D6064 is the CDT code for an abutment-supported CAST METAL crown on an implant, made with NOBLE metal. It's the same full-metal, abutment-supported implant crown as D6062/D6063, but the alloy is NOBLE metal — the middle tier (at least 25% noble/precious content, but less than high noble's 60%). It completes the three-metal-class set for abutment-supported cast metal crowns: high noble (D6062), noble (D6064), and predominantly base (D6063). It's a single-tooth implant restoration code, distinguished from its siblings only by metal class.
What D6064 means
D6064 covers an abutment-supported cast metal crown (noble metal). "D" is dental, "60" places it in the implant services area, and "64" is this abutment-supported cast-metal noble-metal crown. 'Cast metal' means full metal (no porcelain); 'noble metal' is the middle alloy class. So D6064 is a full-metal implant crown, noble-metal alloy, on a separate abutment.
So it's a solid, noble-metal (middle-tier precious content) tooth on an implant abutment — full-metal strength with a balanced alloy choice.
D6064 is identical to D6062/D6063 in construction — abutment-supported, full cast metal — differing ONLY in the alloy: abutment-supported (same as family) — the crown sits on a separate ABUTMENT (D6056/D6057), billed separately; cast metal (full metal, same as D6062/D6063) — the whole crown is cast from alloy, no porcelain; delivers strength, precise fit, and (with appropriate alloys) gentleness on opposing teeth; noble metal — the alloy class: NOBLE alloys have at least 25% noble (precious) metal content — more than predominantly base (<25%) but less than high noble (≥60%, ≥40% gold); a MIDDLE-tier choice; the balance — noble alloys offer meaningful precious-metal benefits (corrosion resistance, biocompatibility) at a cost between high noble and base — a middle-ground option for a full-metal crown; the three-class system completes — cast metal crowns, mirroring PFM, come in high noble (D6062), predominantly base (D6063), and noble (D6064, this code); code matches the alloy; the family's logic — with D6064, the six single-tooth abutment-supported metal-containing crown codes (3 PFM x metal class, 3 cast metal x metal class) plus D6058 (all-ceramic) form the complete abutment-supported single-crown lineup; and single tooth, abutment-supported (abutment + crown billed separately). Distinguish by METAL CLASS from D6062 (high noble) and D6063 (base); by MATERIAL from all-ceramic (D6058) and PFM (D6059-D6061); by SUPPORT from implant-supported crowns. Coverage varies (correct material/metal class essential). This code is in the implant services area. Documentation supports the claim.
When it's typically used
D6064 is reported for a single abutment-supported CAST (full) METAL implant crown made with NOBLE metal — a solid, middle-tier-alloy crown (no porcelain) on a separate abutment, balancing precious-metal benefits with cost, typically on back teeth. The abutment (D6056/D6057) is billed separately. Distinct by metal class from D6062 (high noble) and D6063 (base), and by material/support from the rest of the family.
How much does D6064 cost?
An abutment-supported cast noble-metal implant crown's cost reflects a full-metal crown made from a noble (middle-tier precious) alloy — priced between high noble (most precious, priciest) and predominantly base (least precious, cheapest) — plus, separately, the abutment (D6056/D6057). It's the balanced-cost full-metal option. Coverage varies (alternate-benefit, missing-tooth, and time limitations common). Reporting the correct material/metal class matters. Verify coverage with the relevant plan.
Is D6064 covered by insurance?
Coverage for D6064 varies. The abutment is billed separately. Reporting the correct MATERIAL (cast metal, not PFM or ceramic) and METAL CLASS (noble = D6064, vs high noble D6062, base D6063) is essential. The lab prescription documents the alloy. If there's no implant coverage, an alternate benefit may apply; missing-tooth clauses and 5-10 year limitations are common. Documentation of the material and alloy supports the claim. Verifying coverage helps.
Completing the cast-metal trio
Full metal, middle-tier alloy, and understanding this clarifies the code.
