Reline Complete Mandibular Denture - CDT Code Guide
Overview
CDT code D5731 pertains to the direct reline of a complete mandibular denture. This procedure involves adding new material to the tissue side of a denture to ensure a proper fit against the gums. Typically, this is necessary when the denture has become loose due to changes in the oral tissues or bone resorption. The direct reline process is performed chairside, allowing for immediate adjustments and improved comfort for the patient. This procedure is crucial for maintaining the functionality and comfort of the denture, ensuring that patients can continue to eat and speak effectively.
When to Use This Code
- When a patient's complete mandibular denture has become loose due to tissue changes.
- Following significant weight loss or other health changes affecting oral structures.
- After a period of denture wear when the fit is no longer adequate.
- When immediate adjustment is required for patient comfort.
- In cases where the patient reports discomfort or difficulty with the current denture fit.
Documentation Requirements
- Detailed patient history and reason for reline.
- Clinical notes on the condition of the existing denture.
- Description of the reline material used and procedure performed.
- Patient consent for the reline procedure.
- Post-procedure patient instructions and follow-up plan.
Billing Considerations
When billing for D5731, it is important to note that frequency limitations may apply, as insurance providers often restrict how often a reline can be performed. Common modifiers may include those indicating the procedure was performed on the lower arch. Verify with the patient's insurance for coverage specifics, as some plans may require pre-authorization.
Related CDT Codes
Frequently Asked Questions
A direct reline is performed chairside in a single visit, while an indirect reline involves sending the denture to a lab for adjustment.
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