Most common D8495 code reviews : Onlay - resin-based composite - four or more surfaces, Scaling in the presence of generalized moderate or severe gingival inflammation - full mouth, after oral valuation or Accession of tissue, gross examination, preparation and transmission of written report.
Prophylaxis-adult. For payment purposes, the distinction between the adult and child dentition is determined by contract. Any fee in excess is Disallowed and not chargeable to the Patient. In the absence of group contract language regarding age, a person age fourteen (14) and older is considered an adult for benefit determination purposes of a prophylaxis-adult.
Separation of one or more connections between abutments and/or pontics when some portion of a fixed rosthesis is to remain intact D8495 and serviceable following sectioning and extraction or other treatment Includes all recontouring and olishing of retained portions.
Removal of a portion of the pulp and D8495 application of a medicament with the aim of maintaining the vitality of the remaining portion to encourage continued physiological development andormation of the root. This procedure is not to be construed as the first stage of root canal therapy.
Sealant repair - per tooth - This procedure is disallowed when performed by the same dentist/dental office based on the same time limitation that exists for replacement of a sealant. It is allowed at 50% of D8495 when performed by a different provider or if after the time limitation for the same dentist.
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