D6092 is the CDT code for re-cementing or re-bonding an implant- or abutment-supported crown that has come loose or dislodged but is otherwise intact and does not need to be replaced.
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 D6092 Code
Report D6092 when a previously placed implant- or abutment-supported single crown loosens or falls off and is cleaned and re-cemented or re-bonded onto the implant or abutment. The crown must be undamaged — D6092 is for re-attachment, not for fixing or remaking the restoration.
Keep it distinct from neighbors. If the crown or framework is damaged and repaired, use D6090. If a worn attachment part is replaced, use D6091. If a fixed bridge (rather than a single crown) is re-cemented, use D6093. And note this is the implant re-cement code — re-cementing a crown on a natural tooth is D2920, not D6092.
Documentation & Clinical Scenarios
Re-cement claims should confirm the crown was simply re-attached:
- Implant/abutment site and tooth number for the crown re-cemented.
- That the crown was intact and re-cemented or re-bonded, not repaired or replaced.
- The original seat date if known, since some plans bundle early re-cements.
- A brief note explaining why it loosened (e.g., cement washout, screw loosening addressed).
If the screw access or a component also needed attention beyond simple re-cementation, document it; repairs or part replacements carry their own codes (D6090, D6091).
Insurance & Billing Tips
- Verify the re-cement benefit — coverage and frequency vary by plan.
- Check time-since-placement rules; re-cements soon after seating may be considered part of the original crown service.
- Use the implant code, not D2920 — D2920 is for natural-tooth crowns.
- Distinguish from repair/replacement so you don't bill D6092 when D6090 or a new crown applies.
- Document the intact crown to support a clean re-cement claim.
Example Case
A 59-year-old patient's implant-supported molar crown comes loose. The dentist confirms the crown and implant are intact, cleans the surfaces, and re-cements the crown — no repair or replacement needed. Because the crown was placed several years ago and is undamaged, the office files the visit as D6092, with a note that the crown was re-cemented and the original seat date. The plan, which has no early re-cement bundling at this point, pays the re-cement as expected.
Patients call because "my implant crown fell off" or "my implant tooth is loose" — not D6092. DentalReception AI answers those calls 24/7, books the quick re-cement visit live into your schedule, and captures insurance details, while clinical and coverage questions route to your team. See how it handles lost crown calls, or book a demo.
Frequently Asked Questions
What's the difference between D6092 and D2920?
The supporting structure. D6092 re-cements a crown on an implant or abutment, while D2920 re-cements a crown on a natural tooth. They are the same idea — re-attaching a loose crown — but the code depends on whether the crown is implant-supported or tooth-supported, so confirm what the crown sits on before coding.
What's the difference between D6092 and D6090?
D6092 is a re-cement of an intact implant/abutment-supported crown that came loose, while D6090 is a repair of a damaged implant-supported prosthesis. If nothing is broken and you simply re-attach the crown, use D6092; if a component is fractured or replaced, use D6090.
Will insurance cover a re-cement?
Often, but it varies. Some plans benefit re-cements with a frequency limit, and re-cements shortly after the crown was first seated may be bundled into the original crown service. Verify the re-cement benefit and any time-since-placement rule before billing so the claim is reimbursed correctly.
Do I need a pre-authorization for D6092?
Usually not, since a re-cement is a small, often same-day service, but knowing the plan's re-cement benefit and any early-re-cement bundling helps. Document that the crown was intact and re-cemented, with the original seat date, so the claim is clean and the patient estimate is accurate.
Confirm the current CDT descriptor and your specific payer policies before billing — browse the full dental code library or see our insurance verification feature.