Mandibular Partial Denture Resin Base - CDT Code Guide
Overview
CDT code D5212 refers to the fabrication of a mandibular partial denture with a resin base. This procedure involves creating a removable dental prosthesis that replaces missing teeth in the lower jaw (mandible), utilizing a resin base material. The process includes the incorporation of retentive and clasping materials, rests, and artificial teeth to ensure stability and functionality. This type of denture is typically used when some natural teeth remain in the lower arch, providing support and retention for the prosthesis. It is a common solution for patients who have lost multiple teeth due to decay, injury, or periodontal disease but still have healthy teeth that can support a partial denture.
When to Use This Code
- Patient has multiple missing teeth in the lower jaw but retains some healthy teeth.
- Patient requires a removable prosthesis for the lower arch due to partial edentulism.
- Patient prefers a non-invasive option compared to fixed dental prosthetics.
- Patient has financial constraints and opts for a cost-effective denture solution.
- Patient needs an interim solution while awaiting more permanent dental work.
Documentation Requirements
- Detailed patient dental and medical history.
- Clinical notes on the condition of remaining teeth and oral health.
- Impressions and models of the patient's dental arches.
- Documentation of the materials used in the denture fabrication.
- Patient consent forms and treatment plan agreement.
- Post-delivery care instructions and follow-up appointment records.
Billing Considerations
When billing for D5212, it is important to consider the frequency limitations set by insurance providers, as some may only cover partial dentures once every few years. Common modifiers may include those indicating the arch treated or the type of material used. Ensure to verify with the patient's insurance for coverage specifics, as some plans may require pre-authorization or have specific exclusions for removable prosthetics.
Related CDT Codes
Frequently Asked Questions
The resin base is typically made from acrylic resin, which is durable and can be color-matched to the patient's gums. It includes metal clasps and rests for retention.
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