Immediate Denture Mandibular - CDT Code Guide
Overview
CDT code D5140 refers to the procedure of providing an immediate denture for the mandibular arch. This involves creating a denture that is placed immediately after the removal of natural teeth. The process ensures that the patient does not have to go without teeth during the healing period. Typically, this procedure is used when a patient requires extraction of all lower teeth and desires to have a denture placed immediately. The immediate denture acts as a bandage to protect the tissues and improve aesthetics and function during the healing phase. It is important to note that D5140 includes limited follow-up care but does not cover future rebasing or relining procedures, which may be necessary as the gums heal and change shape.
When to Use This Code
- When a patient requires extraction of all lower teeth and desires immediate replacement with a denture.
- In cases where aesthetics and function need to be maintained immediately post-extraction.
- For patients who cannot be without teeth for extended periods due to social or professional reasons.
Documentation Requirements
- Detailed patient history and clinical evaluation notes.
- Pre-operative photographs and radiographs showing the condition of the mandibular arch.
- Signed consent form explaining the immediate denture process and limitations.
- Post-operative care instructions provided to the patient.
- Documentation of follow-up visits and any adjustments made to the denture.
Billing Considerations
D5140 typically includes limited follow-up care, but not future rebasing or relining. Dentists should be aware of insurance policies regarding immediate dentures, as some may require pre-authorization. Frequency limitations may apply, and common modifiers include those for additional procedures such as extractions on the same day.
Related CDT Codes
Frequently Asked Questions
D5140 includes limited follow-up care, typically covering initial adjustments and checks post-placement but not future relining or rebasing.
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