D5213 Dental Code
D5213 Dental Code Definition
D5213 dental code definition is the dental procedure for Maxillary Partial Denture – Cast Metal Framework With Resin Denture Bases (Including Retentive/Clasping Materials, Rests And Teeth).
The D5213 dental code is a CDT code that refers to the dental procedure for Maxillary Partial Denture – Cast Metal Framework with Resin Denture Bases. This procedure includes the design and fabrication of a denture supported by a cast metal framework, combined with resin denture bases. It also covers the integration of retentive and clasping materials, rests, and artificial teeth to provide strength, stability, and comfort to the patient.
Dentists and dental billing professionals use the D5213 code when documenting and submitting insurance claims for maxillary partial dentures that require a cast metal framework. This code is essential for ensuring accurate reimbursement and for clearly communicating the type of denture treatment that was provided. The code is specifically applied to cases involving the upper jaw (maxilla), where the patient requires partial denture support that balances both functionality and aesthetics.
When using D5213 in dental billing, it is important to confirm that this CDT code is the most accurate match for the dental procedure performed. In certain cases, other related CDT codes may be more appropriate depending on the materials used, the number of teeth replaced, or the specific design of the prosthesis. Dentists and dental offices are strongly advised to verify alternative dental procedure codes and review documentation carefully to avoid claim denials, delays, or errors.
Proper use of D5213 dental code ensures compliance with insurance billing standards, reduces the risk of reimbursement issues, and helps maintain clear patient treatment records. If you are a patient, understanding this code can also help you interpret your dental treatment plan, estimate costs, and communicate more effectively with your insurance provider.
Always double-check the CDT dental code set to make sure you are using the most current version, as coding guidelines can be updated annually by the ADA. This ensures that your billing process is up to date, accurate, and aligned with industry standards.
What is D5213 Dental Code?
The D5213 dental code is a recognized CDT (Current Dental Terminology) procedure code used in dental billing and insurance claims. This code specifically refers to the fabrication and placement of a Maxillary Partial Denture – Cast Metal Framework with Resin Denture Bases. The procedure covered under D5213 includes the creation of a partial denture for the upper arch (the maxilla), designed with a durable cast metal framework for long-term strength and support. It also involves the use of resin denture bases, which hold the artificial teeth securely in place and provide a natural look and comfortable fit.
In addition to the denture bases, the D5213 code also accounts for retentive and clasping materials, rests, and prosthetic teeth, ensuring that the denture stays stable, functional, and esthetically pleasing. This makes it a common treatment choice for patients who have lost several upper teeth but still retain enough natural teeth to support a partial denture.
Dentists and dental offices use the D5213 CDT code when submitting claims to insurance providers to describe this exact type of treatment. Correct coding is critical for proper reimbursement, reducing the chance of claim denials, and maintaining clear and accurate patient records. For patients, knowing what the D5213 dental procedure code represents can help in reviewing a treatment plan, understanding dental insurance benefits, and estimating potential out-of-pocket costs.
Since CDT codes are updated annually by the American Dental Association (ADA), it is always important to confirm that D5213 remains the most accurate and up-to-date billing code for the procedure performed. In some cases, alternative codes may apply depending on whether the denture is for the lower arch, whether different materials are used, or if another variation of partial denture construction is more appropriate.
By properly applying the D5213 dental code, both providers and patients benefit from accurate documentation, streamlined insurance claims, and greater clarity in the treatment process. This code plays a vital role in dental practice management, helping ensure that patients receive the right care while offices maintain compliance with industry billing standards.
Understanding D5213 Dental Code, Dental Coding and Billing
The D5213 dental code is one of the most important CDT codes used in dental billing and insurance claims when documenting a Maxillary Partial Denture – Cast Metal Framework with Resin Denture Bases. For dental professionals, understanding this code is essential to ensure that the procedure is billed correctly, reimbursement is received without unnecessary delays, and patient records remain accurate. For patients, learning about the D5213 CDT code can provide valuable insight into the type of dental treatment being performed, the expected costs, and how insurance companies process partial denture claims.
