Space Maintainer Removable Bilateral - CDT Code Guide
Overview
The CDT code D1527 refers to a removable bilateral space maintainer designed for the mandibular arch. This preventive dental appliance is used to maintain space in the mouth after the premature loss of primary teeth, ensuring that permanent teeth have adequate room to erupt properly. Typically, this appliance is used in pediatric dentistry to prevent future orthodontic issues that may arise due to space loss. The appliance is custom-made for each patient and is removable, allowing for easy cleaning and maintenance. It is particularly beneficial in cases where multiple primary teeth are lost prematurely, and there is a risk of adjacent teeth shifting into the space, which could impede the proper alignment of incoming permanent teeth.
When to Use This Code
- When a child loses multiple primary teeth prematurely in the mandibular arch.
- To prevent space loss after the extraction of primary molars due to decay or trauma.
- In cases where there is a delay in the eruption of permanent teeth, and space needs to be preserved.
- When orthodontic guidance is needed to maintain arch integrity in growing children.
- To prevent adjacent teeth from drifting into the space left by lost primary teeth.
Documentation Requirements
- Detailed patient dental history and reason for space maintainer placement.
- Clinical notes describing the condition of the mandibular arch and tooth loss.
- Radiographs or imaging supporting the need for space maintenance.
- Documentation of the appliance fabrication and fitting process.
- Patient or guardian consent for the placement of the appliance.
- Follow-up care instructions and maintenance plan for the appliance.
Billing Considerations
When billing for D1527, ensure that the procedure is documented as preventive. Check with the patient's insurance provider for coverage details, as some plans may have frequency limitations or specific age restrictions for space maintainers. Common modifiers may include those indicating bilateral procedures. It's important to verify if the appliance is covered under the patient's dental plan and if prior authorization is required.
Related CDT Codes
Frequently Asked Questions
The primary purpose of a space maintainer is to preserve the space left by lost primary teeth to ensure proper alignment and eruption of permanent teeth.
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