D6058

Abutment-supported porcelain/ceramic crown

Code Summary

D6058 is the CDT code for an abutment-supported porcelain/ceramic (all-ceramic) crown on an implant — a single tooth-colored crown made entirely of porcelain/ceramic that is retained, supported, and stabilized by a separate abutment placed on the implant. The defining features are (1) the material (all-ceramic, no metal) and (2) 'abutment-supported' — the crown sits on a separate, separately billable abutment (D6056 prefabricated or D6057 custom), not directly on the implant. It's a single-tooth implant restoration code.

What D6058 means

D6058 covers an abutment-supported porcelain/ceramic crown. "D" is dental, "60" places it in the implant services area, and "58" is this abutment-supported all-ceramic crown. 'Abutment-supported' means the crown is retained by an abutment on the implant (not attached directly to the implant body); 'porcelain/ceramic' means an all-ceramic crown (tooth-colored, no metal). So D6058 is a metal-free crown seated on an implant abutment.

So it's the visible tooth (all-ceramic) that goes on top of an implant abutment — the finished crown, in the most esthetic material.

Restoring a single-tooth implant involves stacking parts: the IMPLANT (fixture in bone), the ABUTMENT (connector on the implant), and the CROWN (the visible tooth). D6058 is the CROWN — specifically when it's all-ceramic AND abutment-supported: material (all-ceramic) — the crown is made entirely of porcelain/ceramic (e.g., zirconia, lithium disilicate), with no metal substructure; this gives the best esthetics — natural translucency, no metal to show or cast a shadow — making it ideal for visible teeth; abutment-supported — the crown is retained, supported, and stabilized by a separate ABUTMENT on the implant (a prefabricated D6056 or custom D6057 abutment), rather than attaching directly to the implant body; the abutment is a separate, separately billed component; two-part billing — because it's abutment-supported, restoring the tooth typically involves TWO codes: the abutment (D6056/D6057) AND the crown (D6058); they're distinct line items; cemented or screw-retained — an abutment-supported crown may be cemented or screw-retained; what makes it 'abutment-supported' is that a separate abutment supports it (not the retention method); and single tooth — D6058 is a single-crown code (one implant, one tooth), not a bridge component. The pivotal distinction in this family: abutment-supported (on a separate abutment — D6058) vs implant-supported (directly on the implant, e.g., D6065 for all-ceramic) — it's an error to report an implant-supported crown when the crown is actually anchored to an abutment. Coverage varies (implants variably covered; alternate-benefit and missing-tooth clauses common; correct material code matters). This code is in the implant services area. Documentation supports the claim.

When it's typically used

D6058 is reported for a single all-ceramic (porcelain/ceramic) crown on an implant that is supported by a separate abutment (D6056/D6057). It's used to restore one implant tooth in the most esthetic, metal-free material — ideal for visible teeth. The abutment is billed separately. Distinct from implant-SUPPORTED crowns (directly on the implant, e.g., D6065) and from PFM/cast-metal abutment-supported crowns (D6059-D6064).

How much does D6058 cost?

An abutment-supported all-ceramic implant crown's cost reflects a lab-fabricated ceramic crown, plus — separately — the abutment (D6056/D6057) it sits on. So restoring the tooth typically involves at least two fees (abutment + crown). All-ceramic materials are premium/esthetic. Coverage varies (implant crowns often subject to alternate-benefit, missing-tooth, and time limitations). Reporting the correct material code matters. Verify coverage with the relevant plan.

Is D6058 covered by insurance?

Coverage for D6058 varies. Because it's abutment-supported, the abutment (D6056/D6057) is a separate line item — the crown and abutment are billed distinctly. Reporting the correct MATERIAL code (all-ceramic = D6058, vs PFM D6059-D6061, vs cast metal D6062-D6064) is essential; material miscoding is a common error. If there's no implant coverage, an alternate benefit (of a similar conventional crown) may apply; missing-tooth clauses and 5-10 year limitations are common. Documentation of the material supports the claim. Verifying coverage helps.

The three parts of a restored implant tooth

Implant, abutment, crown, and understanding this clarifies the code.

