D5225 Maxillary part denture flex
Also known as: flexible upper partial, flexible maxillary partial, flexible max denture
Fabrication of a maxillary partial denture with flexible thermoplastic resin base for improved esthetics and patient comfort.
In Plain Language
flexible upper partial plate; bendable upper partial
Clinical Context
Indicated when conventional denture materials are contraindicated or patient preference favors improved esthetics and reduced breakage risk from flexible base properties.
RVU Information
CPT D5225 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 D5225?
CPT D5225 (Maxillary part denture flex) is a D Codes (Dental) code. Fabrication of a maxillary partial denture with flexible thermoplastic resin base for improved esthetics and patient comfort.
Is D5225 covered by dental insurance?
CPT D5225 is a dental procedure code used by Prosthodontics, Restorative Dentistry. Indicated when conventional denture materials are contraindicated or patient preference favors improved esthetics and reduced breakage risk from flexible base properties. Coverage depends on your dental insurance plan.
When is CPT D5225 used?
Indicated when conventional denture materials are contraindicated or patient preference favors improved esthetics and reduced breakage risk from flexible base properties.
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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.