Can D5511 be used for repairs on partial dentures?

No, D5511 is specifically for complete denture base repairs on the mandibular arch. Use appropriate codes for partial denture repairs.

What materials are typically used in a D5511 repair?

Common materials include acrylic resins that match the original denture base to ensure a seamless repair.

How long does a typical D5511 repair take?

The repair time can vary but generally takes a few hours to a day, depending on the extent of the damage and the dental lab's workload.

Are there any limitations on how often D5511 can be billed?

Frequency limitations depend on the patient's insurance policy. It's advisable to check with the insurer for specific restrictions.

D5511

Repair Broken Denture Base - CDT Code Guide

Prosthodontics, removable/Repairs to Complete Dentures

Overview

CDT code D5511 pertains to the repair of a broken complete denture base specifically for the mandibular (lower) arch. This procedure is essential when a patient's complete lower denture has sustained damage that compromises its fit or function. Typically, this involves fixing cracks or breaks in the denture base, ensuring that the denture can be worn comfortably and effectively. Dental professionals perform this repair to restore the structural integrity of the denture, allowing patients to maintain proper oral function and aesthetics. This procedure is commonly required when a denture has been dropped or subjected to excessive force.

When to Use This Code

When a patient's mandibular complete denture base is cracked or broken.
If the denture base has been damaged due to accidental dropping.
When the integrity of the denture is compromised, affecting its fit.
In cases where the patient experiences discomfort due to a broken denture base.
When the denture base needs reinforcement to prevent further damage.

Documentation Requirements

Detailed description of the damage to the denture base.
Clinical notes supporting the necessity of the repair.
Patient's consent for the repair procedure.
Photographic evidence of the damage, if possible.
Materials used for the repair and the method applied.
Post-repair evaluation notes to confirm fit and function.

Billing Considerations

When billing for D5511, ensure that the repair is not part of a warranty or previous service agreement. Frequency limitations may apply, so verify with the patient's insurance provider. Common modifiers include those indicating the specific quadrant or arch involved. It's important to check if the patient's insurance plan covers denture repairs and under what conditions.

Related CDT Codes

D5510 D5520 D5611 D5621 D5630

Frequently Asked Questions

Coverage for D5511 varies by insurance plan. It's important to verify with the specific provider regarding coverage for denture repairs.

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