D6058 vs D6065: Implant Crown ADA Codes Explained

July 31, 2017

Updated 4/2026

Should I use code D6058 or D6065 for implant crowns? When is it appropriate to report the abutment separately? Whether you’re looking for the ADA code for implant crown procedures or need to understand the difference between abutment-supported and implant-supported restorations, this guide covers all implant crown CDT codes with billing scenarios.

Quick Reference: Implant Crown CDT Codes at a Glance

CDT Code	Procedure	Retention Source	Bill Abutment Separately?
D6058	Abutment-supported crown	Crown attaches to abutment only	Yes – D6056 or D6057
D6065	Implant-supported crown	Crown attaches directly to implant	No – one-piece restoration
D6056	Prefabricated abutment	N/A – this IS the abutment	Used with D6058
D6057	Custom abutment	N/A – this IS the abutment	Used with D6058
D6010	Implant body placement	N/A – surgical placement	Separate procedure
D6103	Peri-implant bone graft	Repair of existing implant	Separate procedure

Understanding Abutment Codes: D6056 and D6057

Before discussing crown coding, it is essential to understand when and how to report abutment placement, as this directly determines whether you bill D6058 or D6065.

D6056 – Prefabricated Abutment (Includes Placement)
Used when the abutment is a stock, manufacturer-supplied component selected from available sizes and placed without custom fabrication. The abutment is torqued directly to the implant body as a separate, standalone component.

D6057 – Custom Fabricated Abutment (Includes Placement)
Used when the abutment is custom-milled or fabricated specifically for the patient’s anatomy, emergence profile, or esthetic requirements. Like D6056, this is a separate component that attaches independently to the implant.

Critical Distinction: If you are billing either D6056 or D6057, the crown placed on top of that abutment must be coded as D6058 (abutment-supported crown). The abutment and crown are two separate procedures reported with two separate codes.

Billing D6058 vs D6065

Do not report abutment supported crowns as implant supported crowns or vice versa. Both abutment supported and implant supported crowns may be cemented or screwed to the supporting structure, but neither of these options is a determining factor in code selection. The determining factor on what to call the restoration and how to code it is determined by whether the abutment is or could be attached independently to the implant body, and from where the permanent crown gets its retention.

Abutment Supported Crowns (D6058)

Abutment supported crowns are attached to and obtain stability from an intermediary abutment, which is SEPARATELY attached to the implant body. The abutment can be attached without the crown. Additionally, the retention of the crown comes only from its attachment to the abutment, and it is not secured to the implant body directly. Ultimately, this system uses two independent pieces, which are each coded separately.

Usually, these two pieces are each placed in the mouth individually, with the abutment being torqued into place first and the crown being seated as a separate step. The exception to this comes with what is known as a “screwmentable” crown, where the components COULD be placed individually, but the crown is manufactured with an access hole through the occlusal. This allows for the torquing of the abutment screw after extra oral cementation. This is a hybrid of the two types of restorations and is still considered abutment supported since the crown is only retained by cementation to the abutment, not by the screw itself, and the abutment COULD have been placed independently.

Billing Scenario – Abutment Supported Crown:
Patient presents for final crown delivery on implant site #19. Custom abutment was fabricated to optimize emergence profile and soft tissue contour. Abutment is torqued to 35 Ncm and porcelain-fused-to-metal crown is cemented to the abutment with permanent cement.

Correct Coding:

• D6057 (custom abutment, includes placement)
• D6058 (abutment-supported porcelain/ceramic crown)

Documentation must specify abutment type (custom vs prefab), crown material, and cementation method.

Implant Supported Crowns (D6065)

Alternatively, implant supported crowns attach DIRECTLY to and gain support from the implant body. The retention of the crown itself comes from attachment directly to the implant, not just to the abutment. The entire unit is placed and torqued to the implant body in one step. Even though a fabrication “abutment” may be used in the manufacturing process, it is delivered as an integral part of the one-piece implant supported crown. This “abutment” could not be placed as an individual step on its own and stand independently without the crown. As such, the whole assembled unit is considered an implant supported crown, and the abutment cannot be reported as a separate procedure.

Billing Scenario – Implant Supported Crown:
Patient presents for final crown delivery on implant site #30. Lab fabricated a one-piece screw-retained implant crown with integrated titanium base. Crown/abutment assembly is torqued directly to implant body at 35 Ncm. Access hole is sealed with composite resin.

