Obturator Prosthesis, Definitive - CDT Code Guide
Overview
CDT Code D5932 pertains to the definitive obturator prosthesis, a specialized dental device designed to replace part or all of the maxilla and associated teeth. This prosthesis is typically used in cases where the maxilla has been lost due to surgery, trauma, or congenital defects. The definitive obturator is crafted when further tissue changes or tumor recurrence are unlikely, allowing for a more permanent and stable prosthetic rehabilitation. This procedure is essential for patients requiring long-term maxillofacial support, enhancing both function and aesthetics. Dental professionals should consider this option when planning comprehensive rehabilitation for patients with significant maxillary defects.
When to Use This Code
- Patients with maxillary defects post-surgery for tumor removal
- Individuals with congenital maxillary defects requiring long-term prosthetic support
- Cases where trauma has resulted in significant loss of maxillary structure
- When a temporary obturator has been used and tissue stability is achieved
- Patients needing a permanent solution after initial healing and stabilization
Documentation Requirements
- Detailed patient history and diagnosis leading to the need for an obturator
- Clinical notes on the absence of further tissue changes or tumor recurrence
- Impressions and design specifications of the prosthesis
- Patient consent and understanding of long-term use
- Follow-up care plan for maintenance and adjustments
Billing Considerations
When billing for D5932, ensure that the procedure is documented as a definitive solution with no expected further changes. Check for any frequency limitations imposed by insurance providers. Common modifiers may include those indicating the prosthesis is a replacement or initial placement. Verify with the patient's insurance for coverage specifics, as some plans may require pre-authorization.
Related CDT Codes
Frequently Asked Questions
A definitive obturator is intended for long-term use when no further tissue changes are expected, while an interim obturator is a temporary solution used during the healing phase.
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