D5226 Mandibular part denture flex
Also known as: flexible lower partial, flexible mandibular partial, flexible mand denture
Fabrication of a mandibular partial denture with flexible thermoplastic resin base for enhanced comfort and durability.
In Plain Language
flexible lower partial plate; bendable lower partial
Clinical Context
Applied when flexible properties of thermoplastic materials are preferred; offers reduced breakage, improved retention, and enhanced esthetics.
RVU Information
CPT D5226 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 D5226?
CPT D5226 (Mandibular part denture flex) is a D Codes (Dental) code. Fabrication of a mandibular partial denture with flexible thermoplastic resin base for enhanced comfort and durability.
Is D5226 covered by dental insurance?
CPT D5226 is a dental procedure code used by Prosthodontics, Restorative Dentistry. Applied when flexible properties of thermoplastic materials are preferred; offers reduced breakage, improved retention, and enhanced esthetics. Coverage depends on your dental insurance plan.
When is CPT D5226 used?
Applied when flexible properties of thermoplastic materials are preferred; offers reduced breakage, improved retention, and enhanced esthetics.
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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.