D5913 — Nasal prosthesis
D5913 is the prosthetic nose made for a patient who has lost theirs to surgery or injury.
Among the 13 codes in this group it is the workhorse — the one most practices report by default. The procedure behind it is explained at length in the facial and ocular prosthesis guide.
The sections below cover the conditions built into the code, what it tends to cost, what a dental plan is likely to pay, and where the line falls between this code and the ones next to it.
How D5913 differs from its neighbours
D5912 — Facial moulage (complete): It takes a mould of the whole face rather than of one region.
D5911 — Facial moulage (sectional): It takes a sectional mould of part of the face, the impression stage for building a facial prosthesis.
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.
D5913 sits in a group of 13 codes in total; the remainder are linked at the foot of this page. If an estimate lists D5913 and the treatment that follows matches a neighbouring code instead, the office has to resubmit — which delays the payment rather than increasing it.
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 D5913
What does dental code D5913 mean?
The procedure behind the number is nasal prosthesis, filed under maxillofacial prosthetics.
What is the typical fee for D5913?
Most private fees fall in $3,000–$15,000. Geography accounts for more of that spread than anything clinical.
Is D5913 a covered benefit?
Typically, yes — medical / maxillofacial benefits, variable. What varies between plans is the frequency limit rather than whether the procedure is covered at all.
What is the difference between D5913 and D5912?
D5912 is facial moulage, complete: it takes a mould of the whole face rather than of one region. One does not substitute for the other; if both are listed, ask what each appointment is actually for.
Also known as: facial prosthesis, ocular prosthesis, nasal prosthesis, anaplastology, maxillofacial rehabilitation.