Prosthodontics (Removable) CDT Codes

List :

• D5110
• D5120
• D5130
• D5140
• D5211
• D5212
• D5213
• D5214
• D5221
• D5222
• D5223
• D5224
• D5225
• D5226
• D5281
• D5410
• D5411
• D5421
• D5422
• D5510
• D5520
• D5610
• D5620
• D5630
• D5640
• D5650
• D5660
• D5670
• D5671
• D5710
• D5711
• D5720
• D5721
• D5730
• D5731
• D5740
• D5741
• D5750
• D5751
• D5760
• D5761
• D5810
• D5811
• D5820
• D5821
• D5850
• D5851
• D5862
• D5863
• D5864
• D5865
• D5866
• D5867
• D5875
• D5899
• D5284
• D5286

The following list(s) of procedure and/or diagnosis codes is provided for reference purposes only and may not be all inclusive. Listing of a code in this guideline does not imply that the service described by the code is a covered or noncovered health service. Benefit coverage for health services is determined by the member specific benefit plan document and applicable laws that may require coverage for a specific service. The inclusion of a code does not imply any right to reimbursement or guarantee claim payment. Other Clinical Policies and Coverage Guidelines may apply.