Rebase Hybrid Prosthesis - CDT Code Guide
Overview
CDT code D5725 pertains to the rebase of a hybrid prosthesis, a procedure that involves replacing the base material of a dental prosthesis that is connected to a framework. This is typically necessary when the existing base material has deteriorated or when adjustments are needed to improve fit and function. Dental professionals perform this procedure to ensure that the prosthesis remains comfortable and functional for the patient. Common scenarios include wear and tear over time or changes in the patient's oral anatomy that necessitate a new base material.
When to Use This Code
- When the base material of a hybrid prosthesis has deteriorated.
- If the prosthesis no longer fits properly due to changes in the patient's oral structure.
- To improve the comfort and function of an existing hybrid prosthesis.
- When the patient reports discomfort or instability with their current prosthesis.
- As part of routine maintenance for long-term prosthesis wearers.
Documentation Requirements
- Detailed clinical notes describing the condition of the existing prosthesis.
- Justification for the rebase procedure, including patient symptoms and clinical findings.
- Pre- and post-procedure photographs, if applicable.
- Patient consent form acknowledging understanding of the procedure.
- Documentation of materials used in the rebase process.
Billing Considerations
When billing for D5725, consider the frequency limitations set by insurance providers, as rebasing may not be covered more than once within a specific time frame. Common modifiers may include those indicating the specific quadrant or arch involved. Verify with the patient's insurance for coverage details and any pre-authorization requirements.
Related CDT Codes
Frequently Asked Questions
A hybrid prosthesis combines elements of both fixed and removable prostheses, typically involving a metal framework and a removable acrylic base.
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