Repair Resin Partial Denture Base - CDT Code Guide
Overview
CDT code D5612 is used for the repair of a resin partial denture base specifically for the maxillary arch. This procedure is crucial when the denture base has been compromised due to fractures, wear, or other damage that affects its functionality and fit. Typically, this repair involves the addition of new resin material to restore the integrity of the denture base, ensuring it remains comfortable and effective for the patient. Dental professionals often encounter this scenario when patients report discomfort or instability with their existing partial dentures, which can occur due to normal wear and tear or accidental damage. The clinical context for using this code includes ensuring the patient's partial denture continues to provide adequate support and aesthetics, maintaining oral health and functionality.
When to Use This Code
- When a patient reports discomfort or instability with their maxillary partial denture.
- If there is a visible fracture or crack in the resin base of the maxillary partial denture.
- When the maxillary partial denture base shows signs of wear that compromise its fit.
- Following an accidental drop or impact that damages the maxillary partial denture base.
- As part of routine maintenance when the resin base requires reinforcement.
Documentation Requirements
- Detailed description of the damage to the maxillary partial denture base.
- Clinical notes on the patient's symptoms and the need for repair.
- Photographic evidence of the denture base before and after repair.
- Materials used in the repair process, including type and quantity of resin.
- Patient consent for the repair procedure.
- Billing records indicating the use of code D5612 for the specific repair.
Billing Considerations
When billing for D5612, it's important to note that this code is specific to the maxillary arch. Ensure that the documentation clearly distinguishes between maxillary and mandibular repairs. Frequency limitations may apply depending on the patient's insurance plan, so verify coverage details beforehand. Common modifiers may include those indicating the specific quadrant or arch involved. Always check with the patient's insurance provider for any pre-authorization requirements or coverage limitations.
Related CDT Codes
Frequently Asked Questions
D5612 is used for repairs to the maxillary partial denture base, while D5611 is for the mandibular base.
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