D5928 — Orbital prosthesis, replacement
D5928 is the replacement orbital prosthesis, made when the original no longer fits or has discoloured.
There are 13 codes for facial and ocular prosthesis and they are not interchangeable. This page covers this one; the facial and ocular prosthesis guide covers the treatment they all share.
Four things follow: the conditions, the cost, the coverage, and the difference between this code and each one it sits beside.
The nearby codes and how they differ
D5929 — Facial prosthesis, replacement: It is the same procedure with one word changed: facial rather than orbital.
D5926 — Nasal prosthesis, replacement: It is the same procedure with one word changed: nasal rather than orbital.
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 sits in a group of 13 codes in total; the remainder are linked at the foot of this page. A plan reads these codes as definitions, not as descriptions. If the notes for the visit do not match D5928 exactly, the claim is assessed as whichever of these the notes do match.
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.
| Code | Procedure |
|---|---|
| D5928 | Orbital prosthesis, replacement — this page |
| D5911 | Facial moulage (sectional) |
| D5912 | Facial moulage (complete) |
| D5913 | Nasal prosthesis |
| D5915 | Orbital prosthesis |
| D5916 | Ocular prosthesis |
| D5919 | Facial prosthesis |
| D5922 | Nasal septal prosthesis |
| D5923 | Ocular prosthesis, interim |
| D5924 | Cranial prosthesis |
| D5925 | Facial augmentation implant prosthesis |
| D5926 | Nasal prosthesis, replacement |
| D5929 | Facial prosthesis, replacement |
Questions about D5928
What is D5928 on my dental bill?
It is the maxillofacial prosthetics code for orbital prosthesis, replacement, and it means that specific procedure and no other.
What should I expect to pay for D5928?
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 D5928?
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.