Browse HCPCS Level II 2020 Edition

HCPCS Level II Table of Contents

D5211 - D5283  Partial Dentures, Including Routine Post Delivery Care

D5211
Maxillary partial denture - resin base (including, retentive/clasping materials, rests, and teeth)
shortDentures maxill part resin
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D5212
Mandibular partial denture - resin base (including, retentive/clasping materials, rests and teeth)
shortDentures mand part resin
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D5213
Maxillary partial denture - cast metal framework with resin denture bases (including any conventional clasps, rests and teeth)
shortDentures maxill part metal
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D5214
Mandibular partial denture - cast metal framework with resin denture bases (including any conventional clasps,rests and teeth)
shortDentures mandibl part metal
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D5221
Immediate maxillary partial denture - resin base (including any conventional clasps, rest and teeth)
shortImmed max part denture resin
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D5222
Immediate mandibular partial denture - resin base (including any conventional clasps, rests and teeth)
shortImmed man part denture resin
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D5223
Immediate maxillary partial denture - cast metal framework with resin denture bases (including any conventional clasps, rests and teeth)
shortImmed max part dent metal
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D5224
Immediate mandibular partial denture - cast metal framework with resin denture bases (including any conventional clasps, rests and teeth)
shortImmed mand part dent metal
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D5225
Maxillary partial denture - flexible base (including any clasps, rests and teeth)
shortMaxillary part denture flex
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D5226
Mandibular partial denture - flexible base (including any clasps, rests and teeth)
shortMandibular part denture flex
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D5282
Removable unilateral partial denture - one piece cast metal (including clasps and teeth), maxillary
shortRemove unil part denture,max
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH0.03 Date of Service Edit: ClinicalCMS Policy
D5283
Removable unilateral partial denture - one piece cast metal (including clasps and teeth), mandibular
shortRemove unil part denture,man
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH0.03 Date of Service Edit: ClinicalCMS Policy