D5864 Overdenture partial max
Also known as: partial maxillary overdenture, overdenture partial upper, implant retained maxillary partial
Partial maxillary overdenture fabricated over retained root(s) or implant(s) in a partially edentulous arch.
In Plain Language
upper partial false teeth over tooth roots; supported upper partial
Clinical Context
Constructed in partially edentulous maxilla over retained teeth or implants for improved retention and function.
RVU Information
CPT D5864 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 D5864?
CPT D5864 (Overdenture partial max) is a D Codes (Dental) code. Partial maxillary overdenture fabricated over retained root(s) or implant(s) in a partially edentulous arch.
Is D5864 covered by dental insurance?
CPT D5864 is a dental procedure code used by Prosthodontics, Implant Dentistry. Constructed in partially edentulous maxilla over retained teeth or implants for improved retention and function. Coverage depends on your dental insurance plan.
When is CPT D5864 used?
Constructed in partially edentulous maxilla over retained teeth or implants for improved retention and function.
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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.