Is the facial augmentation implant procedure covered by insurance?

Coverage varies by insurance provider and policy. It is important to verify with the patient's insurance to determine if the procedure is covered and what documentation is required.

How long does the recovery process take after a facial augmentation implant?

Recovery time can vary based on the extent of the procedure and individual patient factors, but generally, patients can expect a recovery period of several weeks.

Are there any risks associated with facial augmentation implants?

As with any surgical procedure, there are risks including infection, implant rejection, and asymmetry. It is important to discuss potential risks with the patient prior to surgery.

Can facial augmentation implants be adjusted or removed if necessary?

Yes, implants can often be adjusted or removed if complications arise or if the patient desires changes in the future.

D5925

Facial Augmentation Implant Prosthesis - CDT Code Guide

Maxillofacial Prosthetics/Other Removable Prosthetic Services

Overview

CDT code D5925 pertains to the facial augmentation implant prosthesis, a specialized procedure within maxillofacial prosthetics. This involves the use of biocompatible materials to enhance facial contours by filling or elevating skin tissues over bony areas. Typically, these implants are custom-made to address the unique anatomical needs of each patient, especially in cases of significant facial deficits. While some pre-made implants exist, custom solutions are often necessary due to the complexity and variability of facial structures. This procedure is crucial for patients requiring aesthetic or functional improvements following trauma, surgery, or congenital conditions.

When to Use This Code

Patients with congenital facial deformities requiring contour correction
Post-traumatic reconstruction of facial structures
Enhancement of facial aesthetics in patients with significant tissue loss
Correction of asymmetrical facial features due to surgical interventions
Patients with extensive facial deficits needing custom prosthetic solutions

Documentation Requirements

Detailed patient history and diagnosis justifying the need for facial augmentation
Pre-operative photographs and imaging studies
Custom implant design specifications and materials used
Surgical notes detailing the procedure and implantation process
Post-operative care instructions and follow-up plans

Billing Considerations

When billing for D5925, ensure that the procedure is deemed medically necessary and is supported by comprehensive documentation. Check for any frequency limitations imposed by insurers and consider using appropriate modifiers if the procedure is part of a larger treatment plan. Verify coverage with the patient's insurance provider, as some plans may have specific requirements or exclusions for prosthetic services.

Related CDT Codes

D5982 D5983 D5984 D5985 D5999

Frequently Asked Questions

Facial augmentation implants are typically made from biocompatible materials such as silicone, polyethylene, or titanium, depending on the specific needs and compatibility with the patient's anatomy.

Need help with dental coding?

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

Try CDT Code Lookup Browse All CDT Codes