Can this prosthesis replace missing teeth?

Yes, it can replace missing teeth to enhance chewing efficiency and restore dental aesthetics.

Is this procedure covered by insurance?

Coverage varies by provider, so it's important to verify with the patient's insurance plan regarding maxillofacial prosthetic coverage.

How long does it take for a patient to adapt to this prosthesis?

Adaptation time varies, but patients typically require several weeks to adjust, with follow-up visits to ensure proper fit and function.

Are there any alternatives to this prosthesis?

Alternatives depend on the extent of resection and patient needs, but may include other types of maxillofacial prosthetics or surgical interventions.

D5934

Mandibular Resection Prosthesis - CDT Code Guide

Maxillofacial Prosthetics/Other Removable Prosthetic Services

Overview

The CDT code D5934 refers to a mandibular resection prosthesis with a guide flange, a specialized dental device used in maxillofacial prosthetics. This prosthesis is designed to assist patients who have undergone partial resection of the mandible, helping to guide the remaining jaw segment into a more natural alignment with the maxilla. This alignment is crucial for improving tooth contact and enhancing masticatory efficiency. In addition to guiding the jaw, the prosthesis may also replace missing teeth, further aiding in the patient's ability to chew and speak effectively. Typically, this prosthesis is used in cases where patients have experienced significant mandibular loss due to trauma, cancer resection, or other surgical interventions.

When to Use This Code

Following partial mandibulectomy due to oral cancer resection
Post-trauma reconstruction where mandibular alignment is compromised
In cases of congenital mandibular defects requiring surgical intervention
When the patient has significant mandibular asymmetry affecting occlusion
To improve masticatory function in patients with mandibular discontinuity

Documentation Requirements

Detailed surgical report outlining the extent of mandibular resection
Clinical notes describing the need for prosthetic intervention
Impressions and models used for prosthesis fabrication
Patient consent forms for prosthetic treatment
Progress notes documenting patient adaptation and follow-up care

Billing Considerations

When billing for D5934, it is important to consider the frequency limitations set by insurance providers, as this is typically a one-time procedure following surgery. Common modifiers may include those indicating the specific quadrant or area of the mouth affected. Ensure to verify coverage with the patient's insurance, as maxillofacial prosthetics may have specific policy stipulations.

Related CDT Codes

D5931 D5932 D5933 D5935 D5936

Frequently Asked Questions

The primary purpose is to guide the remaining mandible into proper alignment with the maxilla, improving occlusion and masticatory function.

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