Understanding D6064's place clarifies the code. With D6064, the cast-metal (full-metal) crown family's three metal classes are complete — worth seeing as a set: D6062 — high noble — the gold-rich premium alloy (≥60% noble, ≥40% gold); best-established, typically priciest full-metal option; D6064 (this code) — noble — the middle alloy class (≥25% noble metal); balances precious-metal benefits (corrosion resistance, biocompatibility) with moderate cost; D6063 — predominantly base — mostly non-precious (<25% noble); strong, rigid, most economical; shared construction — all three are full metal (no porcelain), cast entirely from their respective alloys, abutment-supported; the ONLY difference is the alloy's precious-metal content; picking noble — a clinician might choose noble metal for a full-metal crown when they want more precious-metal benefit than base offers but don't need (or want to pay for) full high-noble content — the same logic as choosing noble PFM (D6061), applied to cast metal; and coding — D6064 requires confirming BOTH cast metal (no porcelain) and noble alloy (the middle tier) — getting either wrong lands on a different code.
So D6064 is the noble (middle-tier) member completing the cast-metal crown's three-class set. So D6064 is the noble-metal, full-metal crown — the middle-tier alloy choice for cast metal. Understanding this helps patients see that with D6064 the cast-metal/full-metal crown family's three metal classes are complete (worth seeing as a set) — D6062/high noble (the gold-rich premium alloy/≥60% noble, ≥40% gold, best-established, typically priciest full-metal option), D6064/this code, noble (the middle alloy class/≥25% noble metal, balancing precious-metal benefits/corrosion resistance, biocompatibility with moderate cost), D6063/predominantly base (mostly non-precious/<25% noble, strong, rigid, most economical), shared construction (all three being full metal/no porcelain, cast entirely from their respective alloys, abutment-supported, the ONLY difference being the alloy's precious-metal content), picking noble (a clinician possibly choosing noble metal for a full-metal crown when they want more precious-metal benefit than base offers but don't need or want to pay for full high-noble content, the same logic as choosing noble PFM/D6061 applied to cast metal), and coding (D6064 requiring confirming BOTH cast metal/no porcelain and noble alloy/the middle tier, getting either wrong landing on a different code) — so D6064 being the noble/middle-tier member completing the cast-metal crown's three-class set.
The complete abutment-supported single-crown lineup
Seven codes, one map, and understanding this clarifies the whole family.
Understanding the complete family clarifies D6064. With D6058-D6064, the abutment-supported single-crown lineup is complete — seven codes forming a clear map: material tier 1: all-ceramic — D6058 (one code; no metal, so no metal-class variants); material tier 2: PFM (metal core + porcelain) — D6059 (high noble), D6060 (base), D6061 (noble); material tier 3: cast metal (full metal, no porcelain) — D6062 (high noble), D6063 (base), D6064 (noble — this code); the pattern — moving from all-ceramic (most esthetic, no metal) through PFM (balanced) to cast metal (most durable/tooth-friendly, least esthetic), each metal-containing tier offers the same three metal classes; how to navigate it — ask: (1) is it abutment-supported (this family) or implant-supported (D6065-D6067, the parallel set)? (2) what's the crown material — ceramic, PFM, or cast metal? (3) if metal-containing, what metal class — high noble, base, or noble?; answering these three questions always lands on exactly one code; and the abutments — remember, D6056 (prefabricated) or D6057 (custom) abutments are ALWAYS billed separately alongside any of D6058-D6064.
