How long does it take to fabricate a mandibular resection prosthesis?

The fabrication process can take several weeks, as it involves multiple fittings and adjustments to ensure a precise fit and optimal function.

Is D5939 covered by insurance?

Coverage for D5939 varies by insurance provider and plan. Pre-authorization is often required, and documentation must demonstrate medical necessity.

Can a resection prosthesis be adjusted after placement?

Yes, adjustments are often necessary to ensure comfort and functionality, and should be performed by a qualified dental professional.

What are the care instructions for a mandibular resection prosthesis?

Patients should clean the prosthesis daily, avoid hard foods, and attend regular dental check-ups to maintain oral health and prosthesis condition.

D5939

Resection Prosthesis Man Complete - CDT Code Guide

Maxillofacial Prosthetics

Overview

CDT code D5939 refers to the procedure for creating a complete removable resection prosthesis for the mandible. This prosthesis is typically used when a significant portion of the mandibular bone has been resected due to conditions such as cancer, trauma, or congenital defects. The procedure involves custom designing a prosthesis that fits the unique contours of the patient's mouth, providing both functional and aesthetic benefits. Dental professionals use this code when a complete mandibular prosthesis is necessary to restore oral function and improve the patient's quality of life. This procedure is critical in maxillofacial prosthetics and requires a multidisciplinary approach involving prosthodontists, surgeons, and dental technicians.

When to Use This Code

Post-surgical reconstruction following mandibular resection due to cancer.
Restoration of oral function after trauma resulting in mandibular loss.
Prosthetic rehabilitation for congenital mandibular defects.
Cases requiring complete mandibular prosthesis for functional restoration.
Patients needing aesthetic and functional improvement post-resection.

Documentation Requirements

Detailed surgical and medical history of the patient.
Clinical notes describing the extent of mandibular resection.
Impressions and measurements for prosthesis fabrication.
Photographic documentation of the oral cavity pre- and post-procedure.
Patient consent forms and treatment plan documentation.
Insurance pre-authorization and correspondence records.

Billing Considerations

When billing for D5939, ensure that the procedure is documented thoroughly, as insurance companies may require detailed justification for the prosthesis. Frequency limitations may apply, so it's important to check with the patient's insurance provider. Common modifiers may include those indicating bilateral procedures or additional complexity. Coordination with medical insurance might be necessary if the resection was due to a medical condition.

Related CDT Codes

D5925 D5931 D5932 D5934 D5936

Frequently Asked Questions

A resection prosthesis is a custom-made dental appliance designed to replace parts of the jaw that have been surgically removed, restoring function and appearance.

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