Resection Prosthesis Man Implant - CDT Code Guide
Overview
CDT code D5943 refers to the resection prosthesis for a mandibular implant/abutment supported removable prosthesis designed for an edentulous arch. This procedure involves creating a custom prosthesis that is supported by implants or abutments in the lower jaw, providing stability and functionality for patients who have lost all their lower teeth. Typically, this code is used in scenarios where patients require a removable prosthetic solution due to conditions such as cancer resection, trauma, or congenital defects that have resulted in the loss of mandibular teeth. The prosthesis not only restores aesthetics and function but also plays a critical role in the patient's overall oral health and quality of life.
When to Use This Code
- Patients who have undergone mandibular resection due to cancer.
- Cases of severe mandibular trauma resulting in tooth loss.
- Congenital conditions leading to an edentulous mandibular arch.
- Patients requiring a removable prosthesis supported by implants.
- Scenarios where traditional dentures are not feasible due to lack of support.
Documentation Requirements
- Detailed patient history and diagnosis leading to the need for a resection prosthesis.
- Clinical notes supporting the use of implant/abutment support.
- Radiographic evidence of mandibular condition and implant placement.
- Prosthetic design and material specifications.
- Patient consent forms and treatment plan documentation.
Billing Considerations
When billing for D5943, it's important to note any frequency limitations set by insurance providers. Common modifiers may include those indicating the specific quadrant or arch treated. Ensure that the patient's insurance plan covers maxillofacial prosthetics and verify any pre-authorization requirements.
Related CDT Codes
Frequently Asked Questions
The primary purpose is to restore function and aesthetics in patients with an edentulous mandibular arch, especially after resection due to cancer or trauma.
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