PROSTHODONTICS - American College of Prosthodontists

December 2005, Supplement, Volume 14, Number 4 59complexity. Interested parties are encouraged to cross-reference literature cited in this document aswell as other sources.This parameter is divided into specific areas detailing the guidelines for each segment. The evaluationand treatment of intraoral defects (Parameters A – F) utilize the Comprehensive Clinical Assessment,the Completely Dentate, the Partial Edentulism, and the Complete Edentulism Parameters whereappropriate. The majority of maxillofacial prosthetic patients will be classified Class IV using the PDI(Prosthodontic Diagnostic Index) Classification system. Treatment of these patients requires experienceat or beyond the competence level in maxillofacial prosthetics.These subparameters cover:A. Maxillary defect1. Acquired2. Congenital or developmentalB. Mandibular defect1. Acquired2. Congenital or developmentalC. Palatopharyngeal incompetence and insufficiencyD. Soft palate defect1. Acquired2. Congenital or developmentalE. Composite resection defectF. Traumatic injuryG. Auricular defect1. Acquired2. Congenital or developmentalH. Orbital defects – evisceration, enucleation, exenterationI. Nasal defect—acquiredJ. Pre- and post-radiation therapy careK. Pre- and post-chemotherapy careL. Implant retained extraoral prosthesisGeneral Criteria and StandardsInformed Consent: All prosthodontic procedures should be preceded by the patient’s consent. Informedconsent is obtained after the patient has been informed of the indications for the procedure(s), goalsof treatment, the known benefits and risks of the procedure(s), the factor(s) that may affect the knownrisks and complications, the treatment options, the need for active maintenance by the patient, the needfor future replacements and revisions, and the favorable outcome.Documentation: Parameters of care for prosthodontic procedures include documentation of objectivefindings, diagnosis, and patient management intervention.Coding and NomenclatureDiagnostic and procedural codes have been included in the ACP Parameters of Care only for generalguidance. The codes listed may not be all-inclusive or represent the most current or specific choices. Theinclusion of codes is not meant to supplant the use of current coding books or to relieve practitionersof their obligation to remain current in diagnostic and procedural coding. The ACP Committee onParameters of Care and Committee on Nomenclature do not endorse the use of this document as acoding manual.The diagnostic and procedural codes listed throughout this section may not be all-inclusive and shouldserve only as practice guidelines. ICD-9-CM (International Classification of Diseases, Ninth Revision, ClinicalModification) diagnostic codes may change yearly and must be reviewed and updated annually to ensure2010 CDEL Re-recognition of the Specialty Report 99 of 279