Ask a Dental Billing & Coding Advisor: Implant Cleaning CDT Codes

March 21, 2023

Updated 12/26/25

Introduction

Straight from the hotlines of Practice Booster, it’s Ask a Dental Billing and Coding Advisor! If you’re looking for updated insider information about how to best code your claims, you’ve come to the right place. This week, there seems to be a lot of interest surrounding dental billing and coding cleanings for patients with implants, including All-on-X. Let’s take a detailed look at the answers to some of your coding questions:

Cleaning Around an Inflamed Implant

Correct CDT Code for Implant Inflammation and Bleeding

Question:
What is the correct CDT code to report cleaning around an implant with inflammation and bleeding on probing? Do you have a recommended price for this?

Answer: 
D6081 reports scaling and debridement in the presence of inflammation or mucositis of a single implant, including cleaning of the implant surfaces, without flap entry and closure.  Note that D6081 cannot be performed in conjunction with D1110/D1120, D4910, or D4346. It can, however, be reported in conjunction with D6080 or D6280 (New in 2026!), provided D1110, D4910, or D4346 are not completed. A prophy fee is a starting point for D6081. The price for all of these is dependent on the difficulty of the procedure and the cost of materials. 

If non-surgical scaling and debridement are required around an implant in the presence of peri-implantitis (inflammation with bone loss evident), the new code D6049 would apply instead. 

Note: Both D1110 and D1120 include the removal of plaque, calculus, and stains from the tooth structures as well as implants, and are intended to control local irritational factors.

D6080 reports implant maintenance procedures for a full arch implant-supported fixed prostheses and includes active debriding of the implant(s) and examination of all aspects of the implant system(s), including the occlusion and stability of the superstructure. D6080 is to be reported when fixed prostheses are removed, active debriding of the implants is performed, and the prostheses are cleaned and reinserted. This code is indicated for fixed prostheses only (reported per prosthesis) and must include the removal of prostheses.  In addition, the patient is instructed in thorough daily cleansing of the implant(s).

If a full arch implant-supported fixed prosthesis is cleaned and inspected without removal, D6180 would apply instead. 

We have a new code coming in 2026 for hygiene procedures related to implant/abutment supported removable dentures!

D6280 Implant maintenance procedures when a full arch removable implant/abutment  supported denture is removed and reinserted, including cleansing of prosthesis  and abutments – per arch 

D6280 includes active debriding of the implant(s) and examination of all aspects of the implant system, including the occlusion and stability of the prosthesis. The patient is also instructed in thorough daily cleansing of the implant(s).

Always code for what you do based on the most current CDT code set.

Implant Prophylaxis and Routine Cleaning Codes

Question:
Is there a dental code specifically for Implant prophylaxis?

Answer:
Both D1110 and D1120 include the removal of plaque, calculus, and stains from the tooth structures as well as implants, and are intended to control local irritational factors.

Here are some scenarios beyond the scope of D1110 and D1120:

D6080 reports implant maintenance procedures for implant-supported fixed prostheses and includes active debriding of the implant(s) and examination of all aspects of the implant system(s), including the occlusion and stability of the superstructure. D6080 has an editorial revision coming in 2026, changing “superstructure” to “prosthesis.” D6080 is to be reported when fixed prostheses are removed, active debriding of the implants is performed, and the prostheses are cleaned and reinserted. This code is indicated for fixed prostheses only (reported per prosthesis) and must include the removal of prostheses.  In addition, the patient is instructed in thorough daily cleansing of the implant(s).

D6180 was added to the CDT in 2025. D6180 reports implant maintenance procedures when a full arch fixed hybrid prosthesis is not removed, including cleansing of the prosthesis and abutments. Like D6080, it includes debridement of the implants and prosthesis, as well as instructions for daily care.

D6280 is new to the CDT code set in 2026 and reports implant maintenance procedures for full arch implant/abutment supported removable dentures. It includes active debriding of the implant(s) and examination of all aspects of the implant system, including the occlusion and stability of the prosthesis. D6280 is to be reported when removable prostheses are removed, active debriding of the implants is performed, and the prostheses are cleaned and reinserted. This code is indicated for removable prostheses only (reported per arch). The patient is also instructed in thorough daily cleansing of the implant(s).

