When billing for normal implant maintenance, i.e., cleaning the implants and the IS prosthesis we use code D6080. Where we are confused is how to properly bill for O-ring replacements done at the same time. How do we bill for the O-rings? If O-rings are also billed under D6080 would we bill D6080 twice, once charging for the regular maintenance and the other charging for the O-ring replacements separately? Is this the correct way to do it, or will it be denied? Thank you.

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  • When billing for normal implant maintenance, i.e., cleaning the implants and the IS prosthesis we use code D6080. Where we are confused is how to properly bill for O-ring replacements done at the same time. How do we bill for the O-rings? If O-rings are also billed under D6080 would we bill D6080 twice, once charging for the regular maintenance and the other charging for the O-ring replacements separately? Is this the correct way to do it, or will it be denied? Thank you.

When billing for normal implant maintenance, i.e., cleaning the implants and the IS prosthesis we use code D6080. Where we are confused is how to properly bill for O-ring replacements done at the same time. How do we bill for the O-rings? If O-rings are also billed under D6080 would we bill D6080 twice, once charging for the regular maintenance and the other charging for the O-ring replacements separately? Is this the correct way to do it, or will it be denied? Thank you.

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Asked on February 5, 2015
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Hello adcaonline.org webmaster, Thanks for the well-structured and well-presented post!

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Answered on February 19, 2023
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You are correct in billing D6080 for the cleaning of the prosthesis; as for the O-ring replacement depending on the carrier you are to use D6090 or D6199

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Answered on February 6, 2015
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