Commissure Splint - CDT Code Guide
Overview
CDT code D5987 refers to the use of a commissure splint, also known as a lip splint. This device is designed to aid in increasing the opening between the lips, particularly in cases where surgical, chemical, or electrical interventions have led to severe restrictions or contractures. This procedure is crucial for patients who have undergone treatments that resulted in limited lip mobility, helping them regain functional oral capabilities. Typically, the commissure splint is custom-fitted to ensure comfort and effectiveness, and it plays a vital role in the rehabilitation process for patients with maxillofacial prosthetic needs.
When to Use This Code
- Post-surgical recovery where lip mobility is restricted
- After chemical burns affecting lip movement
- Following electrical injuries to the oral region
- In cases of congenital lip contractures
- For patients undergoing maxillofacial rehabilitation
Documentation Requirements
- Detailed patient history and diagnosis
- Description of the condition necessitating the splint
- Clinical notes on the fitting and adjustment of the splint
- Patient consent forms
- Progress notes on the effectiveness of the splint
Billing Considerations
When billing for D5987, ensure that the procedure is documented thoroughly to justify medical necessity. Be aware of any frequency limitations imposed by insurance providers. Common modifiers may include those indicating bilateral procedures if applicable. Verify coverage with the patient's insurance plan, as some may categorize this under specialized prosthetic services.
Related CDT Codes
Frequently Asked Questions
A commissure splint is used to increase the opening between the lips, especially after surgeries or injuries that have caused restrictions.
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