Immediate Mandibular Partial Denture - CDT Code Guide
Overview
CDT Code D5224 refers to the procedure for creating an immediate mandibular partial denture with a cast metal framework and resin denture bases. This includes retentive and clasping materials, rests, and teeth. The procedure is typically used when a patient requires a partial denture immediately after tooth extraction to maintain aesthetics and function. It involves taking impressions before extraction, fabricating the denture, and fitting it immediately after extraction. This code covers limited follow-up care but excludes future rebasing or relining procedures. Dental professionals use this code to ensure patients receive immediate restoration of their mandibular arch, which is crucial for maintaining oral health and patient confidence.
When to Use This Code
- When a patient needs immediate replacement of missing mandibular teeth post-extraction.
- In cases where aesthetics and function need to be restored immediately after tooth loss.
- When a patient is not a candidate for fixed prosthetics due to financial or anatomical reasons.
- For patients who require a temporary solution while waiting for a more permanent prosthetic.
- In situations where maintaining the patient's occlusion is critical immediately after extractions.
Documentation Requirements
- Detailed patient history and clinical evaluation notes.
- Pre-operative and post-operative photographs and radiographs.
- Impression records and laboratory prescriptions.
- Documentation of patient consent and understanding of the procedure.
- Follow-up care notes detailing any adjustments or complications.
- Verification of patient eligibility and insurance coverage.
Billing Considerations
When billing for D5224, it's important to note that this code includes limited follow-up care but does not cover future rebasing or relining. Frequency limitations may apply, and it's crucial to verify the patient's insurance policy for coverage specifics. Common modifiers may include those indicating the arch treated or any additional procedures performed. Ensure accurate documentation to support the necessity of immediate placement.
Related CDT Codes
Frequently Asked Questions
D5224 covers the fabrication and placement of an immediate mandibular partial denture with a metal framework and resin bases, including limited follow-up care.
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