Distal Shoe Space Maintainer - CDT Code Guide
Overview
The CDT code D1575 refers to the fabrication and delivery of a distal shoe space maintainer, a fixed appliance used in pediatric dentistry. This appliance is designed to extend subgingivally and distally, guiding the eruption of the first permanent molar. It is typically used when a primary molar is lost prematurely, and the permanent molar has not yet erupted, preventing space loss and ensuring proper alignment. The procedure involves creating a custom-fitted appliance that is cemented in place, providing a crucial role in maintaining dental arch integrity. It is important to note that this code does not cover ongoing follow-up, adjustments, or replacement once the permanent tooth has erupted.
When to Use This Code
- When a primary molar is lost prematurely and the first permanent molar has not erupted.
- To prevent space loss in the dental arch due to early tooth loss.
- In pediatric patients requiring guidance for proper molar eruption.
- When a fixed appliance is necessary to maintain space unilaterally per quadrant.
- In cases where subgingival extension is needed to guide molar eruption.
Documentation Requirements
- Detailed patient history indicating the need for a space maintainer.
- Clinical notes on the condition of the surrounding teeth and gums.
- Radiographic evidence supporting the need for the appliance.
- Documentation of the fabrication and delivery of the appliance.
- Patient or guardian consent for the procedure.
- Follow-up plan for monitoring the eruption of the permanent molar.
Billing Considerations
When billing for D1575, note that it does not include follow-up or adjustments after the tooth erupts. Check with insurance providers for coverage specifics as some may require prior authorization. Common modifiers may include those indicating the quadrant treated. Frequency limitations may apply, so verify patient eligibility and benefits.
Related CDT Codes
Frequently Asked Questions
It is used to guide the eruption of the first permanent molar when a primary molar is lost prematurely, preventing space loss.
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