Is D5948 covered by insurance?

Coverage for D5948 varies by insurance provider. It is important to verify with the patient's insurance to determine specific coverage details.

What materials are used in a resection prosthesis?

Resection prostheses are typically made from durable materials like titanium for implants and high-quality ceramics or acrylics for the prosthetic teeth.

How long does a resection prosthesis last?

With proper care and maintenance, a resection prosthesis can last many years, but regular dental check-ups are essential to ensure its longevity.

Can a resection prosthesis be adjusted?

Yes, adjustments can be made to ensure a proper fit and function, especially as the patient's oral condition changes over time.

D5948

Resection Prosthesis Max Fixed Partial - CDT Code Guide

Maxillofacial Prosthetics

Overview

CDT code D5948 refers to a resection prosthesis that is a maxillary implant or abutment-supported fixed prosthesis designed for a partially edentulous arch. This procedure is typically used in cases where a section of the maxilla has been resected due to conditions like cancer, trauma, or congenital defects. The prosthesis helps restore function and aesthetics by providing a stable and durable replacement for missing teeth and supporting structures. Dental professionals use this code when planning and executing treatment plans that involve complex prosthetic solutions for patients with significant maxillary defects.

When to Use This Code

Patients with maxillary defects due to cancer resection.
Cases involving trauma-induced maxillary bone loss.
Congenital defects requiring maxillary prosthetic solutions.
Patients needing a fixed prosthesis for a partially edentulous maxillary arch.
Situations where implant-supported prosthetics are necessary for maxillary restoration.

Documentation Requirements

Detailed patient history and diagnosis.
Clinical notes on the extent of maxillary resection.
Treatment plan outlining the use of implant/abutment-supported prosthesis.
Radiographic evidence supporting the need for the prosthesis.
Documentation of patient consent and understanding of the procedure.
Post-operative notes detailing the fit and function of the prosthesis.

Billing Considerations

When billing for D5948, ensure that the procedure is not performed more frequently than necessary, as insurance may have limitations on coverage frequency. Common modifiers include those indicating the specific quadrant or arch involved. Verify with the patient's insurance provider regarding coverage for implant-supported prosthetics, as policies may vary significantly.

Related CDT Codes

D6056 D6068 D6078 D6194 D6110

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Frequently Asked Questions

A resection prosthesis is a dental appliance designed to replace missing parts of the maxilla, often due to surgical resection from cancer or trauma.

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