Can D5995 be used for both arches?

No, D5995 is specifically for the maxillary arch. A different code would be used for the mandibular arch.

Is prior authorization required for D5995?

This depends on the patient's insurance policy. It's advisable to check with the insurer to determine if prior authorization is necessary.

How often can D5995 be billed for the same patient?

Frequency of billing depends on the treatment plan and insurance guidelines. It's important to document medical necessity for repeated use.

Are there alternative treatments to using a periodontal medicament carrier?

Yes, alternatives may include systemic medication or other localized delivery methods, depending on the patient's specific needs and condition.

D5995

Periodontal Medicament Carrier - CDT Code Guide

Maxillofacial Prosthetics/Carriers

Overview

CDT code D5995 refers to a custom fabricated, laboratory processed periodontal medicament carrier with a peripheral seal for the maxillary arch. This device is designed to cover the teeth and alveolar mucosa, serving as a vehicle for delivering prescribed medicaments directly to the gingiva, alveolar mucosa, and periodontal sulcus or pocket. Typically used in periodontal therapy, this carrier ensures sustained contact of the medicament with the affected areas, enhancing treatment efficacy. Dental professionals may employ this device in cases where targeted delivery of medication is crucial for managing periodontal disease or other related conditions.

When to Use This Code

When a patient requires targeted delivery of medication to the maxillary arch for periodontal treatment.
In cases of advanced periodontal disease where sustained medicament contact is necessary.
When conventional treatment methods are insufficient for delivering medication to the periodontal pocket.
For patients with specific maxillary arch conditions that benefit from localized medicament application.
In conjunction with other periodontal therapies to enhance treatment outcomes.

Documentation Requirements

Detailed patient diagnosis and treatment plan outlining the need for a medicament carrier.
Prescription details for the medicament to be used with the carrier.
Laboratory fabrication records of the custom carrier.
Clinical notes on the intended use and expected outcomes of the treatment.
Patient consent form acknowledging understanding of the procedure and its purpose.

Billing Considerations

When billing for D5995, ensure documentation supports the medical necessity of the carrier. Frequency limitations may apply based on the patient's treatment plan and insurance policy. Common modifiers include those indicating bilateral procedures if applicable. Verify with the patient's insurance for coverage specifics, as some plans may have restrictions on prosthetic devices.

Related CDT Codes

D0150 D0180 D5994 D5996 D5982

Frequently Asked Questions

The primary purpose is to deliver medication directly to the periodontal tissues for sustained contact, enhancing treatment effectiveness.

Need help with dental coding?

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

Try CDT Code Lookup Browse All CDT Codes