D5875 Prosthesis modification
Also known as: prosthesis modification, denture modification, prosthesis adjustment
Modification of existing prosthesis including adjustments or alterations to improve fit, function, or esthetics.
In Plain Language
denture adjustment and modification; prosthesis update
Clinical Context
Performed to alter prosthesis characteristics for improved patient comfort, function, or esthetic goals.
RVU Information
CPT D5875 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 D5875?
CPT D5875 (Prosthesis modification) is a D Codes (Dental) code. Modification of existing prosthesis including adjustments or alterations to improve fit, function, or esthetics.
Is D5875 covered by dental insurance?
CPT D5875 is a dental procedure code used by Prosthodontics, Restorative Dentistry. Performed to alter prosthesis characteristics for improved patient comfort, function, or esthetic goals. Coverage depends on your dental insurance plan.
When is CPT D5875 used?
Performed to alter prosthesis characteristics for improved patient comfort, function, or esthetic goals.
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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.