Removable Unilateral Partial Denture - CDT Code Guide
Overview
CDT code D5282 refers to the fabrication and placement of a removable unilateral partial denture that is one piece cast metal, specifically for the maxillary arch. This procedure includes all necessary components such as retentive and clasping materials, rests, and artificial teeth. Typically, this type of denture is used when a patient is missing one or more teeth on one side of the upper jaw and requires a durable and stable prosthetic solution. The one-piece cast metal design ensures strength and longevity, making it suitable for patients who need a reliable partial denture option. Dental professionals often recommend this procedure for patients who are not candidates for fixed prosthetics or who prefer a removable option.
When to Use This Code
- When a patient is missing one or more teeth on one side of the maxillary arch.
- In cases where a fixed prosthetic is not feasible due to cost or patient preference.
- For patients requiring a durable and stable removable partial denture.
- When the patient has sufficient remaining teeth to support a unilateral partial denture.
- In scenarios where a temporary solution is needed before more permanent treatment.
Documentation Requirements
- Detailed patient dental history and examination notes.
- Radiographic evidence supporting the need for a partial denture.
- Documentation of missing teeth and the condition of remaining teeth.
- Treatment plan outlining the rationale for choosing a unilateral partial denture.
- Patient consent forms and any relevant insurance pre-authorization.
Billing Considerations
When billing for D5282, ensure that the procedure is not duplicated within a short timeframe unless justified by clinical necessity. Check with the patient's insurance provider for coverage details, as some plans may have specific limitations or require pre-authorization. Common modifiers may include those indicating the arch treated or any additional procedures performed concurrently.
Related CDT Codes
Frequently Asked Questions
The primary advantage is its durability and stability, providing a long-lasting solution for patients missing teeth on one side of the maxillary arch.
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