Modification of Removable Prosthesis - CDT Code Guide
Overview
CDT code D5875 refers to the modification of a removable prosthesis following implant surgery. This procedure is essential when a patient's existing removable dental prosthesis, such as a denture, needs adjustment to accommodate new dental implants. Typically, this involves altering the fit or adding attachments to ensure the prosthesis functions correctly with the newly placed implants. This code is crucial in scenarios where implants have been installed to improve retention and stability of the prosthesis, enhancing the patient's comfort and oral function.
Dental professionals often encounter this procedure when a patient transitions from a traditional removable prosthesis to one supported by implants. The modification ensures that the prosthesis does not interfere with the healing implants and provides optimal support and comfort. It is a critical step in the patient's journey to improved oral health and functionality.
When to Use This Code
- After placing dental implants to support an existing removable denture.
- When adjusting a denture to fit around newly placed implant abutments.
- To enhance the stability of a removable prosthesis post-implant surgery.
- When converting a traditional denture to an implant-supported prosthesis.
- Following implant surgery to ensure the removable prosthesis does not impede healing.
Documentation Requirements
- Detailed patient records indicating the need for prosthesis modification.
- Documentation of the implant surgery and its impact on the existing prosthesis.
- Clinical notes describing the modification process and materials used.
- Pre- and post-modification photographs or impressions if applicable.
- Patient consent for the modification procedure.
- Billing records specifying the use of D5875 and any related codes.
Billing Considerations
When billing for D5875, ensure that the procedure is not performed more frequently than necessary, as excessive modifications may not be covered by insurance. Consider using appropriate modifiers if the procedure is part of a larger treatment plan. Verify with the patient's insurance provider regarding coverage limitations and pre-authorization requirements, as policies may vary.
Related CDT Codes
Frequently Asked Questions
No, D5875 specifically applies to modifications following implant surgery, not general denture adjustments.
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