Can this procedure be done in-house or does it require sending the denture to a lab?

While minor repairs might be done in-house, replacing a broken tooth usually requires sending the denture to a dental lab for precise work.

Is D5640 covered by most dental insurance plans?

Coverage for D5640 varies by insurance plan. It's important to verify with the patient's provider to understand the extent of coverage and any out-of-pocket costs.

What materials are used for the replacement teeth?

Replacement teeth are typically made from acrylic resin or composite materials that match the existing denture teeth.

How can patients prevent their denture teeth from breaking?

Patients should handle their dentures carefully, avoid hard foods, and regularly visit their dentist for check-ups to prevent breakage.

D5640

Replace Broken Teeth - CDT Code Guide

Prosthodontics, removable/Repairs to Partial Dentures

Overview

CDT Code D5640 refers to the procedure of replacing broken teeth in removable partial dentures. This service is crucial for maintaining the functionality and aesthetics of partial dentures, ensuring that patients can chew properly and smile confidently. Typically, this procedure is performed when one or more teeth in a partial denture have been damaged due to wear, trauma, or other factors. The process involves assessing the damage, selecting appropriate replacement teeth, and securely attaching them to the existing denture framework. Dental professionals must ensure that the new teeth match the patient's natural teeth in color and shape to maintain a seamless appearance.

When to Use This Code

When a single tooth in a partial denture is broken or missing.
In cases where the integrity of the partial denture is compromised due to broken teeth.
When a patient reports discomfort or difficulty chewing due to broken denture teeth.
During routine check-ups when wear and tear on denture teeth is observed.
When a patient requests an aesthetic improvement of their partial denture.

Documentation Requirements

Detailed clinical notes describing the condition of the broken tooth.
Photographic evidence of the broken denture before and after repair.
Patient consent form for the procedure.
Documentation of the materials used for the replacement tooth.
Billing records indicating the specific tooth replaced.

Billing Considerations

When billing for D5640, it's important to note any frequency limitations set by insurance providers, as some may only cover this procedure once per year or per denture. Common modifiers include those indicating emergency repairs or additional complexity. Ensure that the patient's insurance plan covers prosthodontic repairs, as coverage can vary significantly.

Related CDT Codes

D5610 D5620 D5630 D5650 D5670

Frequently Asked Questions

The turnaround time can vary, but typically it takes 1-2 weeks depending on the dental lab's schedule and the complexity of the repair.

Need help with dental coding?

Our AI-powered assistant can answer your CDT code questions instantly.

Try CDT Code Lookup Browse All CDT Codes