D6086 — Implant-supported PFM crown (titanium/titanium alloys)
This is the visible tooth: the crown fitted on top of an implant. D6086 is the version in porcelain fired over a titanium core.
This code belongs to a set of 16 covering implant-supported crown. The clinical detail lives in the implant-supported crown guide; the code-level detail is here.
Below is what the code actually specifies, the fee range to expect, how dental benefits normally handle it, and the specific differences between it and the codes it is most often confused with.
The conditions built into D6086
Material — porcelain fired over a titanium core. Titanium cores are chosen mainly for biocompatibility: titanium does not provoke metal sensitivity and it is exceptionally corrosion resistant. It is also light and very stiff. The complication is technical — titanium oxidises at the temperatures porcelain is fired at, so it needs low-fusing porcelains and a bonding layer, and fewer laboratories do it well. The material is part of the code rather than a choice made afterwards, so D6086 is only the right code if that is what was actually used.
The nearby codes and how they differ
D6087 — Implant-supported crown (noble alloys): It specifies cast noble alloy, with no porcelain over it rather than porcelain fired over a titanium core.
D6088 — Implant-supported crown (titanium/titanium alloys): It specifies titanium or a titanium alloy rather than porcelain fired over a titanium core.
D6083 — Implant-supported PFM crown (noble alloys): It specifies porcelain fired over a noble-alloy core rather than porcelain fired over a titanium core.
D6082 — Implant-supported PFM crown (predominantly base alloys): It specifies porcelain fired over a metal core rather than porcelain fired over a titanium core.
D6086 sits in a group of 16 codes in total; the remainder are linked at the foot of this page. It is worth asking the practice to point to which of these applies. The fees are not close, and the wording is, which is precisely the combination that produces disputed bills.
Every code in this group
These codes describe the same broad procedure and differ in one respect each. Each has its own page with its own fee range and coverage notes.
Questions about D6086
What is D6086 on my dental bill?
The procedure behind the number is implant-supported PFM crown, titanium/titanium alloys, filed under implant services.
What should I expect to pay for D6086?
Between $1,320–$3,080 in most practices — and that is the figure before any benefit is applied, not what you would pay at the desk.
Will my plan pay for D6086?
Yes on most policies, treated as major work at 0–50%. A waiting period on a new policy is the commonest reason it is not.
What is the difference between D6086 and D6087?
D6087 is implant-supported crown, noble alloys: it specifies cast noble alloy, with no porcelain over it rather than porcelain fired over a titanium core. Everything else about the appointment is identical, so the record has to show that one detail for D6086 to be the defensible code.
Also known as: implant crown, implant tooth, screw retained crown, abutment supported crown.