Most common D5495 code reviews : , 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.
Anesthesia services are considered completed when the patient may be safely left under the observation of trained personnel and the doctor may safely leave the room to attend to other patients or duties. The level of anesthesia is determined by the anesthesia provider's documentation of the anesthetics effects upon the central nervous system and not dependent upon the route of administration.
Separation of one or more connections between abutments and/or pontics when some portion of a fixed rosthesis is to remain intact D5495 and serviceable following sectioning and extraction or other treatment Includes all recontouring and olishing of retained portions.
A patient presents to your office with a buccal space abscess in the upper left quadrant eliminating the nasolabial fold The tooth has no history of previous trauma Clinical evaluation reveals a large resin with recurrent caries Endodontic testing is performed and tooth #10 is necrotic and severely responsive to percussion A periapical radiograph is taken and a 4mm x 5mm periapical lesion of endodontic origin is visualized. Palpation reveals a fluctuant buccal swelling centered apically to tooth #10. Incision and drainage performed with a drain sutured into place Endodontic treatment or retreatment can be initiated and calcium hydroxide placed Any additional treatments should be coded appropriately.
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 D5495 when performed by a different provider or if after the time limitation for the same dentist.
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