D6104 — Bone graft at time of implant placement
D6104 grafts bone at the same visit the implant goes in, filling the gap between fixture and socket wall.
It is one of six codes covering implant maintenance and peri-implant treatment. For the procedure itself rather than the code, see the implant maintenance and peri-implant treatment guide; for the code, read on.
Read on for the conditions this code carries, the money involved, the way a payer is likely to treat it, and a plain comparison against each of the codes it is easily mistaken for.
D6104 compared with its closest relatives
D6103 — Bone graft for peri-implant defect: It is the same procedure specified for for peri-implant defect rather than for at time of implant placement.
D6102 — Debridement & osseous contouring of peri-implant defect: It does that same flap debridement and reshapes the surrounding bone as well, so the walls of the defect are removed rather than just cleaned.
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.
D6104 sits in a group of six 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.
| Code | Procedure |
|---|---|
| D6104 | Bone graft at time of implant placement — 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 |
| D6103 | Bone graft for peri-implant defect |
Questions about D6104
What does dental code D6104 mean?
Bone graft at time of implant placement, reported under a single implant services code.
What is the typical fee for D6104?
Plan for $500–$1,300 as the full fee. Two practices a few miles apart can sit at opposite ends of that range for the same work.
Will my plan pay for D6104?
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 D6104 and D6103?
D6103 is bone graft for peri-implant defect: it is the same procedure specified for for peri-implant defect rather than for at time of implant placement. Apart from that, the two describe the same treatment — which is why the notes for the visit matter more here than the code itself.
Also known as: peri-implantitis, implant cleaning, implant maintenance, mucositis, implant bone loss.