D5915 — Orbital prosthesis
D5915 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.
One of 13 facial and ocular prosthesis codes. If you are trying to understand the treatment, start with the facial and ocular prosthesis guide; if you are trying to understand this line on your estimate, you are in the right place.
What follows: the specifics built into the number, the money, the benefit treatment, and the line separating it from the codes it is easiest to confuse it with.
How D5915 differs from its neighbours
D5916 — Ocular prosthesis: It is the artificial eye itself, fitted where the socket and the lids are still intact.
D5913 — Nasal prosthesis: It is the prosthetic nose made for a patient who has lost theirs to surgery or injury.
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 sits in a group of 13 codes in total; the remainder are linked at the foot of this page. It is worth asking the practice to point to which of these applies. The fees are not close, and the wording is, which is precisely the combination that produces disputed bills.
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 D5915
What is D5915 on my dental bill?
On a claim, D5915 tells the insurer that what was performed was orbital prosthesis.
Is D5915 expensive?
Between $3,000–$15,000 in most practices — and that is the figure before any benefit is applied, not what you would pay at the desk.
Will my plan pay for D5915?
Plans generally pay it as medical / maxillofacial treatment, variable, subject to whatever is left of your maximum for the year.
Also known as: facial prosthesis, ocular prosthesis, nasal prosthesis, anaplastology, maxillofacial rehabilitation.