D5959 Intraoral con def mod palat
Also known as: congenital palatal prosth, palatal modification device, congenital palatal aid
Intraoral congenital defect modification palatal prosthesis. A palatal device for modifying congenital oral defects.
In Plain Language
soft roof correction device; cleft palate help device
Clinical Context
Used for cleft palate and related defects requiring palatal support or closure modification. Facilitates feeding and speech.
RVU Information
CPT D5959 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 D5959?
CPT D5959 (Intraoral con def mod palat) is a D Codes (Dental) code. Intraoral congenital defect modification palatal prosthesis. A palatal device for modifying congenital oral defects.
Is D5959 covered by dental insurance?
CPT D5959 is a dental procedure code used by Prosthodontics, Pediatric Dentistry, Maxillofacial Surgery. Used for cleft palate and related defects requiring palatal support or closure modification. Facilitates feeding and speech. Coverage depends on your dental insurance plan.
When is CPT D5959 used?
Used for cleft palate and related defects requiring palatal support or closure modification. Facilitates feeding and speech.
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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.