D6058Abutment Supported Porcelain/Ceramic Crown

What This Code Covers

D6058 covers an all-porcelain or all-ceramic crown that is supported by an implant abutment. This is a two-piece implant restoration where the crown sits on top of a separate abutment (D6050, D6056, or D6057) that is attached to the implant body. All-ceramic crowns offer the best esthetics and are commonly used in the visible front teeth area. The crown is cemented or screw-retained onto the abutment.

Billing Guide

Bill this code when:

• An all-porcelain or all-ceramic crown is placed on an implant abutment
• The restoration is abutment-supported (two-piece: abutment plus crown)
• The crown material is entirely ceramic with no metal substructure
• The abutment is already in place or being placed at the same visit

Do not bill this code when:

• The crown is porcelain fused to metal (PFM). Use D6059
• The crown is placed directly on the implant body without a separate abutment. Use D6065 or D6066
• The crown is on a natural tooth, not an implant. Use D2740
• The abutment is being billed. Bill the abutment code separately (D6050, D6056)

Insurance and Denial Prevention

Key Payer Rules:

• D6058 is billed separately from the abutment code
• Some payers cover implant crowns but may apply LEAT, paying at a PFM rate
• Frequency limits for crowns (5-10 years) may apply to implant crowns
• Pre-authorization is recommended for implant restorations

Common Denials and How to Respond:

• Implants not covered - Verify the plan's implant crown benefits.
• Downgraded to D6059 - The payer may apply LEAT and pay at the PFM crown rate. The patient may owe the difference. Document the esthetic need for all-ceramic.
• Missing implant documentation - Submit the implant body (D6010) and abutment (D6050/D6056) records showing the implant is integrated and the abutment is placed.