D6103 — Bone graft for peri-implant defect
D6103 grafts bone into a defect around an implant that has already lost support.
There are six codes for implant maintenance and peri-implant treatment and they are not interchangeable. This page covers this one; the implant maintenance and peri-implant treatment guide covers the treatment they all share.
The sections that follow deal with the requirements, the fee, the claim, and the neighbouring codes — the last of which is where most of the confusion starts.
Not to be confused with
D6102 — Debridement & osseous contouring of peri-implant defect: It is the same procedure specified for debridement & osseous contouring of rather than for bone graft for.
D6104 — Bone graft at time of implant placement: It is the same procedure specified for at time of implant placement rather than for for peri-implant defect.
D6101 — Debridement of peri-implant defect (with flap): It opens a flap to debride a peri-implant defect, cleaning the implant surface under direct vision.
D6081 — Implant scaling & debridement (mucositis): It cleans the implant surface and the pocket around it where the gum is inflamed but no bone has been lost yet.
D6103 sits in a group of six codes in total; the remainder are linked at the foot of this page. Because the wording of these codes is so close, substituting one for another is a routine cause of rejected claims and of unexpected balances. If D6103 is on your estimate, it is worth confirming that the detail it specifies matches what is actually planned.
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.
| Code | Procedure |
|---|---|
| D6103 | Bone graft for peri-implant defect — this page |
| D6080 | Implant maintenance (cleaning) procedure |
| D6081 | Implant scaling & debridement (mucositis) |
| D6101 | Debridement of peri-implant defect (with flap) |
| D6102 | Debridement & osseous contouring of peri-implant defect |
| D6104 | Bone graft at time of implant placement |
Questions about D6103
What is D6103 on my dental bill?
D6103 is shorthand for bone graft for peri-implant defect — the same five characters every practice and every insurer in the country uses for it.
Is D6103 expensive?
$700–$1,800 is the realistic range before benefits. Your own share depends on your plan's percentage, deductible and remaining annual maximum.
Will my plan pay for D6103?
Plans generally pay it as basic / major treatment, variable, subject to whatever is left of your maximum for the year.
What is the difference between D6103 and D6102?
D6102 is debridement and osseous contouring of peri-implant defect: it is the same procedure specified for debridement & osseous contouring of rather than for bone graft for. Everything else about the appointment is identical, so the record has to show that one detail for D6103 to be the defensible code.
Also known as: peri-implantitis, implant cleaning, implant maintenance, mucositis, implant bone loss.