousands of dollars on it. Many plans make it financially impossible for in-network dentists to provide this kind of treatment. To learn some of the differences and treatment planning involved in deciding which one to do you can check out all my blogs on the topic of implant supported and retained dentures here.
All on 4 or hybrid denture dental code
These dental codes are used for a traditional all on 4 or all on more denture. This would use acrylic, composite (like Gradia gum), and/or nanohybrid denture teeth. These are nearly always screw retained and only removable by the doctor. I have heard that if you are an in-network doctor the fees you can charge for this make it impossible to provide. In that case use the implant supported bridge dental codes found below and do the whole thing like a bridge. That will be more expensive but not by much and you will be able to charge the patient a fee that is fair.
D6056? per each multi-unit abutment
D6114 or D6115 depending on which dental arch
D6118 or D6119 is what can use if doing a screw retained temporary at any point during the process, usually this would be for the temporary that we give the patient the day of surgery.
Full mouth implant supported bridge dental code
This could be either traditional crown and bridge on dental implants or full arch prosthesis that is attached to multi-unit abutments. This could look like a hybrid denture but be metal and ceramic instead of metal and acrylic. It could be screwed, cemented, or a combination. So could be non-removable or doctor removable, but not patient removable.
Depending on what abutments you use
D6056? per each multi-unit abutment D6056 per each stock abutment D6057 per each custom abutment
D6068-72 (depending on material used) Abutment supported retainer crown. Essentially one per each implant.
D6210-45 (depending on material used) Pontic. Number of total teeth – number of codes above used = Number of times this code is used.
Implant Supported Overdenture dental code
This would traditionally have a bar. It is only considered supported if none of the support comes from tissue. If some support comes from tissue, as in the next group, it is retained overdenture. An overdenture can be implant supported just on abutments as well, without a bar. These have different names and may be confusing. A true telescope will often get support from tissue as well as the abutments and is thus not supported. A konus or conus (like syncone) has a fixed stop and is entirely implant supported. The difference between conus and telescope can be found here.
D5862 per each Precision attachment (set of male and female components reported as one precision attachment). These would include the syncone abutments and locator abutments on top of a bar. I do not believe that the attachments are considered part of the bar.
D6055 the connecting bar
D6110 for maxilla and D6111 for mandible is the denture code that goes over bar or abutments. This is totally supported by implants and abutments not tissue support!
Implant retained denture dental code = Locator denture dental code
This would be a locator or ERA retained denture. These would be dentures that are retained by implants (actually some type of abutments), but are supported by tissue as well as the implants.
D5862 per each Precision attachment (set of male and female components reported as one precision attachment) (so locator or ERA)
D5110 or D5120 denture might be easier to use but D5863 or D5865 Complete Overdenture is the correct code.