How long does an auricular prosthesis last?

With proper care, an auricular prosthesis can last several years, but it may need replacement if the tissue bed changes or the prosthesis becomes damaged.

Is the procedure for fitting an auricular prosthesis painful?

The procedure is generally not painful. It involves taking a mold of the ear area, which is a non-invasive process.

Can an auricular prosthesis improve hearing?

While primarily aesthetic, an auricular prosthesis can help direct sound into the ear canal, potentially improving hearing slightly.

Are there any special care instructions for an auricular prosthesis?

Yes, patients should clean the prosthesis regularly with mild soap and water and avoid exposure to extreme temperatures to maintain its integrity.

D5914

Auricular Prosthesis - CDT Code Guide

Maxillofacial Prosthetics/Other Removable Prosthetic Services

Overview

The CDT code D5914 refers to the creation and fitting of an auricular prosthesis, commonly known as an artificial ear. This procedure involves crafting a removable prosthesis to restore part or all of the natural ear, typically for patients who have lost an ear due to trauma, surgery, or congenital conditions. The process begins with the fabrication of a mold, which allows for the creation of a prosthetic that can be replaced or adjusted over time if the tissue bed remains stable. This service falls under the category of maxillofacial prosthetics and is crucial for restoring the appearance and function of the ear, contributing to the patient's overall quality of life and self-esteem.

When to Use This Code

Patients who have lost an ear due to traumatic injury.
Individuals requiring ear restoration post-surgery for cancer or other conditions.
Congenital absence of the ear requiring prosthetic intervention.
Patients needing a replacement prosthesis when the original mold is still applicable.
Cases where aesthetic restoration of the ear is necessary for psychological or social reasons.

Documentation Requirements

Detailed patient history and diagnosis supporting the need for an auricular prosthesis.
Clinical notes describing the condition of the tissue bed and any changes over time.
Documentation of the mold creation process and any modifications made.
Photographic evidence of the ear before and after prosthesis fitting.
Patient consent forms and records of discussions about treatment options.
Insurance pre-authorization or coverage verification, if applicable.

Billing Considerations

When billing for D5914, ensure that the procedure is not repeated unnecessarily, as insurance may have frequency limitations. Use appropriate modifiers if the prosthesis is part of a larger treatment plan. Verify coverage with the patient's insurance provider, as some plans may require pre-authorization or have specific criteria for prosthetic services.

Related CDT Codes

D5913 D5915 D5924 D5925 D5931

Frequently Asked Questions

Auricular prostheses are typically made from medical-grade silicone, which is durable and can be color-matched to the patient's skin.

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