D5923 — Ocular prosthesis, interim
D5923 is the interim artificial eye, worn while the socket settles and the definitive prosthesis is made.
This code belongs to a set of 13 covering facial and ocular prosthesis. The clinical detail lives in the facial and ocular prosthesis guide; the code-level detail is here.
This page sets out the conditions the code carries, what practices charge for it, how a plan is likely to assess it, and the named difference between it and each of its neighbours.
What the code commits to
Status — interim, not definitive. It is built to function for a limited period while something else is planned or healing, and many plans fold its fee into the definitive restoration if that follows within a few months.
The nearby codes and how they differ
D5922 — Nasal septal prosthesis: It is the definitive version.
D5924 — Cranial prosthesis: It is the definitive version.
D5925 — Facial augmentation implant prosthesis: It is the definitive version.
D5926 — Nasal prosthesis, replacement: It is the definitive version.
D5923 sits in a group of 13 codes in total; the remainder are linked at the foot of this page. If an estimate lists D5923 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 D5923
What does dental code D5923 mean?
The procedure behind the number is ocular prosthesis, interim, filed under maxillofacial prosthetics.
What is the typical fee for D5923?
$3,000–$15,000 is the realistic range before benefits. Your own share depends on your plan's percentage, deductible and remaining annual maximum.
Does dental insurance cover D5923?
It is generally a covered benefit in the medical / maxillofacial category, variable. Frequency limits and waiting periods are the usual reasons a claim is refused.
What is the difference between D5923 and D5922?
D5922 is nasal septal prosthesis: it is the definitive version. Everything else about the appointment is identical, so the record has to show that one detail for D5923 to be the defensible code.
Also known as: facial prosthesis, ocular prosthesis, nasal prosthesis, anaplastology, maxillofacial rehabilitation.