Surgical Placement; Eposteal Implant

Policy No: 39A
Originally Created: 01/01/2011
Section: Prosthodontics
Last Reviewed: 01/01/2019
Last Revised: 01/01/2018
Approved: 01/01/2018
Effective: 01/01/2018

Description

Surgical placement: eposteal implant (D6040)
An eposteal (subperiosteal) framework of a biocompatible material designed and fabricated to fit on the surface of the bone of the mandible or maxilla with permucosal extensions which provide support and attachment of a prosthesis. This may be a complete arch or unilateral appliance. Eposteal implants rest upon the bone and under the periosteum.

Policy/criteria

Procedure is in accordance with generally accepted standards of dental practice.

Administrative guidelines

Process to contract benefits.

By report procedure with supporting documentation, panorex film and narrative.

Codes

CDT - D5000-D6999 - see above

Disclaimer

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