Unilateral Partial Denture Mandibular - CDT Code Guide
Overview
CDT code D5283 pertains to the fabrication and delivery of a removable unilateral partial denture for the mandibular arch. This procedure involves creating a one-piece cast metal framework that includes retentive and clasping materials, rests, and artificial teeth. It is typically used for patients who have lost one or more teeth on one side of the lower jaw and require a prosthetic solution that is both functional and aesthetic. This type of denture is designed to improve chewing efficiency, support facial structure, and enhance the patient's smile. Dental professionals often use this code when a patient needs a partial denture that is less invasive than a full denture and more stable than a temporary solution.
When to Use This Code
- When a patient has lost one or more teeth on one side of the mandibular arch.
- In cases where a patient requires a stable, removable prosthesis for the lower jaw.
- When a patient prefers a metal framework for durability and support.
- For patients who need a partial denture that includes clasping and retentive elements.
- When a patient is not a candidate for fixed dental prosthetics.
Documentation Requirements
- Detailed patient history and clinical examination notes.
- Radiographic evidence supporting the need for a partial denture.
- Impressions and models of the patient's mandibular arch.
- Documentation of the design and materials used in the denture.
- Patient consent form acknowledging understanding of the procedure.
- Post-delivery care instructions and follow-up visit records.
Billing Considerations
When billing for D5283, ensure that the procedure is not performed more frequently than allowed by the patient's insurance plan. Check for any specific frequency limitations. Common modifiers may include those indicating the arch treated or adjustments needed. Verify with the patient's insurance for coverage details, as some plans may have specific requirements or exclusions for partial dentures.
Related CDT Codes
Frequently Asked Questions
D5283 involves a cast metal framework, including retentive and clasping materials, rests, and artificial teeth.
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