Understanding the parts clarifies D6058. A single-tooth implant restoration is built from three stacked components — and D6058 is the top one: the implant — the fixture surgically placed in the bone (its own surgical code, e.g., D6010); it replaces the tooth ROOT; the abutment — the connector that attaches to the implant and emerges through the gum (D6056 prefabricated or D6057 custom); it's the interface between implant and crown; the crown — the visible tooth that sits on the abutment; D6058 is this crown (when all-ceramic and abutment-supported); how they stack — implant in bone → abutment on implant → crown on abutment; each is a distinct component, and (for abutment-supported restorations) each is coded/billed separately; why separate coding — the implant surgery, the abutment, and the crown are different procedures with different timing, providers (sometimes a surgeon places the implant and a restorative dentist does the abutment/crown), and materials; separate codes reflect that reality; and the patient's view — the patient sees a 'tooth,' but behind it are three engineered parts working together; D6058 is specifically the finished, visible ceramic crown.

So D6058 is the crown atop a three-part implant restoration, coded separately from the implant and abutment. So D6058 is the crown component — the visible tooth on the abutment on the implant. Understanding this helps patients see that a single-tooth implant restoration is built from three stacked components and D6058 is the top one — the implant (the fixture surgically placed in the bone/its own surgical code, e.g., D6010, replacing the tooth ROOT), the abutment (the connector that attaches to the implant and emerges through the gum/D6056 prefabricated or D6057 custom, the interface between implant and crown), the crown (the visible tooth that sits on the abutment, D6058 being this crown when all-ceramic and abutment-supported), how they stack (implant in bone → abutment on implant → crown on abutment, each a distinct component and for abutment-supported restorations each coded/billed separately), why separate coding (the implant surgery, the abutment, and the crown being different procedures with different timing, providers/sometimes a surgeon placing the implant and a restorative dentist doing the abutment/crown, and materials, separate codes reflecting that reality), and the patient's view (the patient seeing a 'tooth' but behind it being three engineered parts working together, D6058 being specifically the finished visible ceramic crown) — so D6058 being the crown atop a three-part implant restoration, coded separately from the implant and abutment.

Abutment-supported vs implant-supported

The key billing distinction in this family, and understanding this clarifies the code.

Understanding this distinction clarifies D6058. The single most important question in the single-tooth implant crown family is: abutment-supported or implant-supported: abutment-supported (D6058 and D6059-D6064) — the crown is retained, supported, and stabilized by a separate ABUTMENT on the implant; a distinct abutment (D6056/D6057) is placed and billed as its own line item, and the crown sits on it; implant-supported (D6065-D6067, etc.) — the crown attaches DIRECTLY to the implant, without a separate intervening abutment component being separately billed; the crown-to-implant connection is direct; what it turns on — the distinction is about whether a separate, separately billable ABUTMENT exists — NOT about whether the crown is cemented or screw-retained; a screw-retained crown can still be abutment-supported (if it seats on a separate abutment) or implant-supported (if it connects directly); the common error — it's explicitly an error to report an 'implant-supported' crown when the crown is actually anchored to an abutment (and vice versa); choosing wrong misrepresents the restoration and the billing (abutment-supported means an extra abutment code); how to decide — look at the actual restoration: is there a separate abutment supporting the crown (abutment-supported, D6058) or does the crown connect directly to the implant (implant-supported, D6065)?; and why it matters — beyond accuracy, it affects what's billed (an abutment code or not) and can affect coverage.

So D6058 specifically means the all-ceramic crown sits on a SEPARATE abutment — the abutment-supported case. So D6058 is abutment-supported: the crown sits on a separate abutment, not directly on the implant. Understanding this helps patients see that the single most important question in the single-tooth implant crown family is abutment-supported or implant-supported — abutment-supported/D6058 and D6059-D6064 (the crown retained, supported, and stabilized by a separate ABUTMENT on the implant, a distinct abutment/D6056/D6057 placed and billed as its own line item and the crown sitting on it), implant-supported/D6065-D6067, etc. (the crown attaching DIRECTLY to the implant without a separate intervening abutment component being separately billed, the crown-to-implant connection direct), what it turns on (the distinction being about whether a separate separately billable ABUTMENT exists NOT about whether the crown is cemented or screw-retained, a screw-retained crown able to still be abutment-supported/if it seats on a separate abutment or implant-supported/if it connects directly), the common error (it being explicitly an error to report an 'implant-supported' crown when the crown is actually anchored to an abutment and vice versa, choosing wrong misrepresenting the restoration and the billing/abutment-supported meaning an extra abutment code), how to decide (looking at the actual restoration: is there a separate abutment supporting the crown/abutment-supported, D6058 or does the crown connect directly to the implant/implant-supported, D6065), and why it matters (beyond accuracy affecting what's billed/an abutment code or not and able to affect coverage) — so D6058 specifically meaning the all-ceramic crown sits on a SEPARATE abutment (the abutment-supported case).

