Mandibular Resection Prosthesis - CDT Code Guide
Overview
CDT code D5935 refers to a mandibular resection prosthesis without a guide flange. This prosthesis is designed to aid patients who have undergone partial mandibulectomy, helping to guide the mandible into a more normal position relative to the maxilla. Unlike prostheses with a guide flange, this version does not include a flange or ramp, which can be beneficial in cases where anatomical limitations or patient discomfort prevent the use of such features. The prosthesis may replace missing teeth to improve chewing efficiency, although the extent of tooth replacement depends on the specific defect and patient needs. This code is particularly relevant for dental professionals working with patients who have undergone significant mandibular surgery and require specialized prosthetic solutions.
When to Use This Code
- Patients with partial mandibulectomy where a guide flange is not tolerated.
- Cases where anatomical limitations prevent the use of a guide flange.
- Situations where the prosthesis needs to replace missing teeth to enhance masticatory function.
- Patients experiencing poor tolerance to prostheses with extended occlusal arrangements.
- When defect margins preclude partial or full tooth replacement.
Documentation Requirements
- Detailed patient history and surgical background.
- Clinical notes on anatomical limitations or patient tolerance issues.
- Prosthetic design specifications and materials used.
- Justification for not using a guide flange.
- Pre- and post-procedure evaluations and outcomes.
Billing Considerations
Ensure accurate documentation of the clinical need for a prosthesis without a guide flange. Be aware of insurance policies regarding maxillofacial prosthetics, as coverage can vary. Frequency limitations may apply based on the patient's condition and insurance plan. Use appropriate modifiers if the procedure is part of a larger treatment plan.
Related CDT Codes
Frequently Asked Questions
It helps guide the mandible to a more normal position with the maxilla, improving tooth contact and masticatory efficiency without using a guide flange.
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