Resection Prosthesis Man Partial Implant - CDT Code Guide
Overview
CDT Code D5945 refers to the resection prosthesis for a partially edentulous mandibular arch, supported by implants or abutments. This procedure involves creating a removable prosthesis that is anchored to dental implants, providing stability and functionality for patients who have lost some teeth in the lower jaw. Typically, this code is used in cases where patients have undergone surgical resection due to conditions such as oral cancer, trauma, or congenital defects, and require a prosthetic solution that offers both aesthetic and functional benefits. The prosthesis helps restore the patient's ability to chew, speak, and maintain facial structure, significantly improving quality of life.
When to Use This Code
- Patients with partial edentulism in the mandibular arch requiring implant support
- Post-surgical resection cases needing prosthetic rehabilitation
- Patients with congenital defects affecting the lower jaw
- Trauma cases resulting in partial tooth loss in the mandible
- Patients seeking enhanced stability and functionality from a removable prosthesis
Documentation Requirements
- Detailed patient history and diagnosis
- Clinical notes on the extent of edentulism and resection
- Radiographic evidence supporting the need for implants
- Documentation of implant placement and abutment details
- Prosthetic design specifications and material used
- Patient consent and treatment plan outlining expected outcomes
Billing Considerations
When billing for D5945, ensure to check the patient's insurance policy for coverage of implant-supported prostheses, as some plans may have specific exclusions or limitations. Frequency limitations may apply, and it's important to document the medical necessity thoroughly. Common modifiers might include those indicating the type of prosthesis or the specific location within the arch. Coordination with the patient's medical insurance may be necessary if the procedure is related to a medical condition like cancer.
Related CDT Codes
Frequently Asked Questions
The primary purpose is to restore function and aesthetics in patients with partial mandibular edentulism, especially after surgical resection.
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