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A palatal augmentation prosthesis is a specialized dental device designed to reshape the hard palate, which is the bony front part of the roof of the mouth. This prosthesis is particularly beneficial for individuals who experience difficulties with tongue mobility, which can arise from various conditions such as surgical interventions, traumatic injuries, or neurological disorders that affect motor function. The primary purpose of this device is to enhance the contact between the tongue and the palate, thereby improving the patient's ability to speak clearly and swallow effectively. The process begins with obtaining an impression of the patient's palate, maxillary bone, and teeth, which serves as a critical step in creating a precise mold. Following this, a custom palatal augmentation prosthesis is fabricated to meet the specific anatomical and functional needs of the patient, ensuring optimal performance and comfort during use.
© Copyright 2025 Coding Ahead. All rights reserved.
The palatal augmentation prosthesis is indicated for patients who have impaired tongue mobility due to various underlying conditions. These conditions may include:
The procedure for creating a palatal augmentation prosthesis involves several key steps that ensure the device is tailored to the patient's specific needs. The first step is to obtain an accurate impression of the patient's hard palate, maxillary bone, and teeth. This is typically done using a dental impression material that captures the precise contours of the oral structures. Once the impression is taken, it is sent to a dental laboratory where a mold is created based on the captured impression. This mold serves as the foundation for fabricating the custom palatal augmentation prosthesis. The laboratory technician will then use the mold to construct the prosthesis, ensuring that it fits comfortably and securely in the patient's mouth. The final product is designed to enhance tongue-palate contact, thereby improving the patient's ability to articulate speech sounds and swallow effectively.
After the palatal augmentation prosthesis has been fabricated and fitted, patients may require follow-up appointments to assess the fit and function of the device. It is essential to monitor the patient's adaptation to the prosthesis, as some individuals may need adjustments for optimal comfort and effectiveness. Patients are typically advised on how to care for the prosthesis, including cleaning instructions to maintain oral hygiene. Additionally, they may receive guidance on exercises to improve tongue mobility and coordination, which can further enhance the benefits of the prosthesis. Overall, the expected recovery involves a period of adjustment as the patient becomes accustomed to the new device, with ongoing support from dental professionals to ensure successful outcomes.
| Short Descr | IMPRES&PREP PALTL AUG PROSTH | Medium Descr | IMPRESSION & PREPJ PALATAL AUGMENTATION PROSTH | Long Descr | Impression and custom preparation; palatal augmentation prosthesis | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Office-based surgical procedure added to ASC list in CY 2008 or later with MPFS nonfacility PE RVUs; payment based on MPFS nonfacility PE RVUs. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6B - Minor procedures - musculoskeletal | MUE | 1 | CCS Clinical Classification | 32 - Other non-OR therapeutic procedures on nose, mouth and pharynx |
| 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | GC | This service has been performed in part by a resident under the direction of a teaching physician | GW | Service not related to the hospice patient's terminal condition | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) |
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| 2025-01-01 | Changed | Short and Medium Descriptions changed. |
| 2013-01-01 | Changed | Medium Descriptor changed. |
| 1991-01-01 | Added | First appearance in code book in 1991. |
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