Is the duplicate denture made from the same materials as the original?

Yes, the duplicate is typically made from similar materials to ensure consistency in fit and function.

How long does it take to duplicate a denture?

The duplication process is generally quicker than fabricating a new denture and can often be completed within a few days, depending on the dental lab's schedule.

Will insurance cover the cost of a duplicate denture?

Coverage for duplicate dentures varies by insurance plan. It is important to verify with the patient's insurance provider to understand the extent of coverage.

Can any adjustments be made to the duplicate denture?

Minor adjustments can be made to ensure comfort, but significant changes would require a new fabrication process.

D5877

Duplicate Denture Max - CDT Code Guide

Prosthodontics

Overview

CDT code D5877 refers to the duplication of a complete maxillary denture. This procedure is typically performed when a patient requires a duplicate of their existing denture, often for backup purposes or to ensure continuity of care in case the original is lost or damaged. Unlike the initial fabrication of a denture, this process does not involve all the steps such as impressions or bite registrations, making it a more streamlined and cost-effective option. Dental professionals use this code when the patient’s existing denture is satisfactory in fit and function, and a direct copy is needed.

When to Use This Code

When a patient requests a backup for their existing maxillary denture.
In cases where the original denture is prone to frequent damage or loss.
For patients who travel frequently and require a spare denture.
When a patient is undergoing a procedure that might temporarily affect the fit of their original denture.
If the original denture is nearing the end of its lifespan and a duplicate is needed for interim use.

Documentation Requirements

Detailed patient records indicating the need for a duplicate denture.
Documentation of the existing denture’s condition and fit.
Patient consent for the duplication procedure.
Records of the materials used in the duplication process.
A copy of the original denture’s specifications if available.

Billing Considerations

When billing for D5877, it is important to note that this code is used for duplication only and not for new fabrication. Insurance coverage may vary, and it is advisable to check with the provider regarding frequency limitations. Common modifiers may not apply, but always verify with the specific insurance policy.

Related CDT Codes

D5110 D5120 D5130 D5140 D5750

Frequently Asked Questions

Duplicating a denture involves creating an exact copy of an existing denture without the full fabrication process, which includes steps like impressions and fittings.

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