Why all-ceramic for esthetics

Metal-free means the most natural look, and understanding this clarifies the material choice.

Understanding the material clarifies D6058. D6058's material — all-ceramic (porcelain/ceramic) — is chosen for a specific reason: esthetics: the appeal of all-ceramic — a crown made entirely of ceramic (no metal core) can be highly translucent, like natural enamel; light passes through it the way it does through a real tooth, giving lifelike depth and color; no metal drawbacks — metal-containing crowns (PFM or cast metal) can show a metal margin, cast a grayish shadow, or create a dark line at the gum, especially as gums recede; all-ceramic avoids these — no metal to show; the esthetic zone — for visible teeth (front of the mouth, the 'esthetic zone'), this natural look is often paramount; all-ceramic implant crowns are a go-to for these; modern materials — today's ceramics (like zirconia and lithium disilicate) combine good esthetics with strength suitable for many implant crowns; the tradeoffs — the best material depends on the case: esthetics, the forces at that tooth, the opposing teeth, and cost; all-ceramic is favored for looks, while PFM or cast metal (D6059-D6064) may be chosen for other reasons (e.g., certain strength or clinical situations); and coding the material — because material determines the code, all-ceramic = D6058; PFM = D6059-D6061; cast metal = D6062-D6064; documenting the actual material correctly is essential.

So D6058 is the esthetic, metal-free option in the abutment-supported single-crown lineup. So all-ceramic (D6058) delivers the most natural look — favored for visible teeth. Understanding this helps patients see that D6058's material/all-ceramic (porcelain/ceramic) is chosen for a specific reason (esthetics) — the appeal of all-ceramic (a crown made entirely of ceramic/no metal core able to be highly translucent like natural enamel, light passing through it the way it does through a real tooth giving lifelike depth and color), no metal drawbacks (metal-containing crowns/PFM or cast metal able to show a metal margin, cast a grayish shadow, or create a dark line at the gum especially as gums recede, all-ceramic avoiding these/no metal to show), the esthetic zone (for visible teeth/front of the mouth, the 'esthetic zone' this natural look often being paramount, all-ceramic implant crowns being a go-to for these), modern materials (today's ceramics/like zirconia and lithium disilicate combining good esthetics with strength suitable for many implant crowns), the tradeoffs (the best material depending on the case: esthetics, the forces at that tooth, the opposing teeth, and cost, all-ceramic favored for looks while PFM or cast metal/D6059-D6064 possibly chosen for other reasons/e.g., certain strength or clinical situations), and coding the material (because material determines the code all-ceramic = D6058, PFM = D6059-D6061, cast metal = D6062-D6064, documenting the actual material correctly being essential) — so D6058 being the esthetic metal-free option in the abutment-supported single-crown lineup.

Where D6058 fits in the codes

D6058 heads the abutment-supported single-crown series, and understanding this clarifies the coding.

Understanding where D6058 sits clarifies the coding. D6058 is among the implant services codes (D6000s), in the single-tooth implant CROWN family — specifically the ABUTMENT-SUPPORTED crowns, organized by material: abutment-supported single crowns — D6058 (porcelain/ceramic — this code), D6059/D6060/D6061 (PFM: high noble/base/noble metal), D6062/D6063/D6064 (cast metal: high noble/base/noble); implant-supported single crowns (direct to implant) — D6065 (porcelain/ceramic), D6066, D6067, etc.; the abutments themselves — D6056 (prefabricated), D6057 (custom) — the separate components an abutment-supported crown sits on. These single-crown codes differ from bridge-retainer codes (D6068-D6077, for FPDs) and full-arch hybrid codes (D6078-D6079).

