D5929 Maxillofacial prosthetics Medical / maxillofacial benefit

D5929 — Facial prosthesis, replacement

D5929 is the replacement facial prosthesis, made for the same reasons.

Facial and Ocular Prosthetics: Rebuilding After Surgery The procedure itself explained in full — appointments, alternatives, how long it lasts and what drives the price.

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.

Below is what the code actually specifies, the fee range to expect, how dental benefits normally handle it, and the specific differences between it and the codes it is most often confused with.

Not to be confused with

D5928 — Orbital prosthesis, replacement: It is the same procedure with one word changed: orbital rather than facial.

D5926 — Nasal prosthesis, replacement: It is the same procedure with one word changed: nasal rather than facial.

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.

D5929 sits in a group of 13 codes in total; the remainder are linked at the foot of this page. The descriptions differ by a few words and the fees differ by a great deal, which is why mixing them up is one of the commonest billing errors in dentistry. Ask which of these codes is being submitted and why.

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 D5929

What is D5929 on my dental bill?

Facial prosthesis, replacement. It belongs to the maxillofacial prosthetics section of the code set.

What should I expect to pay for D5929?

Most private fees fall in $3,000–$15,000. Geography accounts for more of that spread than anything clinical.

Is D5929 a covered benefit?

Plans generally pay it as medical / maxillofacial treatment, variable, subject to whatever is left of your maximum for the year.

What is the difference between D5929 and D5928?

D5928 is orbital prosthesis, replacement: it is the same procedure with one word changed: orbital rather than facial. Nothing else separates them, which is exactly why a claim submitted under the wrong one of the two is such a common correction.

Also known as: facial prosthesis, ocular prosthesis, nasal prosthesis, anaplastology, maxillofacial rehabilitation.