D5919 — Facial prosthesis
D5919 is a facial prosthesis for a region the more specific codes do not name, a cheek or a chin for instance.
13 codes describe facial and ocular prosthesis, and this is one of them. What separates it from the other twelve is the subject of this page; the facial and ocular prosthesis guide covers the treatment itself.
Three things matter when this code turns up on paperwork: what it obliges the practice to have actually done, what it is worth, and which nearby code it is not. All three are set out below.
Told apart from the codes it is confused with
D5916 — Ocular prosthesis: It is the artificial eye itself, fitted where the socket and the lids are still intact.
D5922 — Nasal septal prosthesis: It is the prosthesis that closes a hole in the nasal septum.
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.
D5923 — Ocular prosthesis, interim: It is the interim version.
D5919 sits in a group of 13 codes in total; the remainder are linked at the foot of this page. These distinctions exist because they change what was actually done. A claim for D5919 when the record describes one of the others is not a technicality — it is the difference between a paid claim and a returned one.
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 D5919
What is D5919 on my dental bill?
Facial prosthesis. It belongs to the maxillofacial prosthetics section of the code set.
What is the typical fee for D5919?
The usual range is $3,000–$15,000. Anything well outside it is worth a question rather than an assumption.
Is D5919 a covered benefit?
Most plans include it under medical / maxillofacial benefits, variable. A pre-treatment estimate is the only way to know your own number in advance.
What is the difference between D5919 and D5916?
D5916 is ocular prosthesis: it is the artificial eye itself, fitted where the socket and the lids are still intact. Because they describe different work, D5919 and D5916 can legitimately appear on the same treatment plan — they are not alternatives to choose between.
Also known as: facial prosthesis, ocular prosthesis, nasal prosthesis, anaplastology, maxillofacial rehabilitation.