How often can D5671 be billed for a patient?

Frequency depends on the patient's insurance policy; typically, replacements are covered every 5-7 years.

Is prior authorization required for D5671?

Many insurance plans require prior authorization; check with the specific provider for their policy.

Can D5671 be used for partial denture repairs?

No, D5671 is for complete replacement of the denture framework and teeth, not minor repairs.

What materials are used in the D5671 procedure?

The procedure involves acrylic and cast metal materials to create a durable and functional denture framework.

D5671

Replace All Teeth & Acrylic Framework - CDT Code Guide

Prosthodontics, removable/Repairs to Partial Dentures

Overview

CDT code D5671 pertains to the replacement of all teeth and the acrylic cast metal framework in the mandibular arch. This procedure is typically necessary when a patient's existing partial denture has become damaged or worn out, requiring a complete overhaul to restore functionality and aesthetics. The process involves creating a new framework that supports artificial teeth, ensuring a comfortable fit and proper alignment with the patient's natural bite. Dental professionals often perform this procedure in cases where the existing denture no longer fits properly due to changes in the patient's oral anatomy or when the acrylic components have deteriorated over time.

When to Use This Code

When a patient's existing mandibular partial denture is damaged beyond repair.
In cases where the acrylic framework has deteriorated, affecting the fit and function.
When the patient experiences discomfort or poor fit due to changes in oral anatomy.
To improve aesthetics and functionality in a patient with a worn-out mandibular denture.
When a comprehensive replacement of all teeth in the mandibular arch is needed.

Documentation Requirements

Detailed patient history and reason for denture replacement.
Clinical notes on the condition of the existing denture and oral anatomy.
Impressions and models used for the new denture fabrication.
Documentation of materials used in the new framework.
Patient consent and understanding of the procedure.
Post-operative care instructions and follow-up appointments.

Billing Considerations

When billing for D5671, it's important to consider the patient's insurance plan limitations regarding frequency of denture replacements. Some plans may require prior authorization or have specific criteria for coverage. Common modifiers may include those indicating the arch involved or adjustments needed. Always verify with the insurance provider for any specific documentation or pre-approval requirements.

Related CDT Codes

D5213 D5214 D5621 D5622 D5670

Frequently Asked Questions

D5671 is used for the mandibular arch, while D5670 is for the maxillary arch.

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