Radiation Cone Locator - CDT Code Guide
Overview
The CDT code D5985 refers to a radiation cone locator, a specialized prosthesis used in maxillofacial prosthetics. This device plays a crucial role in directing and replicating the path of radiation to an oral tumor, particularly during a split course of irradiation. It is essential for ensuring precise targeting of radiation therapy, minimizing damage to surrounding healthy tissues. Typically, this procedure is employed in cases where oral tumors require targeted radiation treatment, and the prosthesis helps maintain consistent radiation delivery throughout the treatment course. Dental professionals and patients should understand that this device is integral to the success of radiation therapy in treating oral cancers, providing a pathway for effective and safe treatment.
When to Use This Code
- When a patient is undergoing radiation therapy for an oral tumor
- In cases where precise targeting of radiation is necessary to minimize damage to surrounding tissues
- During a split course of irradiation to ensure consistent radiation delivery
- When a prosthetic device is needed to guide radiation therapy in maxillofacial regions
Documentation Requirements
- Detailed patient diagnosis and treatment plan
- Clinical notes on the necessity of the radiation cone locator
- Documentation of the radiation therapy course and schedule
- Records of patient consent for the use of the prosthesis
- Verification of prosthesis fitting and adjustments
- Billing records indicating the use of code D5985
Billing Considerations
When billing for D5985, it's important to note any frequency limitations set by insurance providers. Common modifiers may include those indicating the specific location or complexity of the procedure. Ensure that the use of this code is justified by the patient's treatment plan and that all documentation is thorough to support the necessity of the prosthesis. Coordination with the patient's medical insurance is crucial to confirm coverage for this specialized device.
Related CDT Codes
Frequently Asked Questions
A radiation cone locator is used to guide and replicate the path of radiation to an oral tumor, ensuring precise targeting during therapy.
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