Resection Prosthesis Man Fixed Implant - CDT Code Guide
Overview
CDT code D5947 refers to the resection prosthesis for a mandibular implant/abutment supported fixed prosthesis designed for the edentulous arch. This procedure involves creating a fixed prosthesis that is supported by implants or abutments in the lower jaw, specifically for patients who have lost all their teeth in that arch. It is typically used in cases where patients require a stable and permanent solution for missing teeth, providing improved function and aesthetics. The procedure is crucial for patients who have undergone significant jaw resection due to conditions such as cancer or trauma, and need a reliable prosthetic solution to restore oral functionality.
When to Use This Code
- Patients who have undergone mandibular resection due to cancer.
- Edentulous patients requiring a fixed prosthesis supported by implants.
- Cases involving significant trauma to the mandibular arch.
- Patients with congenital defects affecting the mandibular arch.
- Individuals seeking a permanent solution for mandibular edentulism.
Documentation Requirements
- Detailed patient history and diagnosis supporting the need for a resection prosthesis.
- Radiographic evidence of mandibular edentulism and implant placement.
- Clinical notes detailing the surgical and prosthetic procedures performed.
- Documentation of patient consent for the procedure.
- Post-operative follow-up notes and any complications encountered.
- Verification of implant and prosthesis materials used.
Billing Considerations
When billing for D5947, ensure that the procedure is clearly documented with supporting evidence of medical necessity. Frequency limitations may apply based on the patient's insurance policy. Common modifiers such as -52 for reduced services may be applicable if the procedure scope is less than usual. Verify with the patient's insurance for coverage details and pre-authorization requirements.
Related CDT Codes
Frequently Asked Questions
A resection prosthesis is a dental appliance designed to replace missing structures in the jaw, often used after surgical resection due to conditions like cancer.
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