Immediate Maxillary Partial Denture - CDT Code Guide
Overview
CDT code D5227 refers to the procedure of creating and fitting an immediate maxillary partial denture with a flexible base. This type of denture is designed to replace missing teeth in the upper jaw immediately after extraction, providing patients with both functional and aesthetic benefits. The flexible base offers comfort and adaptability, making it an ideal choice for patients who may have difficulty with traditional rigid dentures. This procedure typically involves taking impressions of the patient's mouth, crafting the denture to fit the unique contours of the maxilla, and ensuring the inclusion of any necessary clasps, rests, and artificial teeth. Immediate maxillary partial dentures are often used in cases where patients require a quick solution to tooth loss, such as after trauma or extensive dental decay.
When to Use This Code
- When a patient requires immediate replacement of multiple upper teeth after extraction.
- For patients who prefer a flexible base for comfort and adaptability.
- In cases where aesthetics and function need to be restored quickly post-extraction.
- When traditional rigid dentures are not suitable due to patient discomfort.
- For patients with a history of difficulty adapting to conventional dentures.
Documentation Requirements
- Detailed patient history and clinical examination notes.
- Impressions and models of the patient's maxillary arch.
- Documentation of the number and position of teeth to be replaced.
- Notes on any specific patient preferences or requirements for the denture.
- Verification of immediate denture fit and patient satisfaction post-delivery.
Billing Considerations
When billing for D5227, it is important to consider any frequency limitations set by insurance providers, as some may restrict the number of immediate dentures covered within a certain time frame. Common modifiers may include those indicating the need for immediate delivery. Ensure that all necessary documentation is complete and accurate to avoid claim denials. Coordination with insurance providers for pre-authorization may be beneficial.
Related CDT Codes
Frequently Asked Questions
The flexible base offers increased comfort and adaptability, making it easier for patients to adjust to the denture.
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