How often can D1552 be billed?

The frequency of billing D1552 depends on the patient's insurance policy. It's crucial to check with the provider for specific limitations.

Is pre-authorization required for D1552?

Pre-authorization may be required by some insurance companies, especially if the procedure is performed multiple times. It's advisable to verify this beforehand.

Can D1552 be used for upper arch space maintainers?

No, D1552 specifically applies to the re-cementation or re-bonding of space maintainers in the mandibular arch.

What materials are used in re-cementing space maintainers?

Materials commonly used include dental cements like glass ionomer or resin-based adhesives, chosen based on the specific clinical scenario.

D1552

Re-cement or Re-bond Bilateral Space Maintainer - CDT Code Guide

Preventive/Space Maintenance (Passive Appliances)

Overview

CDT code D1552 pertains to the re-cementation or re-bonding of a bilateral space maintainer in the mandibular arch. This procedure is crucial for maintaining the space needed for proper alignment and eruption of permanent teeth following the premature loss of primary teeth. Space maintainers are passive appliances that help prevent the shifting of adjacent teeth, ensuring that there is adequate space for incoming permanent teeth. Typically, this procedure is performed when a previously placed space maintainer becomes loose or detached, requiring reattachment to continue its function effectively. Dental professionals often encounter this scenario in pediatric patients or individuals with mixed dentition who have lost primary teeth prematurely.

When to Use This Code

When a bilateral space maintainer in the mandibular arch becomes loose or detached
Following the premature loss of primary teeth to maintain space for permanent teeth
In pediatric patients with mixed dentition requiring space maintenance
When a space maintainer needs adjustment or repositioning for effectiveness
To prevent the shifting of adjacent teeth after the loss of primary molars

Documentation Requirements

Patient's dental history and reason for space maintainer placement
Detailed description of the condition of the space maintainer prior to re-cementation
Clinical notes on the procedure performed, including materials used
Radiographs or photographs documenting the appliance's condition and placement
Patient consent and understanding of the procedure
Follow-up care instructions and future appointment scheduling

Billing Considerations

When billing for D1552, it's important to note that frequency limitations may apply depending on the patient's insurance plan. Common modifiers may include those indicating the specific quadrant or arch involved. Insurance providers might require pre-authorization, especially if the procedure is repeated within a short time frame. It's essential to verify the patient's coverage details to ensure compliance and proper reimbursement.

Related CDT Codes

D1515 D1516 D1551 D1555 D1575

Frequently Asked Questions

A bilateral space maintainer is a dental appliance used to maintain space on both sides of the dental arch, typically after the premature loss of primary teeth.

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