D5960 — Speech aid prosthesis, modification
D5960 is the modification of an existing speech aid as a child grows or the tissues change around it.
There are 14 codes for maxillofacial appliance and they are not interchangeable. This page covers this one; the maxillofacial appliance guide covers the treatment they all share.
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.
How D5960 differs from its neighbours
D5953 — Speech aid prosthesis, adult: It is the same procedure with one word changed: adult rather than modification.
D5952 — Speech aid prosthesis, pediatric: It is the same procedure with one word changed: pediatric rather than modification.
D5951 — Feeding aid: It is the feeding aid that closes a cleft or defect so that an infant can feed.
D5982 — Surgical stent: It is the surgical stent that holds a graft or a dressing in position while the site heals.
D5960 sits in a group of 14 codes in total; the remainder are linked at the foot of this page. It is worth asking the practice to point to which of these applies. The fees are not close, and the wording is, which is precisely the combination that produces disputed bills.
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 D5960
What is D5960 on my dental bill?
D5960 is shorthand for speech aid prosthesis, modification — the same five characters every practice and every insurer in the country uses for it.
What is the typical fee for D5960?
The usual range is $500–$1,800. Anything well outside it is worth a question rather than an assumption.
Is D5960 a covered benefit?
It normally falls under medical / maxillofacial cover, variable. Whether a particular claim is paid depends more on your history with the plan than on the code.
What is the difference between D5960 and D5953?
D5953 is speech aid prosthesis, adult: it is the same procedure with one word changed: adult rather than modification. That one difference is the whole distinction; the chair time, the materials and the appointment sequence are the same either way.
Also known as: radiation carrier, fluoride tray, surgical stent, speech aid, feeding appliance.