So D6058 is precisely: an abutment-supported porcelain/ceramic (all-ceramic) single crown on an implant. It's distinguished from the other abutment-supported crowns (D6059-D6064) by MATERIAL (all-ceramic vs PFM vs cast metal), from the implant-supported crowns (D6065 etc.) by SUPPORT (separate abutment vs direct-to-implant), and from bridge/hybrid codes by being a single crown. The provider codes D6058 for the all-ceramic abutment-supported crown (plus the abutment separately). So D6058 is the all-ceramic member atop the abutment-supported single-crown series. Understanding this helps patients see that D6058 is among the implant services codes (D6000s) in the single-tooth implant CROWN family, specifically the ABUTMENT-SUPPORTED crowns organized by material — abutment-supported single crowns (D6058/porcelain/ceramic, this code, D6059/D6060/D6061/PFM: high noble/base/noble metal, D6062/D6063/D6064/cast metal: high noble/base/noble), implant-supported single crowns/direct to implant (D6065/porcelain/ceramic, D6066, D6067, etc.), the abutments themselves (D6056/prefabricated, D6057/custom, the separate components an abutment-supported crown sits on) — these single-crown codes differing from bridge-retainer codes (D6068-D6077, for FPDs) and full-arch hybrid codes (D6078-D6079) — so D6058 is precisely an abutment-supported porcelain/ceramic (all-ceramic) single crown on an implant, distinguished from the other abutment-supported crowns (D6059-D6064) by MATERIAL (all-ceramic vs PFM vs cast metal), from the implant-supported crowns (D6065 etc.) by SUPPORT (separate abutment vs direct-to-implant), and from bridge/hybrid codes by being a single crown, the provider coding D6058 for the all-ceramic abutment-supported crown (plus the abutment separately).

Frequently asked questions

What is the D6058 dental code?
It's an abutment-supported porcelain/ceramic (all-ceramic) crown on an implant — a single, metal-free tooth-colored crown that's supported by a separate abutment placed on the implant. Two things define it: the material (all-ceramic, no metal) and 'abutment-supported' (the crown sits on a separate, separately billed abutment rather than directly on the implant).
What are the parts of an implant tooth?
Three stacked components: the implant (the fixture in the bone, replacing the root), the abutment (the connector on the implant, D6056 or D6057), and the crown (the visible tooth, like D6058). They stack as implant → abutment → crown, and for abutment-supported restorations each is coded and billed separately. The patient sees one 'tooth,' but three engineered parts work together.
What does 'abutment-supported' mean?
It means the crown is retained and supported by a separate abutment on the implant, rather than attaching directly to the implant body. A distinct abutment (D6056 prefabricated or D6057 custom) is placed and billed as its own line item, and the crown sits on it. The alternative is 'implant-supported,' where the crown connects directly to the implant.
Is that the same as cemented vs screw-retained?
No — that's a common confusion. Abutment-supported vs implant-supported turns on whether a separate, separately billable abutment exists, not on how the crown is retained. A screw-retained crown can be abutment-supported (if it seats on a separate abutment) or implant-supported (if it connects directly). Retention method and support type are different things.
Why choose all-ceramic?
For the most natural appearance. An all-ceramic crown has no metal core, so it can be translucent like real enamel — no metal margin, gray shadow, or dark gum line. That makes it a go-to for visible front teeth (the esthetic zone). Modern ceramics like zirconia and lithium disilicate combine good looks with strength. PFM or cast metal (D6059-D6064) may be chosen for other reasons.
Is it covered by insurance?
Coverage varies. The abutment (D6056/D6057) is billed separately from the crown. Reporting the correct material code (all-ceramic = D6058, not a PFM or cast-metal code) is essential — material miscoding is a common error. If there's no implant coverage, an alternate benefit for a similar conventional crown may apply; missing-tooth clauses and 5-10 year limitations are common. Verify your coverage.

This page is an independent, plain-language explanation for general information only. It is not billing, coding, or clinical advice. For the official CDT descriptor and current-year wording, refer to the American Dental Association.