Soft Liner for Denture - CDT Code Guide
Overview
CDT code D5765 refers to the procedure of placing a soft liner in a complete or partial removable denture. This procedure is typically performed indirectly, meaning it is done in a dental laboratory rather than directly in the patient's mouth. Soft liners are used to improve the fit and comfort of dentures, particularly for patients with sensitive gums or those who experience discomfort with hard acrylic bases. The dentist will determine if a soft liner is clinically indicated based on the patient's oral condition, such as tissue irritation or resorption of the alveolar ridge. This procedure enhances the adaptability of the denture, providing a cushion-like effect that can significantly improve the patient's comfort and satisfaction.
When to Use This Code
- Patients experiencing discomfort or irritation from hard denture bases
- Cases of significant alveolar ridge resorption
- Patients with sensitive oral tissues requiring a softer denture interface
- When a temporary solution is needed before a permanent reline
- To improve the fit of an ill-fitting denture
Documentation Requirements
- Detailed clinical notes justifying the need for a soft liner
- Patient's consent for the procedure
- Description of the denture's current condition and fit issues
- Documentation of any previous adjustments or relines
- Lab prescription details for the fabrication of the soft liner
Billing Considerations
When billing for D5765, ensure that the procedure is not performed too frequently, as insurance may have limitations on how often a soft liner can be applied. Common modifiers may include those indicating the type of denture (complete or partial). Verify with the patient's insurance for coverage specifics, as some plans may require pre-authorization or have specific criteria for coverage.
Related CDT Codes
Frequently Asked Questions
A soft liner provides a cushion-like layer in the denture, ideal for sensitive gums, while a hard reline uses a more rigid material to refit the denture.
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