D5938 Resct proth max complicated remov
Also known as: maxillary resection prosth, max resect prosth, complete maxillary prosth
Resected maxillary prosthesis, complete removable. A removable denture for complete maxillary reconstruction after surgical resection.
In Plain Language
upper jaw prosthesis after surgery
Clinical Context
Placed after total or near-total maxillary resection for tumor or other pathology. Restores mastication, phonation, and facial contours.
RVU Information
CPT D5938 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 D5938?
CPT D5938 (Resct proth max complicated remov) is a D Codes (Dental) code. Resected maxillary prosthesis, complete removable. A removable denture for complete maxillary reconstruction after surgical resection.
Is D5938 covered by dental insurance?
CPT D5938 is a dental procedure code used by Prosthodontics, Maxillofacial Surgery, Oncology. Placed after total or near-total maxillary resection for tumor or other pathology. Restores mastication, phonation, and facial contours. Coverage depends on your dental insurance plan.
When is CPT D5938 used?
Placed after total or near-total maxillary resection for tumor or other pathology. Restores mastication, phonation, and facial contours.
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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.