D5992 — Adjust maxillofacial prosthetic appliance, by report
D5992 is the adjustment of a maxillofacial appliance, reported by narrative because no two adjustments are alike.
One of 14 maxillofacial appliance codes. If you are trying to understand the treatment, start with the maxillofacial appliance guide; if you are trying to understand this line on your estimate, you are in the right place.
The sections below cover the conditions built into the code, what it tends to cost, what a dental plan is likely to pay, and where the line falls between this code and the ones next to it.
What the code commits to
Documentation — by report. A written narrative describing what was done and why no specific code applied has to accompany the claim. Submitted without one it is not assessed, it is simply returned.
Where the line falls between D5992 and the rest
D5991 — Vesiculobullous disease medicament carrier: It is the specific code to use in preference to a by-report one.
D5993 — Maintenance and cleaning of a maxillofacial prosthesis, by report: It is the maintenance and cleaning of a maxillofacial prosthesis, also reported by narrative.
D5988 — Surgical splint: It is the specific code to use in preference to a by-report one.
D5987 — Commissure splint: It is the specific code to use in preference to a by-report one.
D5992 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.
| Code | Procedure |
|---|---|
| D5992 | Adjust maxillofacial prosthetic appliance, by report — this page |
| D5951 | Feeding aid |
| D5952 | Speech aid prosthesis, pediatric |
| D5953 | Speech aid prosthesis, adult |
| D5960 | Speech aid prosthesis, modification |
| D5982 | Surgical stent |
| D5983 | Radiation carrier |
| D5984 | Radiation shield |
| D5985 | Radiation cone locator |
| D5986 | Fluoride gel carrier |
| D5987 | Commissure splint |
| D5988 | Surgical splint |
| D5991 | Vesiculobullous disease medicament carrier |
| D5993 | Maintenance and cleaning of a maxillofacial prosthesis, by report |
Questions about D5992
What is D5992 on my dental bill?
On a claim, D5992 tells the insurer that what was performed was adjust maxillofacial prosthetic appliance, by report.
How much does D5992 cost?
$150–$500 is the realistic range before benefits. Your own share depends on your plan's percentage, deductible and remaining annual maximum.
Will my plan pay for D5992?
Yes on most policies, treated as medical / maxillofacial work at variable. A waiting period on a new policy is the commonest reason it is not.
What is the difference between D5992 and D5991?
D5991 is vesiculobullous disease medicament carrier: it is the specific code to use in preference to a by-report one. Everything else about the appointment is identical, so the record has to show that one detail for D5992 to be the defensible code.
Also known as: radiation carrier, fluoride tray, surgical stent, speech aid, feeding appliance.