D5621

Repair Cast Partial Framework, Mandibular - CDT Code Guide

Prosthodontics, removable/Repairs to Partial Dentures

Overview

CDT code D5621 refers to the repair of a cast partial framework specifically for the mandibular arch. This procedure is essential when a partial denture framework becomes damaged or compromised, affecting the fit and function of the prosthesis. Typically, this repair involves reinforcing or replacing parts of the metal framework to restore its structural integrity and ensure proper alignment and comfort for the patient. Dental professionals often encounter this need when patients experience discomfort due to a broken clasp or a fractured metal component. The repair process is crucial for maintaining the longevity and effectiveness of the partial denture, allowing patients to continue using their existing prosthesis without the need for a complete replacement.

When to Use This Code

  • When a patient presents with a broken clasp on a mandibular partial denture.
  • If the metal framework of a mandibular partial denture is fractured.
  • When there is a need to reinforce a weakened area of the mandibular partial framework.
  • In cases where the fit of the mandibular partial denture is compromised due to framework damage.
  • When a patient reports discomfort or instability with their mandibular partial denture.

Documentation Requirements

  • Detailed description of the damage to the partial framework.
  • Clinical notes on the patient's symptoms and the necessity for repair.
  • Photographic evidence of the damaged framework, if possible.
  • Documentation of the repair process and materials used.
  • Patient consent for the repair procedure.
  • Follow-up notes on the patient's adaptation to the repaired framework.

Billing Considerations

When billing for D5621, it's important to note any frequency limitations set by insurance providers, as repairs may be covered only once within a specific period. Common modifiers might include those indicating the specific location or extent of the repair. Insurance considerations should include verifying coverage for repairs under the patient's plan and understanding any pre-authorization requirements.

Related CDT Codes

Frequently Asked Questions

Repairs often involve using metal alloys similar to the original framework material to ensure compatibility and durability.

Source: CDT 2023 © American Dental Association

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