D1516 Fixed bilateral space maint, max
Also known as: space maintainer, fixed bilateral maintainer, maxillary maintainer
Construction and cementation of a fixed bilateral space maintainer appliance extending across the maxillary arch to preserve space following premature loss of maxillary primary teeth.
In Plain Language
upper tooth holder; upper space keeper
Clinical Context
Indicated when bilateral maxillary space preservation is needed to maintain arch integrity and guide permanent tooth eruption.
RVU Information
CPT D1516 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
Dental codes (CDT codes) require documentation of the tooth number(s) or area treated, clinical findings, and the procedure performed. Pre-authorization may be required for major restorative, prosthodontic, and oral surgery procedures. Include radiographs when supporting medical necessity.
Specialties
Frequently Asked Questions
What is CPT code D1516?
CPT D1516 (Fixed bilateral space maint, max) is a D Codes (Dental) code. Construction and cementation of a fixed bilateral space maintainer appliance extending across the maxillary arch to preserve space following premature loss of maxillary primary teeth.
Is D1516 covered by dental insurance?
CPT D1516 is a dental procedure code used by Pediatric Dentistry, Preventive Dentistry. Indicated when bilateral maxillary space preservation is needed to maintain arch integrity and guide permanent tooth eruption. Coverage depends on your dental insurance plan.
When is CPT D1516 used?
Indicated when bilateral maxillary space preservation is needed to maintain arch integrity and guide permanent tooth eruption.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.