Vesiculobullous Disease Medicament Carrier - CDT Code Guide
Overview
CDT code D5991 pertains to the fabrication of a custom medicament carrier used in the treatment of vesiculobullous diseases. These conditions are immunologically mediated and can cause blistering in the oral cavity, affecting the teeth and alveolar mucosa. The carrier is designed to deliver prescription medications directly to the affected areas, providing targeted treatment and relief. This procedure is crucial for patients with conditions like pemphigus vulgaris or mucous membrane pemphigoid, where precise medication application is necessary to manage symptoms and promote healing. Dental professionals use this code when creating a carrier that fits over the teeth and gums, ensuring the medication remains in contact with the mucosa for optimal efficacy.
When to Use This Code
- When a patient is diagnosed with pemphigus vulgaris requiring localized medication delivery.
- In cases of mucous membrane pemphigoid where topical treatment is prescribed.
- For patients with lichen planus affecting the oral mucosa needing direct application of medication.
- When systemic treatment is insufficient and localized therapy is recommended.
- In managing chronic vesiculobullous conditions with frequent flare-ups.
Documentation Requirements
- Detailed patient diagnosis supporting the need for a medicament carrier.
- Prescription details of the medicament to be used with the carrier.
- Clinical notes describing the fabrication process of the carrier.
- Patient consent forms acknowledging understanding of the treatment.
- Follow-up care instructions and monitoring plans for the patient.
Billing Considerations
Ensure the carrier is medically necessary and supported by a diagnosis of a vesiculobullous disease. Frequency limitations may apply based on the patient's condition and treatment plan. Consider using modifiers for bilateral procedures if applicable. Check with insurance providers for coverage specifics, as some may require prior authorization.
Related CDT Codes
Frequently Asked Questions
It is a custom-made device that fits over the teeth and gums to deliver medication directly to areas affected by vesiculobullous diseases.
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