Dental coding and billing play a crucial role in modern dentistry. Every procedure performed in a dental office is linked to a specific CDT code, and accurate use of these codes helps avoid claim denials, miscommunication, and errors in treatment history. The D5213 dental billing code is specifically designed for upper partial dentures with a strong cast metal framework and resin denture bases, including retentive or clasping materials, rests, and prosthetic teeth. Because CDT codes are reviewed and updated annually by the American Dental Association (ADA), both patients and providers should stay informed to make sure they are using the most current and appropriate code.
If you are looking to deepen your knowledge about D5213 dental code, dental coding, and dental billing best practices, you can watch the following educational video. It explains how the code is applied in real practice, why correct billing matters, and how dental offices streamline their claims process with insurance providers:
This video serves as a valuable resource not only for dentists and billing coordinators but also for patients who want to better understand their dental treatment plans and insurance coverage.
What are CPT Codes?
CDT codes, short for Current Dental Terminology codes, are the official reference system used across the dental industry for accurate reporting and billing of dental procedures. These codes are published and updated annually by the ADA (American Dental Association) to reflect the most current standards of dental care and treatment documentation. Every dental office, billing specialist, and insurance company relies on CDT codes to describe treatments clearly and consistently, ensuring that patients, providers, and payers are all aligned on the services being provided.
The CDT coding system covers everything from preventive care and diagnostic services to restorative procedures, prosthodontics, oral surgery, orthodontics, and more. For example, the D5213 dental code refers to a Maxillary Partial Denture – Cast Metal Framework with Resin Denture Bases. By using CDT codes such as D5213, dentists can submit claims accurately, patients can better understand their treatment plans, and insurance carriers can process reimbursements efficiently. Correct application of CDT codes reduces the risk of claim denials, improves communication between dental professionals and insurers, and helps maintain thorough and compliant patient records.
At CDTCodes.org, we are committed to providing the most accurate and up-to-date information on dental billing codes, including the D5213 Dental Code and hundreds of other CDT procedure codes. Our platform uses multiple trusted data sources to ensure that the details we publish are reliable, comprehensive, and available online at any time. This makes our website a valuable reference not only for dental offices and insurance companies, but also for patients seeking to understand their treatment charges and coverage.
If you need assistance with D5213 Dental Code or with any other dental billing questions, our expert support team is ready to help you promptly. You can reach out to us by writing in the comments form below or by visiting our contact us page. Please provide the details of your dental billing matter, and we will be happy to guide you.
We also welcome contributions from our community of dental professionals and patients. If you have found new information about D5213 Dental Code or any other CDT code, we encourage you to share it with us. Once received, our team will carefully review, confirm, and update the information, publishing it to benefit all users of our directory.
CDTCodes.org is a high-quality, independent CDT codes information hub created to provide free and reliable resources for dental professionals, billing specialists, and patients who want to better understand Current Dental Terminology (CDT) codes. Our platform is designed as an educational and informational directory that compiles data from multiple trusted sources to help users access the most accurate and updated CDT code details available online.
It is important to clarify that CDTCodes.org has no direct affiliation, endorsement, or partnership with the American Dental Association (ADA), any dental organization, or with any federal or state department, agency, board, office, or commission. The ADA remains the official publisher of the CDT code set, and we always encourage dental professionals to consult the official ADA publications when submitting claims, preparing billing documentation, or seeking definitive coding guidance.
Our role is to make CDT dental code information more accessible, user-friendly, and centralized in one convenient hub. By maintaining this independence, we can focus on delivering clear explanations, detailed definitions, and practical insights into dental billing procedures, such as D5213 Dental Code and many others, without the limitations of official institutional websites.
Users are also encouraged to share updates, corrections, or new details they may encounter regarding CDT codes. Our team carefully reviews and verifies submissions before publishing them, ensuring the integrity and reliability of the information we provide. This community-driven approach helps us keep CDTCodes.org as one of the most up-to-date and accurate CDT coding resources online.
By visiting our site, you acknowledge that while we strive for accuracy and completeness, CDTCodes.org is an independent information directory and not an official dental coding authority. For official guidane, users should always consult the ADA or other regulatory bodies.
CDT Codes List
D5214 Dental Code
D5221 Dental Code
D5222 Dental Code
D5223 Dental Code
D5224 Dental Code
D5225 Dental Code
D5226 Dental Code
D5281 Dental Code
D5282 Dental Code
D5283 Dental Code
D5284 Dental Code
D5286 Dental Code
D5410 Dental Code