How long does it take to complete the overdenture process?

The process can take several weeks to months, depending on the need for implant placement and healing time.

Are there any special care instructions for overdentures?

Yes, patients should maintain regular cleaning routines and attend follow-up appointments to ensure proper fit and function.

Can all patients opt for an overdenture?

Not all patients are candidates; adequate bone structure and overall oral health are necessary for successful overdenture placement.

Is the procedure covered by insurance?

Coverage varies by insurance plan; it's important to check with the provider for specific benefits and any necessary pre-approvals.

D5865

Overdenture Complete Mandibular - CDT Code Guide

Prosthodontics, removable/Other Removable Prosthetic Services

Overview

CDT Code D5865 refers to the procedure of creating and fitting a complete mandibular overdenture. This removable prosthetic service is typically used when a patient has lost all their lower teeth but retains enough bone structure to support a denture. The overdenture is designed to fit over dental implants or natural tooth roots, providing improved stability and function compared to conventional dentures. This procedure is often recommended for patients seeking enhanced comfort and chewing efficiency, particularly those who have experienced significant bone loss in the mandibular region.

When to Use This Code

When a patient has lost all mandibular teeth and requires a stable prosthetic solution.
In cases where dental implants are used to support the overdenture for improved retention.
For patients with significant bone resorption in the mandibular arch.
When conventional dentures have failed to provide adequate function or comfort.
In preparation for a full-mouth rehabilitation involving both arches.

Documentation Requirements

Detailed patient history and clinical examination notes.
Radiographic evidence supporting the need for an overdenture.
Documentation of any existing implants or natural tooth roots used for support.
A comprehensive treatment plan outlining the prosthetic design.
Patient consent forms acknowledging understanding of the procedure.
Pre- and post-operative photographs for clinical records.

Billing Considerations

When billing for D5865, consider the frequency limitations set by insurance providers, as this procedure may not be covered more than once every few years. Common modifiers include those indicating the use of implants. Verify with the patient's insurance for specific coverage details and any pre-authorization requirements.

Related CDT Codes

D5863 D5867 D5110 D5120 D6010

Frequently Asked Questions

An overdenture is supported by implants or natural tooth roots, offering more stability than a conventional complete denture, which rests solely on the gums.

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