Understanding Dental Code D6096

When to Use D6096 dental code

The D6096 dental code is designated for the removal of a broken implant retaining screw. This CDT code should be used when a patient presents with a dental implant where the screw that secures the prosthesis to the implant fixture has fractured and requires removal. It is important to note that D6096 is specific to the removal of the broken screw only; it does not include the replacement of the screw or any additional prosthetic work. Use this code when the clinical situation involves a fractured or stripped retaining screw that cannot be retrieved by conventional means and necessitates a separate, billable procedure.

Documentation and Clinical Scenarios

Accurate documentation is essential for successful reimbursement and compliance. When billing for D6096, ensure that the clinical notes clearly describe:

• The presence and location of the broken implant retaining screw
• The reason for removal (e.g., screw fracture, inability to retrieve with standard tools)
• The technique used for removal (e.g., ultrasonic scaler, reverse-torque instrument)
• Any complications encountered during the procedure
• Follow-up care or recommendations

Common scenarios include patients with implant-supported crowns or bridges who experience loosening or failure due to a fractured screw. In these cases, D6096 should be reported in addition to any subsequent procedures, such as replacement of the screw or prosthesis, which may be billed under other CDT codes like D6199 (unspecified implant procedure).

Insurance Billing Tips

To maximize reimbursement and minimize claim denials for D6096, follow these best practices:

• Verify coverage: Not all dental plans cover implant-related procedures. Confirm benefits and limitations before treatment.
• Submit detailed narratives: Attach a clear, concise narrative explaining why the screw removal was necessary and how it was performed. Include radiographs or intraoral photos if available.
• Use correct CDT coding: Do not bundle D6096 with other implant services unless specifically instructed by the payer. Bill each procedure separately when clinically justified.
• Review EOBs: Carefully check Explanation of Benefits statements for payment accuracy and denial reasons. If denied, use the documentation to support a claim appeal.
• Track AR: Monitor accounts receivable for outstanding claims and follow up promptly to resolve any issues.

Example Case for D6096

Case Study: A 58-year-old patient presents with discomfort and mobility in an implant-supported molar crown. Clinical examination and radiographs confirm a fractured retaining screw within the implant body. The dentist attempts removal with standard drivers but is unsuccessful. Using a specialized retrieval kit, the broken screw is carefully extracted without damaging the implant. The procedure is documented in detail, including pre- and post-operative images. The office bills D6096 for the screw removal and submits supporting documentation to the insurance carrier. The claim is approved, and reimbursement is received within the standard AR cycle.

This example highlights the importance of precise coding, thorough documentation, and proactive insurance communication when using D6096 in your dental billing workflow.