Complete Denture Maxillary - CDT Code Guide
Overview
CDT Code D5110 refers to the fabrication and placement of a complete maxillary denture. This procedure involves creating a full set of upper teeth for patients who have lost all their natural teeth in the upper arch. The process typically includes taking impressions of the patient's mouth, creating a wax model for fitting, and then crafting the final denture from durable materials. This code is commonly used in scenarios where patients require full upper arch restoration due to tooth loss from decay, injury, or other dental conditions. The procedure aims to restore function and aesthetics, allowing patients to chew, speak, and smile confidently.
When to Use This Code
- Patient has lost all upper teeth and requires a full denture.
- Replacement of an existing maxillary denture that is no longer functional.
- Following extraction of remaining upper teeth to complete the arch.
- Patient desires improved aesthetics and function with a new denture.
- As part of a comprehensive oral rehabilitation plan.
Documentation Requirements
- Detailed patient history and reason for tooth loss.
- Clinical notes on the necessity of a complete maxillary denture.
- Impression records and denture design specifications.
- Patient consent forms and discussion of treatment options.
- Post-delivery care instructions and follow-up appointments.
Billing Considerations
When billing for D5110, note that many insurance plans cover this procedure but may have frequency limitations, often allowing replacement every 5-7 years. Common modifiers include those for immediate dentures if applicable. Ensure to verify patient benefits and pre-authorization requirements with their insurance provider.
Related CDT Codes
Frequently Asked Questions
D5110 is for a complete maxillary (upper) denture, while D5120 is for a complete mandibular (lower) denture.
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