Policy No: 39A
Originally Created: 01/01/2011
Last Reviewed: 01/01/2019
Last Revised: 01/01/2018
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.
Procedure is in accordance with generally accepted standards of dental practice.
Process to contract benefits.
By report procedure with supporting documentation, panorex film and narrative.
CDT - D5000-D6999 - see above
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