How long does a fixed partial denture repair take?

The duration of the repair can vary but typically takes one to two dental visits, depending on the complexity of the damage.

Is pre-authorization required for billing D6980?

Pre-authorization requirements vary by insurance provider, so it's important to check with the patient's insurance plan before proceeding.

Can D6980 be used for repairs due to patient negligence?

Typically, D6980 is used for material failure not caused by patient negligence. Insurance may not cover repairs due to improper care or misuse.

Are there any limitations on how often D6980 can be billed?

Frequency limitations depend on the patient's insurance policy, so it's crucial to verify these details with the insurer to ensure compliance.

D6980

Fixed Partial Denture Repair - CDT Code Guide

Prosthodontics, fixed/Other Fixed Partial Denture Services

Overview

CDT code D6980 pertains to the repair of a fixed partial denture necessitated by the failure of restorative materials. This procedure is crucial when the structural integrity of a bridge or similar prosthetic device is compromised due to material degradation or damage. Typically, this repair involves assessing the extent of the damage, removing the failed material, and replacing it with new, durable restorative materials to restore the function and aesthetics of the denture. Dental professionals often encounter this scenario when patients experience discomfort or functional issues with their existing dental prosthetics, often due to wear and tear or accidental damage.

When to Use This Code

When a fixed partial denture shows signs of material failure, such as cracks or fractures.
In cases where the patient reports discomfort or difficulty in chewing due to a compromised denture.
When routine dental examinations reveal structural issues with a fixed partial denture.
If a patient experiences aesthetic concerns due to visible damage in the denture material.
When the integrity of the denture is compromised due to accidental trauma.

Documentation Requirements

Detailed clinical notes describing the condition of the denture and the nature of the material failure.
Photographic evidence of the damage prior to repair.
A comprehensive treatment plan outlining the repair process and materials used.
Patient consent forms acknowledging the procedure and potential risks.
Insurance pre-authorization documentation, if required.
Post-repair evaluation notes to confirm the success of the procedure.

Billing Considerations

When billing for D6980, it's important to note any frequency limitations imposed by insurance providers, as some may restrict the number of repairs covered within a certain timeframe. Common modifiers may include those indicating the specific quadrant of the mouth involved. Ensure to verify with the patient's insurance for coverage details, as some plans may require pre-authorization or have specific criteria for coverage.

Related CDT Codes

D6970 D6972 D6999 D6930

Frequently Asked Questions

Common materials include composite resins, dental ceramics, and metal alloys, chosen based on the original denture material and the extent of the repair needed.

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