Immediate Maxillary Partial Denture - CDT Code Guide
Overview
CDT code D5221 refers to the procedure for creating an immediate maxillary partial denture with a resin base. This dental service includes the use of retentive and clasping materials, rests, and teeth. It is typically performed when a patient requires an immediate solution following tooth extraction, allowing them to leave the dental office with a functional and aesthetic replacement. This procedure is crucial in maintaining oral function and appearance during the healing period before a more permanent solution is implemented. The code covers limited follow-up care but does not include future rebasing or relining procedures, which are often necessary as the patient's oral condition stabilizes.
When to Use This Code
- When a patient requires immediate replacement of extracted maxillary teeth.
- In cases where a temporary solution is needed while waiting for a permanent denture.
- When a patient is undergoing extensive dental reconstruction and needs interim support.
- For patients who have lost multiple teeth in the maxillary arch and need immediate restoration.
- In situations where aesthetics and function need to be restored quickly post-extraction.
Documentation Requirements
- Detailed patient history and diagnosis supporting the need for an immediate partial denture.
- Clinical notes describing the condition of the maxillary arch and the number of teeth replaced.
- Documentation of the materials used, including resin base and clasping materials.
- Record of any follow-up care provided post-delivery of the denture.
- Patient consent forms and treatment plans outlining the procedure and expected outcomes.
Billing Considerations
D5221 is typically billed once per arch and may have frequency limitations depending on the patient's insurance plan. It is important to check with the insurance provider for coverage details and any necessary pre-authorization. Common modifiers may include those indicating the arch treated or the immediate nature of the procedure. Ensure that any additional procedures, such as future relining or rebasing, are billed separately as they are not included in this code.
Related CDT Codes
Frequently Asked Questions
D5221 includes the immediate maxillary partial denture with a resin base, retentive/clasping materials, rests, and teeth, along with limited follow-up care.
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