Maxillary Partial Denture - CDT Code Guide
Overview
CDT Code D5211 pertains to the fabrication of a maxillary partial denture with a resin base. This procedure involves creating a removable dental appliance that replaces missing teeth in the upper jaw, providing both aesthetic and functional benefits. The resin base includes retentive and clasping materials, rests, and artificial teeth, ensuring stability and comfort for the patient. Typically, this procedure is indicated for patients who have lost several teeth in the maxillary arch but still retain some natural teeth, allowing for a partial denture to be anchored securely. Dental professionals must carefully assess the patient's oral health and structure to ensure a proper fit and function of the denture.
When to Use This Code
- Patient has multiple missing teeth in the upper jaw but retains some natural teeth.
- Patient requires a cost-effective solution for tooth replacement in the maxillary arch.
- Patient seeks a removable option for dental restoration in the upper jaw.
- Patient has adequate bone support and oral health to support a partial denture.
- Patient prefers a non-invasive alternative to fixed prosthetics.
Documentation Requirements
- Detailed patient dental history and examination notes.
- Radiographic evidence supporting the need for a partial denture.
- Clinical notes on the design and materials used for the denture.
- Patient consent form acknowledging understanding of the procedure.
- Documentation of any adjustments or follow-up care provided post-delivery.
Billing Considerations
When billing for D5211, ensure that the procedure is not performed more frequently than allowed by the patient's insurance plan. Check for any specific frequency limitations and use appropriate modifiers if necessary. It's important to verify coverage with the patient's insurance provider, as some plans may have restrictions or require pre-authorization for removable prosthodontics.
Related CDT Codes
Frequently Asked Questions
D5211 includes the resin base, retentive/clasping materials, rests, and artificial teeth for a maxillary partial denture.
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