Is the D1526 code applicable for both arches?

No, D1526 specifically applies to removable bilateral space maintainers in the maxillary arch.

How long does a child need to wear a space maintainer?

The duration varies depending on the child's dental development, but it is typically worn until the permanent teeth begin to erupt.

Can a space maintainer be adjusted if it becomes uncomfortable?

Yes, removable space maintainers can be adjusted by a dental professional to ensure comfort and effectiveness.

Are there any special care instructions for a removable space maintainer?

Yes, it should be cleaned regularly and removed during meals to maintain oral hygiene and appliance integrity.

D1526

Space Maintainer Removable Bilateral, Maxillary - CDT Code Guide

Preventive/Space Maintenance (Passive Appliances)

Overview

CDT code D1526 refers to a removable bilateral space maintainer used in the maxillary arch. This preventive dental procedure is designed to preserve space for the proper eruption of permanent teeth following the premature loss of primary teeth. Space maintainers are crucial in preventing malocclusion and ensuring proper dental alignment. Typically, this appliance is used in pediatric dentistry when a child loses multiple primary teeth prematurely, and there is a risk of adjacent teeth shifting into the empty space. The removable nature of the appliance allows for easy cleaning and maintenance, making it a practical choice for young patients.

When to Use This Code

When a child loses multiple primary teeth prematurely in the maxillary arch.
To prevent adjacent teeth from shifting into the space of missing teeth.
In cases where permanent teeth are not expected to erupt soon.
When a removable option is preferred for easier cleaning.
In pediatric patients with a high risk of malocclusion due to early tooth loss.

Documentation Requirements

Detailed patient dental history and examination notes.
Radiographic evidence supporting the need for space maintenance.
Documentation of primary tooth loss and anticipated permanent tooth eruption.
Patient or guardian consent for the procedure.
Detailed description of the appliance provided, including materials used.

Billing Considerations

When billing for D1526, ensure that the procedure is not repeated more frequently than necessary, as insurance may have frequency limitations. Common modifiers may include those indicating bilateral procedures. Verify with the patient's insurance for coverage specifics, as some plans may have restrictions on preventive appliances.

Related CDT Codes

D1510 D1515 D1520 D1525 D1555

Frequently Asked Questions

A space maintainer is used to preserve the space for permanent teeth to erupt properly after the premature loss of primary teeth.

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