When is D5720 used?
The D5720 dental code applies to rebasing procedures for maxillary partial dentures. This process involves replacing all acrylic base material of an existing partial denture while keeping the original denture teeth intact. The procedure becomes necessary when the base material has worn down or deteriorated, yet the teeth remain functional. Apply D5720 when the partial denture no longer fits properly due to oral tissue changes or base wear, but complete denture replacement isn't clinically required.
D5720 Charting and Clinical Use
Proper documentation ensures successful claims processing and payment. For D5720 procedures, patient records must contain:
Comprehensive clinical notes explaining the partial denture's current condition and rebasing rationale (such as poor fit, tissue discomfort, or base deterioration).
Supporting intraoral images or X-rays when relevant to demonstrate clinical necessity.
Records of other treatment options evaluated and justification for choosing rebasing over new prosthetic fabrication.
Patient consent documentation and written explanation of procedure necessity.
Typical clinical situations involve patients experiencing significant tissue modifications after tooth removal, post-surgical healing periods, or extended partial denture base usage.
Billing and Insurance Considerations
To optimize payment and reduce claim rejections for D5720:
Check coverage details prior to treatment to confirm rebasing procedure benefits. Insurance plans often impose frequency restrictions or require specific waiting periods from original partial denture placement.
Include complete documentation with claims, featuring clinical records, explanatory narratives, and relevant photographs.
Apply appropriate CDT coding—D5720 specifically for maxillary partial denture rebasing. For lower jaw partials, reference D5730.
Examine benefit statements thoroughly for rejection explanations and prepare appeal submissions with supplementary documentation when needed.
Monitor outstanding balances to maintain prompt claim follow-up and minimize payment processing delays.
How dental practices use D5720
A patient received their maxillary partial denture three years prior. Gradually, they develop discomfort and notice loosening caused by natural tissue shrinkage. While the denture teeth function well, the acrylic base no longer provides adequate fit. Following patient assessment, the dentist concludes rebasing offers the best clinical solution. The practice documents the patient's background, captures intraoral photographs, and files a claim with D5720 plus comprehensive narrative description. The insurance company approves payment, allowing the patient to receive a properly fitting, comfortable partial denture at lower cost than complete replacement.
Following proper documentation and billing procedures helps dental practices secure appropriate reimbursement and enhance patient care when utilizing the D5720 dental code.
Common Questions
What is the typical timeframe for completing a maxillary partial denture rebasing procedure?
A maxillary partial denture rebasing procedure generally requires several days to one week for completion. This timeline encompasses obtaining fresh impressions, laboratory processing at a dental facility, and the final fitting appointment with the patient. The specific duration may vary based on the dental practice's scheduling and the laboratory's processing time.
Does the D5720 procedure code apply to different types of partial dentures?
The D5720 procedure code is appropriate for rebasing both metal framework partial dentures and all-acrylic maxillary partial dentures. The determining factor is that the procedure involves complete replacement of the acrylic base material while preserving the existing prosthetic teeth that remain in good condition.
What improvements can patients anticipate following a D5720 rebasing procedure?
Following a D5720 rebasing procedure, patients typically experience enhanced comfort and improved fit since the new base conforms to their current oral structures. Functional improvements include better chewing ability and clearer speech. While some patients may need a short adaptation period to adjust to the rebased appliance, the primary goal is to significantly improve both comfort and oral function.