D5928 Orbital replacement
Also known as: replacement orbital prosth, new orbital prosthesis, orbital prosth revision
Orbital prosthesis, replacement. A new or replacement removable orbital device for an existing defect.
In Plain Language
replacement eye socket device
Clinical Context
Indicated when existing orbital prosthesis requires replacement due to wear, poor fit, or damage. Follow-up to initial D5915.
RVU Information
CPT D5928 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 D5928?
CPT D5928 (Orbital replacement) is a D Codes (Dental) code. Orbital prosthesis, replacement. A new or replacement removable orbital device for an existing defect.
Is D5928 covered by dental insurance?
CPT D5928 is a dental procedure code used by Prosthodontics, Maxillofacial Surgery. Indicated when existing orbital prosthesis requires replacement due to wear, poor fit, or damage. Follow-up to initial D5915. Coverage depends on your dental insurance plan.
When is CPT D5928 used?
Indicated when existing orbital prosthesis requires replacement due to wear, poor fit, or damage. Follow-up to initial D5915.
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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.