D6081 reports scaling and debridement in the presence of inflammation or mucositis of a single implant, including cleaning of the implant surfaces, without flap entry and closure, and a bony defect is not present.  Note that D6081 cannot be performed in conjunction with D1110/D1120, D4910, or D4346. It can, however, be reported in conjunction with D6080, D6180, or D6280, provided D1110, D4910, or D4346 are not completed. 

Advanced Implant Conditions and Peri-Implantitis

Non-Surgical Peri-Implantitis Treatment Codes

D6049 is a new code for 2026. It reports scaling and debridement of a single implant in the presence of peri-implantitis inflammation, bleeding upon probing, and increased pocket depths, including cleaning of the implant surfaces, without flap entry and closure. This procedure should be reported for the non-surgical debridement of a single implant when bone loss is present.

D9110–palliative treatment of dental pain (per visit) can be reported if a patient presents for an emergency visit reporting pain around an implant, and implant debridement is indicated and performed. This would include any necessary follow-up by subsequent visits. Include a narrative on the claim form that documents the necessity reflected in the clinical notes. D9110 reimbursement is variable and may be classified by payors as either preventive or basic.

Surgical Peri-Implantitis Treatment Codes

If surgical intervention is required:

D6101 is used to report debridement of the area around an existing implant with peri-implantitis and includes reflecting a surgical flap for access to the area of the defect(s), as well as the closure of the surgical flap once the debridement is completed. If D6101 is performed less than a year after the implant has been placed, it is unlikely to be considered for reimbursement, yet should still be reported.

D6102 is similar to D6101 yet includes osseous contouring of a peri-implant defect(s) and includes reflecting a surgical flap for access to the area of the defect(s), as well as the closure of the surgical flap once the debridement is completed. If D6102 is performed less than a year after the implant has been placed, it is unlikely to be considered for reimbursement, yet should still be reported. If a bone graft is placed in the area around an existing implant where a bony defect exists, report D6103 in addition to D6102. Membranes placed for guided tissue regeneration would be reported as D6106 if resorbable or D6107 for non-resorbable.

Note: D4341/D4342 for scaling and root planing is indicated for natural teeth only, and does not include implant debridement.

Reporting Prophylaxis and Implant Maintenance Together

Question:
Can I report D1110 and D6080 on the same date of service?

Answer:
D1110 includes the removal of plaque, calculus, and stains from the tooth structures as well as implants, intended to control local irritational factors.

D6080 reports implant maintenance procedures for implant-supported fixed prostheses and includes active debriding of the implant(s) and examination of all aspects of the implant system(s), including the occlusion and stability of the superstructure. D6080 is to be reported when fixed prostheses are removed, active debriding of the implants is performed, and the prostheses are cleaned and reinserted. This code is indicated for fixed prostheses only (reported per prosthesis) and must include the removal of prostheses. In addition, the patient is instructed in thorough daily cleansing of the implant(s). 

If completed in conjunction with prophylaxis of natural teeth on the opposing arch, you may report both D1110 and D6080 on the same service date. However, D6080 may be considered part of the prophylaxis service by some payors. Without an implant rider, D6080 is seldom reimbursed when reported alone or in conjunction with D1110.

Cleaning With Mixed Dentition or Dentures

Question:
How should we charge for a cleaning when the patient has a full upper denture and lower natural teeth?

Answer:
If the removable denture is inspected by the dentist and cleaned, then report D9932–cleaning and inspection of the removable complete denture, maxillary. For the natural teeth on the lower arch, report D1110. 

Outsourcing to the Dental Billing and Coding Experts

Looking for more dental billing and coding answers? We have them at Practice Booster! Supercharge your billing and coding knowledge with industry-leading resources like Code Advisor, your one-stop shop for the most up-to-date information on CDT codes. Looking for a way to access this juicy insider knowledge daily? Practice Booster’s online code library gives you 24/7 access to tips, narratives, flowcharts, videos, and articles. Partnering with eAssist grants you complimentary access to Code Advisor, and it’s as easy as scheduling a consultation here. Already an eAssist client? Log in today and get the industry’s leading coding resources at your fingertips.

Disclaimer: Insurance administration and dental billing recommendations presented here represent the opinions of the author or our staff and are for informational purposes only. You are responsible for your own use of the CDT Codes, insurance administration, and dental billing. For the latest CDT codes and official interpretations, contact the American Dental Association or visit ADA.org.