Is the radiation shield reusable?

No, each radiation shield is custom-made for individual patients and is not reusable.

How is the radiation shield fabricated?

The shield is fabricated using impressions of the patient's oral cavity to ensure a precise fit and effective protection.

Can the radiation shield be used for all types of radiation therapy?

It is specifically designed for orthovoltage radiation therapy and may not be suitable for other types.

Does insurance typically cover the cost of a radiation shield?

Coverage varies by insurance plan, so it's important to verify with the provider beforehand.

D5984

Radiation Shield - CDT Code Guide

Maxillofacial Prosthetics/Other Removable Prosthetic Services

Overview

CDT Code D5984 refers to the use of a radiation shield, also known as a radiation stent, tongue protector, or lead shield. This intraoral prosthesis is crucial in protecting adjacent tissues during orthovoltage radiation treatment for malignant lesions in the head and neck region. The procedure involves creating a custom-fit shield that is placed in the patient's mouth to minimize radiation exposure to healthy tissues, thereby reducing potential side effects. This code is particularly relevant in oncology settings where precise radiation targeting is essential to avoid damage to non-cancerous areas.

When to Use This Code

When a patient is undergoing orthovoltage radiation therapy for head and neck cancer.
In cases where adjacent healthy tissues need protection from radiation exposure.
When a custom-fit intraoral prosthesis is necessary to shield the tongue or other oral structures.
During treatment planning for patients with malignant lesions in the oral cavity.
When a lead shield is required to minimize radiation scatter.

Documentation Requirements

Detailed treatment plan outlining the need for radiation shielding.
Clinical notes describing the fabrication and fitting of the prosthesis.
Patient consent forms acknowledging the use of the radiation shield.
Radiation therapy schedule and dosimetry reports.
Documentation of follow-up visits to assess the effectiveness of the shield.

Billing Considerations

Ensure accurate documentation of the necessity for the radiation shield. Check with the patient's insurance for coverage specifics, as some plans may have limitations on prosthetic devices. Use appropriate modifiers if the procedure is part of a larger treatment plan. Be aware of frequency limitations, especially if multiple shields are required over the course of treatment.

Related CDT Codes

D5982 D5999 D5931 D5954

Frequently Asked Questions

The primary purpose is to protect healthy tissues from radiation exposure during cancer treatment in the head and neck area.

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