Correct Coding:

• D6065 (implant-supported porcelain/ceramic crown)
• Do NOT bill D6056 or D6057 separately

The crown and integrated abutment component are delivered as one inseparable unit.

Screwmentable Crown Decision Guide

What is a screwmentable crown?
A screwmentable crown is cemented to the abutment OUTSIDE the mouth, then the crown/abutment assembly is torqued to the implant body as one unit. An occlusal access hole allows the screw to be tightened after cementation.

How to code it:
Even though the crown and abutment are delivered together, this is still coded as D6056/D6057 + D6058 because:

• The abutment COULD have been placed separately (it has independent retention capability)
• The crown’s retention comes from cementation to the abutment, not from the screw
• The screw only secures the abutment to the implant, not the crown to the abutment

Key distinction: If the crown retention depends on the screw going through the crown into the implant body (no cement between crown and abutment), code as D6065.

Coding Application and Fee Considerations

Source: (2025). General Comments for Implant Services [Photograph]. Dental Coding With Confidence 2026. Page 291.

With the first system (abutment supported), you will code for a prefabricated abutment (D6056) or custom abutment (D6057), plus the crown itself. Use the proper code for the correct crown material. For an abutment supported single porcelain ceramic crown, report D6058.

For the second system (implant supported), there is no separate abutment reported. The single implant supported porcelain ceramic crown is coded as D6065. The fee for an implant supported crown should be set higher (roughly equal to the fee for an abutment plus an abutment supported crown) to offset the increased lab bill and inability to report a separate abutment.

Common Implant Crown Coding Questions

Q: What is the difference between D6058 and D6065?
D6058 is an abutment-supported crown where the crown attaches to a separately-placed abutment (D6056 or D6057). D6065 is an implant-supported crown where the crown attaches directly to the implant body as a one-piece restoration.

Q: Do I bill the abutment separately with D6065?
No. D6065 includes the integrated abutment component as part of the one-piece restoration. Billing D6056/D6057 with D6065 is incorrect coding.

Q: When do I use D6056 vs D6057?
D6056 is for prefabricated (stock) abutments selected from available sizes. D6057 is for custom-fabricated abutments milled or created specifically for the patient.

Q: How do I code a screwmentable crown?
Code as D6056/D6057 + D6058. Even though delivered together, the abutment could have been placed independently and the crown retention comes from cementation to the abutment, not from the screw.

Q: Can I bill D6058 and D6065 on the same claim?
Yes, if restoring multiple implant sites with different systems. Example: D6065 on #19 (one-piece screw-retained) and D6057 + D6058 on #30 (custom abutment with cemented crown).

Q: What is the ADA code for implant crown?
D6058 (abutment-supported) and D6065 (implant-supported) are the two ADA/CDT codes for single implant crowns. The correct code depends on whether the crown attaches to an abutment or directly to the implant.

Q: Do I need to document the crown delivery method (cemented vs screw-retained)?
Yes. Documentation should specify delivery method, crown material, abutment type (if applicable), and torque values. This supports medical necessity and proper code selection.

Q: What if I place a bone graft around the implant crown?
Use D6103 (bone graft for repair of peri-implant defect). This is separate from crown placement codes. For complete peri-implant and bone grafting guidance, including D6104 (bone graft at time of implant placement), see our bone graft CDT code guide.

Common Coding Errors

Coding for implant/abutment supported restorations and prostheses are commonly misreported due to all the nuances involved and CDT codes available to choose from. The most frequent errors include:

• Billing D6056/D6057 with D6065 (abutment already included in one-piece crown)
• Using D6065 for screwmentable crowns (should be D6056/D6057 + D6058)
• Failing to document whether crown retention comes from abutment or implant body
• Not specifying custom vs prefabricated abutment selection

Prevent coding errors today with additional tips from the Coding Advisors at Practice Booster in their Dental Coding With Confidence or their online Code Advisor!

CDT Coding Support

If you are struggling with CDT coding, consider partnering with eAssist. Our Success Consultants have full access to the entire Practice Booster library to support you in coding for what you actually do as documented in the patient’s clinical record. For comprehensive implant maintenance coding including peri-implantitis treatment codes, or guidance on crown billing best practices, our team can help. To find out more, schedule a free consultation here.

Disclaimer: Insurance administration and dental billing recommendations presented here represent the opinions of the author or our staff and are for informational purposes only. You are responsible for your own use of the CDT Codes, insurance administration, and dental billing. For the latest CDT codes and official interpretations, contact the American Dental Association or visit ADA.org.