D6066Implant Supported Crown - Porcelain Fused to High Noble Alloys

What This Code Covers

D6066 covers a porcelain-fused-to-metal (PFM) crown with a high noble metal substructure that connects directly to the implant body without a separate abutment. Like D6065, this is an implant-supported (not abutment-supported) restoration, but with a PFM material instead of all-ceramic. The high noble metal substructure (over 60% noble metals, at least 40% gold) provides excellent strength and biocompatibility.

Billing Guide

Bill this code when:

• A PFM crown with high noble metal is placed directly on the implant body
• No separate abutment is used
• The crown is implant-supported (typically screw-retained)
• The metal substructure is high noble (over 60% noble metals)

Do not bill this code when:

• The crown is all-ceramic on the implant body. Use D6065
• A separate abutment supports the crown. Use D6059 for abutment-supported PFM
• The crown is on a natural tooth. Use D2750
• The metal is base metal or noble (not high noble)

Insurance and Denial Prevention

Key Payer Rules:

• D6066 is commonly used for posterior implant restorations
• Some payers apply LEAT, paying at a base metal or noble metal rate
• Since no abutment is billed, verify the payer accepts the implant-supported code
• Pre-authorization recommended

Common Denials and How to Respond:

• Implants not covered - Verify plan benefits before treatment.
• Downgraded metal rate - The payer is applying LEAT to the metal alloy. Document the clinical indication for high noble metal if applicable.
• Should include abutment - Clarify that D6066 is an implant-supported crown with no separate abutment. No abutment code should be billed.