How often should a mandibular partial denture be relined?

Typically, dentures should be evaluated for relining every 2-3 years, but this can vary based on individual patient needs.

Is an indirect reline covered by insurance?

Coverage varies by insurance plan; it's important to verify with the patient's provider regarding specific benefits and limitations.

Can a reline fix all denture fit issues?

While a reline can improve fit, some issues may require a new denture or additional adjustments.

What should a patient expect during the reline process?

Patients will have an impression taken, and the denture will be sent to a lab. They may need to go without the denture for a short period.

D5761

Reline Mandibular Partial Denture - CDT Code Guide

Prosthodontics, removable/Denture Reline Procedures

Overview

CDT code D5761 refers to the indirect relining of a mandibular partial denture. This procedure is essential for maintaining the fit and function of a partial denture as the oral tissues and bone structure change over time. An indirect reline involves taking an impression of the patient's mouth and sending it to a dental laboratory where the reline material is processed and fitted to the existing denture. This method ensures a more precise fit compared to a direct reline, which is performed chairside. Typically, this procedure is recommended when the denture has become loose or uncomfortable due to changes in the oral cavity, ensuring the patient can continue to use their denture effectively.

When to Use This Code

When a patient reports discomfort or looseness with their current mandibular partial denture.
Following significant weight loss or other health changes that affect oral tissue.
After a period of denture use where normal wear and tear have occurred.
When the patient experiences sore spots or irritation due to an ill-fitting denture.
As part of a routine maintenance schedule to ensure optimal denture fit.

Documentation Requirements

Detailed patient history and reason for reline.
Clinical notes on the current condition of the denture and oral tissues.
Impression records sent to the dental lab.
Laboratory invoice and details of the reline process.
Patient consent form for the procedure.
Post-procedure evaluation notes.

Billing Considerations

When billing for D5761, note that frequency limitations may apply, typically allowing for relines every few years depending on the insurance plan. It is important to check with the patient's insurance for specific coverage details. Common modifiers may include those indicating the type of denture or specific patient conditions. Ensure that all documentation is thorough to support the necessity of the procedure.

Related CDT Codes

D5751 D5760 D5110 D5120

Frequently Asked Questions

An indirect reline is processed in a dental lab for a more precise fit, while a direct reline is done chairside and may not be as accurate.

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