Tissue Conditioning, Mandibular - CDT Code Guide
Overview
CDT code D5851 refers to the procedure of tissue conditioning for the mandibular arch. This treatment involves the application of a soft, pliable material to the surface of a denture to improve the fit and comfort for patients with unhealthy or irritated oral tissues. The primary goal is to promote healing of the soft tissues before a definitive final restoration is placed. This procedure is particularly beneficial for patients experiencing discomfort due to ill-fitting dentures or those with inflamed oral tissues. By using materials designed to soothe and heal, dental professionals can ensure that the oral environment is optimal for future prosthetic work.
When to Use This Code
- When a patient presents with inflamed or irritated mandibular tissues due to ill-fitting dentures.
- Prior to the fabrication of a new mandibular denture to ensure the health of the supporting tissues.
- In cases where the patient has undergone recent oral surgery and requires temporary relief and healing.
- For patients with significant resorption of the mandibular ridge, necessitating tissue conditioning before final prosthetic placement.
Documentation Requirements
- Detailed patient history and clinical examination notes indicating the need for tissue conditioning.
- Description of the materials used for the tissue conditioning procedure.
- Progress notes documenting the patient's response to the treatment and any follow-up care.
- Photographic evidence or impressions of the mandibular arch before and after the procedure.
- Patient consent form acknowledging the understanding of the procedure and its purpose.
Billing Considerations
When billing for D5851, it's important to note that this code is typically not used in conjunction with definitive prosthetic codes on the same day. Frequency limitations may apply, and it is essential to check with the patient's insurance provider for coverage details. Common modifiers may include those indicating the specific arch treated. Ensure that the procedure is documented thoroughly to avoid claim denials.
Related CDT Codes
Frequently Asked Questions
Tissue conditioning is used to improve the health of the oral tissues and ensure a better fit for dentures, promoting healing before final prosthetic work.
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