D5926 — Nasal prosthesis, replacement
D5926 is the replacement nasal prosthesis, made once the original has aged or the tissue around it has changed.
This is one of 13 closely related facial and ocular prosthesis codes. The treatment is explained in full in the facial and ocular prosthesis guide — this page is about what makes this particular code different.
Below you will find what this code specifically requires, a realistic price range, the usual benefit handling, and where it stops applying and another code begins.
Where the line falls between D5926 and the rest
D5925 — Facial augmentation implant prosthesis: It is an implant placed to build up facial contour rather than to replace a missing part.
D5924 — Cranial prosthesis: It is the cranial prosthesis that restores the contour of the skull where part of it has been removed.
D5928 — Orbital prosthesis, replacement: It is the same procedure with one word changed: orbital rather than nasal.
D5923 — Ocular prosthesis, interim: It is the interim version.
D5926 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 D5926 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 D5926
What does dental code D5926 mean?
D5926 records nasal prosthesis, replacement — one of the maxillofacial prosthetics codes.
What is the typical fee for D5926?
The usual range is $3,000–$15,000. Anything well outside it is worth a question rather than an assumption.
How do dental plans handle D5926?
Expect medical / maxillofacial handling — variable. Submitting an estimate first turns that percentage into a number you can rely on.
What is the difference between D5926 and D5925?
D5925 is facial augmentation implant prosthesis: it is an implant placed to build up facial contour rather than to replace a missing part. Because they describe different work, D5926 and D5925 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.