D6067 is the CDT code for a single full-metal crown, made of high noble alloys, that is retained, supported, and stabilized directly by a dental implant. It restores one tooth on one implant with a cast-metal crown and no porcelain veneering.
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 D6067 Code
Report D6067 when a single full-cast high-noble-metal crown attaches directly to the implant rather than to a separate abutment. Full-metal implant crowns are typically chosen for posterior teeth where strength and minimal occlusal clearance matter more than tooth-colored esthetics.
Distinguish by retention and material. If the crown sits on a separate abutment, use the abutment-supported series instead of D6067. Among implant-supported crowns, D6065 is all-ceramic, D6066 is porcelain-fused-to-high-noble-metal, and D6067 is high-noble metal with no porcelain. Also confirm the alloy class, since metal crown codes separate high noble, noble, and predominantly base metals.
Documentation & Clinical Scenarios
Because the material drives the code, document it precisely:
- Tooth number / implant site and confirmation the implant is osseointegrated.
- Restoration type — implant-supported, attaching directly to the implant.
- Material and alloy class — full high noble metal, no porcelain.
- Radiograph(s) of the seated crown and a narrative noting the retention method.
The surgical implant body (D6010) and any abutment are billed separately under their own codes; D6067 covers only the metal crown that restores the implant.
Insurance & Billing Tips
- Verify implant prosthetic benefits, which often differ from natural-tooth crown benefits.
- Pre-authorize with radiographs and a narrative; implant crowns are frequently pre-reviewed.
- Confirm the alloy class — high noble vs. noble/base metal can change reimbursement.
- Watch missing-tooth clauses and waiting periods that limit implant restorations.
- Expect possible alternate benefits paying at a lower crown or denture rate.
Example Case
A 64-year-old patient with limited space over an osseointegrated lower molar implant needs a strong, low-profile restoration. The dentist plans a full high-noble-metal crown that attaches directly to the implant. The office verifies implant benefits and submits a pre-estimate with a radiograph and a narrative specifying the high-noble alloy and implant-supported design. Coverage is confirmed, the crown is seated, and the claim is filed as D6067 with the seat date — paid as expected because the material and retention method were clearly documented.
Patients call about "my implant tooth" or "something feels loose on my implant" — not D6067. DentalReception AI answers those calls 24/7, books the visit live into your schedule, and captures insurance details, while clinical and coverage questions route to your team. See how it handles dental implant calls, or book a demo.
Frequently Asked Questions
What's the difference between D6067 and D6066?
Material. D6067 is an implant-supported full-metal crown in high noble alloys with no porcelain, while D6066 is an implant-supported crown with porcelain fused to a high noble substructure. Both attach directly to the implant; the code depends on whether the crown is veneered with porcelain, so document the material and alloy class clearly.
Does D6067 include the implant and abutment?
No. D6067 covers only the metal crown. The surgical implant body (D6010) and any abutment are separate procedures with their own codes. Bill each component on its own line with its own justification so the payer can adjudicate the implant, abutment, and crown correctly.
Will insurance cover a full-metal implant crown?
It depends on the plan. Some reimburse implant crowns like other crowns, while others apply a missing-tooth clause, a waiting period, or an alternate benefit at a lower rate. The high-noble alloy class can also affect payment. Verify implant-specific benefits before treatment so the patient estimate is accurate.
Do I need a pre-authorization for D6067?
Most offices submit a pre-estimate. Because implant crowns are frequently reviewed and the alloy class can affect reimbursement, sending radiographs and a narrative ahead of time confirms coverage and lets you quote an accurate out-of-pocket amount before the crown is seated.
Confirm the current CDT descriptor and your specific payer policies before billing — browse the full dental code library or see our insurance verification feature.