D6089ADA CDT ProcedureImplant ServicesPARTIAL DENTURE PONTICS

D6089 - Retorque Screw

Accessing and retorquing loose implant screw.

Patient-Friendly Summary: The dentist accesses and tightens an implant screw that has become loose, using a calibrated torque instrument. This secures the crown or abutment firmly back in place, eliminating wobbling and preventing damage to the underlying implant.
Clinical Documentation Notes: Limit 1 per 12 months. Requires Tooth ID.
Procedure Code
D6089
Clinical Category
Implant Services
Primary ICD-10 Justification
See mapped diagnoses below
Reference Fee & Claim Types
DENTAL

Insurance Verification Benchmarks & Billing Guidelines

Payer policy benchmarks, pre-submission attachment requirements, and denial prevention rules for D6089.

Source: Delta Dental 2026
Frequency Limitation
1 per tooth/site in a 60-month interval (5 years) (rolling_12_months)
Age Limitation Criteria
Restricted to patients age 19 or older. Implants are not a benefit for patients under 19 years of age.

Required Claim Attachments & Pre-Submission Checklist

  • Post-operative radiograph or surgical operative report

Bill When (Allowable Clinical Criteria)

  • Benefits are limited to once every 24 months.

Restrictions & Clinical Exclusions

  • Fees for D6089 are not billable to the patient on the same date of service by same dentist/dental office as D6080 or D6090.
  • When done on the same date of service as D6193, fees for D6089 are not billable to the patient.
  • For benefit purposes, anesthesia is an integral part of the procedures being performed and additional fees are not billable to the patient.
  • Benefits are denied, unless the group/individual contract specifies that implant services are a benefit.
  • All services and treatment provided remotely via tele-health modalities, be they synchronous or asynchronous, must be performed by a licensed dentist or their supervised staff, acting within the scope of applicable law. Services and treatment delivered virtually are only a benefit when the elements included in the descriptor of the CDT procedure code are completed and only when they meet generally accepted clinical guidelines.
  • Fees for repairs to implant prosthesis cannot exceed one-half of the fee for a new appliance, and any excess fee by the same dentist/dental office is not billable to the patient.

Common Claim Denial Codes & Overturn Strategies

Denial CodeDenial ReasonAppeal & Overturn Strategy
CO-119Benefit maximum or frequency limitation exceeded for procedureSubmit clinical narrative detailing extraordinary circumstances, active recurrent pathology, or exception criteria.

ICD-10-CM Justification & Crosswalk Mappings for D6089 (0)

Click any ICD-10-CM diagnosis code below to inspect its reverse procedure mappings and differential coding guide.

No direct ICD-10 mappings recorded for D6089.

Frequently Asked Questions — D6089 (Retorque Screw)

Quick answers for dental billers and treatment coordinators submitting claims for D6089.

What ICD-10 diagnosis codes link to dental procedure D6089?▾

Currently no specific ICD-10 crosswalk mappings recorded for CDT D6089.

Can CDT code D6089 be billed to medical insurance?▾

Billing CDT D6089 (Retorque Screw) to medical insurance depends on the underlying clinical necessity and trauma/pathology documentation. Supported claim types across linked diagnoses: DENTAL.

What attachments and documentation are required for billing CDT D6089?▾

Required claim attachments for CDT D6089 (Retorque Screw) include: Post-operative radiograph or surgical operative report.

What is the insurance frequency limitation for CDT D6089?▾

Standard commercial insurance frequency for D6089: 1 per tooth/site in a 60-month interval (5 years) (rolling_12_months). Age criteria: Restricted to patients age 19 or older. Implants are not a benefit for patients under 19 years of age..

What are common insurance denial reasons and appeal tips for CDT D6089?▾

Denial Code CO-119 (Benefit maximum or frequency limitation exceeded for procedure): Overturn appeal strategy - Submit clinical narrative detailing extraordinary circumstances, active recurrent pathology, or exception criteria.