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rests and possibly even teeth as well. D5281 removable unilateral partial denture – one piece cast metal (including clasps and teeth) Add Metal Substructure to Denture. The listing of a code does not imply that the service described by the code is a covered or non-covered health service. D5213 - Maxillary partial denture - cast metal framework with resin denture bases (including any conventional clasps, rests and teeth) ... Add clasp to existing partial denture; D5670 - Replace all teeth and acrylic on cast metal framework (maxillary) D5671 - Replace all teeth and acrylic on cast metal framework (mandibular) Partial Dentures (Including Routine Post-Delivery Care) D5211 Maxillary partial denture - resin base (including any conventional clasps, rests and teeth) - Includes acrylic resin base denture with resin or wrought- wire clasps. D5225 is for truly 'flexible' base, clasps. This type of denture provides excellent strength and reasonable cosmetic appeal, but wearers may find them somewhat uncomfortable given the metal framework. As their name implies, the base portion (the major connector) of an acrylic partial is made out of (gum tissue colored) plastic. D5876 add metal substructure to acrylic full denture (per arch) Previously, there was no code to adequately describe the addition of a metal substructure to strengthen a new or repair an existing complete denture. This list of codes applies to the policy titled Dental Services. PROSTHETICS DENTAL PROCEDURE CODES CODE DESCRIPTION FEE *0 5110 Full Upper Denture 470 .00 *0 5120 Full Lower Denture 470 .00 *0 5130 Immediate Full Upper Denture 470 .00 *0 5140 Immediate Full Lower Denture 470 .00 *0 5211 Upper Acrylic Partial/Clasp 425 .00 *0 5212 Lower Acrylic Partial/Clasp 425 .00 However regular teeth are often also on D5225. Spoken differently - Both D5225 & D5213 can both have either type of teeth. $650.00 - $1110.00 What are acrylic partial dentures? CDT PROCEDURE CODE DESCRIPTION D0120 Periodic oral evaluation D0140 Limited oral evaluation, problem focused ... D5214 Mandibular partial denture-cast metal framework. The partial described in this code is constructed of a cast metal base, with the remaining body comprised of acrylic resin. The benefits listed are for a standard contract. Removable Partial Denture Prosthesis: Any prosthesis that replaces some teeth in a partially dentate arch. CDT Procedure Code Information This section provides processing policies and procedures for the American Dental Association's new CDT codes. This information is to be used only as a general guideline in determining benefits under the new codes. APPLICABLE CODES This list of procedure and/or diagnosis codes is provided for reference purposes only and may not be all inclusive. But regular acrylic parts is for D5213, and flexible parts is for D5225. D5110 - Complete denture - maxillary D5120 - Complete denture - mandibular D5130 - Immediate denture - maxillary D5140 - Immediate denture - mandibular D5211 - Maxillary partial denture - resin base D5212 - Mandibular partial denture - resin base D5213 - Maxillary partial denture - cast metal framework with resin denture bases B) Acrylic (hard plastic) partial dentures - Removable partial denture, acrylic (plastic) base - Upper or lower. Dental Insurance Codes. Acrylic Partial Flexible Partial Cast Frame Partial Ultaire™ AKP Material Wrought wire ... ADA Codes: Cast Metal Partial Denture - Maxillary D5213 Cast Metal Partial Denture - Mandibular D5214 Resin Base Partial Denture - Maxillary D5211 Resin Base Partial Denture - Mandibular D5212 Or non-covered health service ) teeth is D5213 metal base, clasps used only as a guideline. 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