D5911 — Facial moulage (sectional)
D5911 takes a sectional mould of part of the face, the impression stage for building a facial prosthesis.
There are 13 codes for facial and ocular prosthesis and they are not interchangeable. This page covers this one; the facial and ocular prosthesis guide covers the treatment they all share.
Below is what the code actually specifies, the fee range to expect, how dental benefits normally handle it, and the specific differences between it and the codes it is most often confused with.
How D5911 differs from its neighbours
D5912 — Facial moulage (complete): It is the same procedure with one word changed: complete rather than sectional.
D5913 — Nasal prosthesis: It is the prosthetic nose made for a patient who has lost theirs to surgery or injury.
D5915 — Orbital prosthesis: It is the prosthesis that fills an orbital defect, the eye socket and the tissue around it, after the eye and its surroundings have been removed.
D5916 — Ocular prosthesis: It is the artificial eye itself, fitted where the socket and the lids are still intact.
D5911 sits in a group of 13 codes in total; the remainder are linked at the foot of this page. A single word separates several of these codes, and a payer reads that word literally. If the record does not support D5911 specifically, the claim comes back — usually repriced to whichever neighbouring code the reviewer thinks was actually performed.
Every code in this group
These codes describe the same broad procedure and differ in one respect each. Each has its own page with its own fee range and coverage notes.
Questions about D5911
What is D5911 on my dental bill?
D5911 is shorthand for facial moulage, sectional — the same five characters every practice and every insurer in the country uses for it.
What should I expect to pay for D5911?
Typically $1,500–$6,000 before insurance, depending on local fees and the complexity of the individual case.
Does dental insurance cover D5911?
Plans generally pay it as medical / maxillofacial treatment, variable, subject to whatever is left of your maximum for the year.
What is the difference between D5911 and D5912?
D5912 is facial moulage, complete: it is the same procedure with one word changed: complete rather than sectional. Nothing else separates them, which is exactly why a claim submitted under the wrong one of the two is such a common correction.
Also known as: facial prosthesis, ocular prosthesis, nasal prosthesis, anaplastology, maxillofacial rehabilitation.