D6058 is the CDT code for a porcelain or ceramic crown that is supported by a separate implant abutment component. The crown seats on an intermediate abutment, not directly on the implant fixture. This is one of the two primary codes for implant crown restorations, alongside D6065.
Last updated June 2026 · Reviewed by the PracticeAlpha billing team
Get help with D6058 claims →Use D6058 when placing a porcelain or ceramic crown on a separate implant abutment. The defining feature is the presence of a distinct abutment component between the implant fixture and the crown. The abutment may be prefabricated or custom-milled, but it is a separate component that the crown seats onto.
Common clinical scenarios: Single-tooth implant restoration where the prosthodontist or dentist uses a prefabricated or custom abutment to achieve proper emergence profile, angulation correction, or subgingival margin placement. Cases where the implant position or angulation requires an intermediate component to support the crown correctly. Restorations using screw-retained crowns on custom abutments may also fall here depending on design.
Do NOT use D6058 for: Crowns that connect directly to the implant body without a separate abutment (use D6065). Crowns on natural tooth abutments in a bridge (use D6740). Crowns on natural teeth (use D2740). Metal or PFM implant-supported crowns (different codes apply). Implant body placement (use D6010).
Click any code to see the difference.
The crown seats on a separate intermediate abutment component. Abutment is billed separately. Two distinct prosthetic components: abutment + crown.
The crown connects directly to the implant body. No separate abutment component. Crown and abutment may be one integrated unit. Billed as a single prosthetic item.
Billing tip: The distinction matters for both coding accuracy and reimbursement. Some payers allow separate billing of D6056/D6057 (abutment) when D6058 is the crown code. Review the lab prescription and restorative design with the clinician to confirm which code applies.
Many dental plans exclude implant services entirely. The exclusion typically covers the implant body (D6010), abutment, and implant crown as a bundled category. Even if the patient has dental coverage, implants may not be a covered benefit. Verify implant coverage specifically before scheduling treatment and before raising expectations with the patient.
Plans that do cover implants often apply a missing tooth clause. If the tooth was extracted before the patient enrolled in their current plan, the replacement is excluded. This is one of the most common reasons implant claims are denied despite the patient having active coverage. Check the tooth extraction date against the coverage start date. For more on this, see our guide on the missing tooth clause.
Plans that cover implants almost always require pre-authorization. Submitting the claim without prior approval typically results in a denial or reduced reimbursement. Submit pre-auth with the treatment plan, x-rays showing the edentulous site, and supporting clinical notes. Wait for approval confirmation before placing the implant.
Using D6058 when the prosthetic design is actually implant supported (D6065), or vice versa. Payers may request documentation to confirm the design matches the code. Review the restorative design with the treating dentist and confirm whether a distinct abutment component is present before selecting the code.
Implant claims require more documentation than standard crown claims. At minimum: pre-operative radiographs showing the edentulous site, implant placement records (including implant brand, size, and position), abutment selection records, and clinical notes describing the restorative plan. Include the implant fixture code and abutment code on the same claim as D6058.
Periapical x-ray showing the edentulous site and adjacent teeth. Bone height and density visible. Required to support medical necessity for implant placement and the subsequent crown.
Document the implant fixture brand, model, length, and diameter. Include the date of placement and the implant position (tooth number). This ties D6058 to the previously placed implant body.
Record the abutment type (prefabricated or custom), material, and the abutment code billed alongside D6058. The abutment is a separate billable item from the crown. Both must be documented.
D6058 is for porcelain or ceramic crowns. The lab prescription and clinical notes must confirm the material. If a metal or PFM crown is placed, a different code applies.
Document the pre-auth number in the patient record and include it on the claim form. Submit pre-auth with full treatment plan documentation. Do not schedule crown delivery until approval is received.
Implant crown claims getting denied? We sort out the coding, pre-auth, and documentation issues that cause it.
Learn about our billing servicesD6058 is the CDT code for an abutment supported porcelain/ceramic crown. It is used when a porcelain or ceramic crown is seated on a separate implant abutment component, rather than connecting directly to the implant body.
D6058 is for a crown supported by a separate abutment component. D6065 is for a crown that is implant supported and connects directly to the implant body without a distinct intermediate abutment. The prosthetic design determines which code applies.
D2740 is a porcelain/ceramic crown on a natural tooth. D6058 is a porcelain/ceramic crown on an implant abutment. Same material, different support. Using D2740 for an implant crown will cause a denial because the tooth number will have an extraction record on file.
Common reasons: implant exclusions in the plan, missing tooth clause (tooth lost before coverage began), missing pre-authorization, code mismatch between D6058 and D6065, and insufficient documentation linking the crown to the implant and abutment.
Yes. The abutment is a separate billable component from the crown. Use D6056 for a prefabricated abutment or D6057 for a custom fabricated abutment alongside D6058 on the claim. The implant body (D6010) is also a separate line item.
Coverage varies widely. Many plans exclude implant services entirely. Plans that do cover implants often apply a missing tooth clause. Always verify implant benefit eligibility and check for exclusions before treatment begins.
Search all 206 CDT codes in our dental coding guide.