How often should space maintainers be checked?

Space maintainers should be checked regularly during routine dental visits to ensure they remain secure and effective.

Is the re-cementing procedure painful?

Re-cementing a space maintainer is typically not painful, though patients may experience minor discomfort during the procedure.

Can a space maintainer be reused after re-cementing?

Yes, as long as the space maintainer is in good condition, it can be reused after being properly re-cemented or re-bonded.

What should I do if the space maintainer becomes loose again?

If the space maintainer becomes loose, contact your dental professional immediately to schedule a re-cementing appointment to prevent any complications.

D1551

Re-cement/Bond Space Maintainer - CDT Code Guide

Preventive/Space Maintenance (Passive Appliances)

Overview

CDT code D1551 refers to the procedure of re-cementing or re-bonding a bilateral space maintainer in the maxillary arch. This preventive procedure is crucial for maintaining space in the dental arch following the premature loss of primary teeth, ensuring proper alignment and spacing for permanent teeth. Typically, this procedure is necessary when the space maintainer becomes loose or dislodged, which can occur due to normal wear or inadequate initial bonding. Dental professionals perform this procedure to prevent potential orthodontic issues and to maintain the integrity of the dental arch. By securing the space maintainer, dentists help guide the proper eruption of permanent teeth, minimizing the risk of crowding or misalignment.

When to Use This Code

When a bilateral space maintainer in the maxillary arch becomes loose or dislodged.
After a routine dental check-up reveals the need for re-cementing due to wear.
When a patient reports discomfort or issues with an existing space maintainer.
Following accidental trauma that affects the stability of the space maintainer.
As part of a scheduled maintenance check for pediatric patients with space maintainers.

Documentation Requirements

Detailed patient records indicating the need for re-cementing or re-bonding.
Clinical notes describing the condition of the space maintainer prior to the procedure.
Documentation of the procedure performed, including materials used.
Patient consent forms acknowledging the procedure and its purpose.
Follow-up care instructions provided to the patient or guardian.
Insurance claim forms accurately reflecting the procedure code and details.

Billing Considerations

When billing for D1551, it's important to note any frequency limitations set by insurance providers, as some may only cover this procedure a certain number of times per year. Common modifiers, such as those indicating a separate procedure on the same day, may be necessary. Verify with the patient's insurance for coverage specifics, as policies may vary on preventive procedures like space maintainer adjustments.

Related CDT Codes

D1515 D1516 D1517 D1550 D1555

Frequently Asked Questions

A bilateral space maintainer is used to preserve space in the dental arch after the premature loss of primary teeth, ensuring proper alignment for future permanent teeth.

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