D5999 Maxillofacial prosthesis
Also known as: maxillofacial prosth, unspecified prosth, miscellaneous prosth
Unspecified maxillofacial prosthetic procedure. A catch-all code for maxillofacial prosthetic services not otherwise specified.
In Plain Language
facial replacement procedure
Clinical Context
Used for prosthetic procedures without a more specific code. Common in insurance claims for complex or customized cases.
RVU Information
CPT D5999 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 D5999?
CPT D5999 (Maxillofacial prosthesis) is a D Codes (Dental) code. Unspecified maxillofacial prosthetic procedure. A catch-all code for maxillofacial prosthetic services not otherwise specified.
Is D5999 covered by dental insurance?
CPT D5999 is a dental procedure code used by Prosthodontics, Maxillofacial Surgery. Used for prosthetic procedures without a more specific code. Common in insurance claims for complex or customized cases. Coverage depends on your dental insurance plan.
When is CPT D5999 used?
Used for prosthetic procedures without a more specific code. Common in insurance claims for complex or customized cases.
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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.