Understanding Dental Code D6192

When to Use D6192 dental code

The D6192 dental code refers to the placement of a semi-precision attachment in dental prosthetics. This CDT code is specifically used when a dentist places a semi-precision attachment as part of a fixed or removable prosthesis, such as an implant-supported denture or bridge. Semi-precision attachments are prefabricated or custom-fabricated components that provide retention, stability, and support for prosthetic devices. Use D6192 only when the attachment is placed at the time of prosthesis delivery, not during laboratory fabrication or subsequent adjustments.

Documentation and Clinical Scenarios

Accurate documentation is essential for successful billing of D6192. Clinical notes should clearly describe:

• The type and location of the semi-precision attachment
• The prosthesis being delivered (e.g., implant-supported overdenture)
• The rationale for choosing a semi-precision attachment over other options
• Supporting radiographs or intraoral photos, if available

Common clinical scenarios include patients requiring improved retention for removable dentures or bridges, especially in cases where anatomical limitations exist. For example, if a patient’s ridge anatomy prevents a traditional clasp, a semi-precision attachment may be the best solution.

Insurance Billing Tips

Billing D6192 requires attention to detail. Here are actionable steps to maximize reimbursement:

• Pre-authorization: Always verify benefits and submit a pre-authorization request to the patient’s dental insurance. Include detailed clinical notes and radiographs to justify the medical necessity of the semi-precision attachment.
• Claim submission: On the claim form, enter D6192 with a clear narrative describing the attachment, its location, and its purpose. Attach supporting documentation, including photos and X-rays.
• Coordination of benefits: If the patient has dual coverage, ensure proper coordination of benefits to avoid claim denials or delays.
• Appeals process: If the claim is denied, review the EOB for the denial reason. Prepare a detailed appeal letter with additional clinical justification and resubmit with any missing documentation.

Remember, some payers may consider D6192 as inclusive with certain prosthetic procedures. Always check payer policies and, if necessary, reference related codes such as D6191 for abutment-supported retainer placement.

Example Case for D6192

Case Study: A 68-year-old patient presents with an implant-supported mandibular overdenture that lacks stability. After evaluation, the dentist recommends a semi-precision attachment to enhance retention. The clinical notes detail the patient’s history, the limitations of conventional attachments, and the benefits of the semi-precision system. Radiographs are included. The office submits a pre-authorization, receives approval, and places the attachment at delivery. The claim is submitted with D6192, a clear narrative, and supporting documentation. The insurance reimburses the claim in full, improving both patient satisfaction and practice revenue.

By following these best practices for D6192, dental teams can ensure accurate billing, minimize denials, and provide optimal care for patients requiring advanced prosthetic solutions.