So D6064 completes a clean, seven-code family organized by two axes: material and metal class. So the seven abutment-supported single-crown codes (D6058-D6064) are organized by material and metal class. Understanding this helps patients see that with D6058-D6064 the abutment-supported single-crown lineup is complete (seven codes forming a clear map) — material tier 1: all-ceramic (D6058, one code, no metal, so no metal-class variants), material tier 2: PFM/metal core + porcelain (D6059/high noble, D6060/base, D6061/noble), material tier 3: cast metal/full metal, no porcelain (D6062/high noble, D6063/base, D6064/noble, this code), the pattern (moving from all-ceramic/most esthetic, no metal through PFM/balanced to cast metal/most durable, tooth-friendly, least esthetic, each metal-containing tier offering the same three metal classes), how to navigate it (asking: is it abutment-supported/this family or implant-supported/D6065-D6067, the parallel set, what's the crown material/ceramic, PFM, or cast metal, if metal-containing what metal class/high noble, base, or noble, answering these three questions always landing on exactly one code), and the abutments (remembering D6056/prefabricated or D6057/custom abutments ALWAYS billed separately alongside any of D6058-D6064) — so D6064 completing a clean seven-code family organized by two axes: material and metal class.
Choosing full metal with a balanced alloy
When the middle tier fits a full-metal crown, and understanding this clarifies the decision.
Understanding when D6064 is chosen clarifies the code. The decision path to D6064 combines the case for full metal with the case for noble (middle-tier) alloy: why full metal — the tooth (typically a molar) needs maximum strength, fracture resistance, and tooth-friendly wear against opposing teeth, and esthetics aren't a priority there; why noble (not high noble or base) — the clinician or patient wants meaningful precious-metal benefits (corrosion resistance, biocompatibility) without the top cost of high noble, or wants more precious-metal content than base metal offers (perhaps due to a preference for avoiding heavy base-metal content, or general biocompatibility considerations) without paying for full high-noble; a pragmatic middle path; when high noble instead — if maximum biocompatibility/corrosion resistance and the best-established track record are prioritized regardless of cost, D6062 fits better; when base instead — if cost is the dominant factor and there's no strong reason to prefer more precious metal, D6063 fits better; case-by-case — as with all metal-class decisions, there's no universal right answer; it depends on the patient, the tooth, cost considerations, and clinical judgment; and documentation — whichever is chosen, the alloy must be accurately recorded (lab prescription, treatment plan) and coded to match (D6062/D6063/D6064).
So D6064 fits when a full-metal crown is wanted with a balanced, middle-tier alloy choice. So D6064 is chosen when full-metal strength is wanted with a middle-tier (noble) alloy. Understanding this helps patients see that the decision path to D6064 combines the case for full metal with the case for noble (middle-tier) alloy — why full metal (the tooth/typically a molar needing maximum strength, fracture resistance, and tooth-friendly wear against opposing teeth, and esthetics not being a priority there), why noble/not high noble or base (the clinician or patient wanting meaningful precious-metal benefits/corrosion resistance, biocompatibility without the top cost of high noble, or wanting more precious-metal content than base metal offers/perhaps due to a preference for avoiding heavy base-metal content or general biocompatibility considerations without paying for full high-noble, a pragmatic middle path), when high noble instead (if maximum biocompatibility/corrosion resistance and the best-established track record are prioritized regardless of cost D6062 fitting better), when base instead (if cost is the dominant factor and there's no strong reason to prefer more precious metal D6063 fitting better), case-by-case (as with all metal-class decisions there being no universal right answer, it depending on the patient, the tooth, cost considerations, and clinical judgment), and documentation (whichever is chosen the alloy having to be accurately recorded/lab prescription, treatment plan and coded to match/D6062/D6063/D6064) — so D6064 fitting when a full-metal crown is wanted with a balanced middle-tier alloy choice.
Where D6064 fits in the codes
D6064 is the noble cast-metal abutment-supported crown, and understanding this clarifies the coding.
Understanding where D6064 sits clarifies the coding. D6064 is among the implant services codes (D6000s), in the abutment-supported single-crown series, in the CAST METAL sub-group by metal class: abutment-supported cast metal — D6062 (high noble), D6063 (predominantly base), D6064 (noble — this code); other abutment-supported materials — D6058 (all-ceramic), D6059/D6060/D6061 (PFM by metal class); implant-supported counterparts — D6065-D6067; and the abutments — D6056/D6057. With D6064, the abutment-supported single-crown family (D6058-D6064) is complete. Single-crown codes differ from bridge-retainer (D6068-D6077) and hybrid (D6078-D6079) codes.
