D6058 is the CDT code for an all-porcelain/ceramic crown that seats onto a separate implant abutment — the tooth-colored restoration that completes a single-tooth implant when a distinct abutment supports it.
Informational only — confirm the official CDT descriptor and your payers' rules independently. This is general guidance, not billing, coding, or clinical advice.
When to Use the D6058 Code
Report D6058 when a full porcelain/ceramic crown is placed on a single implant via a separate abutment (prefabricated D6056 or custom D6057). It is the final restorative step for a single-tooth implant where the crown sits on an abutment rather than connecting directly to the implant body.
The central billing distinction is abutment-supported vs. implant-supported. D6058 is abutment-supported — a separate, separately reportable abutment exists beneath the crown. The implant-supported equivalent (crown attached directly to the implant) uses a different code (the D6065 family). This turns on whether a distinct abutment is present, not on whether the crown is cemented or screw-retained. Within the abutment-supported family, choose by material: D6058 is all-ceramic, while D6059 is porcelain-fused-to-high-noble-metal.
Documentation & Clinical Scenarios
Implant crowns are reviewed with their supporting components, so document the full restoration:
- Implant site / tooth number and confirmation of integration.
- A note that the crown is abutment-supported, identifying the abutment used (D6056/D6057).
- The crown material (all-ceramic) to distinguish it from D6059.
- The seat/delivery date, which many payers tie the benefit to.
Bill separately: the implant placement (D6010) and the abutment (D6056/D6057). D6058 is the crown only.
Insurance & Billing Tips
- Verify the implant crown benefit and any implant maximum before treatment.
- Confirm abutment- vs. implant-supported so you bill the correct crown code and avoid a denial.
- Watch for alternate-benefit down-coding, where a plan pays an implant crown at the rate of a conventional crown.
- Check whether the abutment is bundled with the crown under the plan.
- Note frequency/replacement limits, which can apply to implant crowns as they do to conventional ones.
- Appeal with the treatment plan and imaging when the crown is denied or down-coded.
Example Case
A patient's implant at site #8 has integrated, and a custom abutment (D6057) was placed for ideal emergence in the esthetic zone. An all-ceramic crown is fabricated to seat onto that abutment for the most natural appearance. The crown is reported as D6058 with a note that it is abutment-supported and all-ceramic, distinct from the separately billed implant (D6010) and abutment. Because benefits were verified, the office quoted the patient's portion accurately across all three components.
Patients call about "the crown to finish my implant," not D6058. DentalReception AI answers and books those calls 24/7, captures insurance details, and routes clinical and billing questions to your team. See how it handles implant consultation calls, or book a demo.
Frequently Asked Questions
What's the difference between D6058 and an implant-supported crown?
D6058 is abutment-supported: a separate, separately billable abutment (D6056/D6057) sits beneath the crown. An implant-supported crown (the D6065 family) attaches directly to the implant body with no distinct abutment. The distinction turns on whether a separate abutment exists — not on whether the crown is cemented or screw-retained — so confirm the restoration design before coding.
What's the difference between D6058 and D6059?
Material. D6058 is an all-porcelain/ceramic abutment-supported crown, while D6059 is a porcelain-fused-to-high-noble-metal abutment-supported crown. Both seat on a separate abutment; they differ only in the crown material. Some plans reimburse them differently, so code by what was actually placed.
Does D6058 include the abutment and implant?
No. D6058 covers the crown only. The implant body was placed earlier under its own code (such as D6010), and the abutment beneath the crown is reported separately (D6056 or D6057). All three components of the single-tooth implant restoration are billed on distinct lines.
Do I need a pre-authorization for D6058?
A pre-estimate is recommended. Implant crowns can be down-coded to a conventional-crown rate, and abutment bundling rules vary by plan. Submit the treatment plan showing the implant, abutment, and crown, and confirm the implant maximum and any frequency limits. Verifying coverage before the seat appointment lets you quote the patient an accurate out-of-pocket amount.
Confirm the current CDT descriptor and your specific payer policies before billing — browse the full dental code library or see our insurance verification feature.