So D6064 is precisely: an abutment-supported cast (full) metal single crown with NOBLE metal. It's distinguished from D6062 (high noble) and D6063 (base) by metal class, from D6058 (all-ceramic) and D6059-D6061 (PFM) by material (full metal, no porcelain), and from the implant-supported crowns by support type. The provider codes D6064 for the noble cast-metal abutment-supported crown (plus the abutment separately). So D6064 is the noble cast-metal member completing the abutment-supported single-crown series. Understanding this helps patients see that D6064 is among the implant services codes (D6000s) in the abutment-supported single-crown series, in the CAST METAL sub-group by metal class — abutment-supported cast metal (D6062/high noble, D6063/predominantly base, D6064/noble, this code), other abutment-supported materials (D6058/all-ceramic, D6059/D6060/D6061/PFM by metal class), implant-supported counterparts (D6065-D6067), and the abutments (D6056/D6057), with D6064 the abutment-supported single-crown family/D6058-D6064 being complete — single-crown codes differing from bridge-retainer (D6068-D6077) and hybrid (D6078-D6079) codes — so D6064 is precisely an abutment-supported cast (full) metal single crown with NOBLE metal, distinguished from D6062 (high noble) and D6063 (base) by metal class, from D6058 (all-ceramic) and D6059-D6061 (PFM) by material (full metal, no porcelain), and from the implant-supported crowns by support type, the provider coding D6064 for the noble cast-metal abutment-supported crown (plus the abutment separately).
Frequently asked questions
- What is the D6064 dental code?
- It's an abutment-supported cast metal crown on an implant, made with noble metal. It's the same full-metal, abutment-supported implant crown as D6062/D6063, but using a noble (middle-tier) alloy — at least 25% precious metal, but less than high noble's 60%. It completes the three-metal-class set for abutment-supported cast metal crowns.
- How is it different from D6062 and D6063?
- Only the metal class differs. All three are abutment-supported cast (full) metal implant crowns with identical construction. D6062 uses high noble (gold-rich, priciest) alloy, D6063 uses predominantly base metal (mostly non-precious, most economical), and D6064 uses noble alloy (the middle tier, balancing benefits and cost). The code follows the alloy actually used.
- Why choose noble metal for a full-metal crown?
- For balance. Noble alloys offer meaningful precious-metal benefits — corrosion resistance and biocompatibility — at a cost between high noble and base metal. A clinician might choose noble when they want more precious-metal content than base metal provides, without paying for full high-noble content. It's the same middle-ground logic used for noble PFM crowns (D6061), applied to a full-metal crown.
- How many single-crown implant codes are there for abutment-supported crowns?
- Seven: D6058 (all-ceramic, no metal class) plus two metal-containing families of three each — PFM (D6059 high noble, D6060 base, D6061 noble) and cast metal (D6062 high noble, D6063 base, D6064 noble). Together they cover every combination of material and metal class for an abutment-supported single implant crown.
- How do I know which of the seven codes applies?
- Answer three questions: Is it abutment-supported (this family) or implant-supported (a different set, D6065-D6067)? What's the crown material — all-ceramic, PFM, or cast metal? If metal-containing, what's the metal class — high noble, base, or noble? Those three answers point to exactly one code, with D6064 being abutment-supported + cast metal + noble.
- Is it covered by insurance?
- Coverage varies. The abutment is billed separately. Reporting the correct material (cast metal, not PFM or ceramic) and metal class (noble = D6064) is essential, documented on the lab prescription. If there's no implant coverage, an alternate benefit may apply; missing-tooth clauses and 5-10 year limitations are common. Verify your coverage and how the material is documented.
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.