Most common D6469 code reviews : Typical crown benefits for the replacement of an existing crown range from five to seven years before a replacement crown payment will be permitted, Bone replacement graft - retained natural tooth - each additional site in quadrant or Posterior-anterior or lateral skull and facial bone survey film.
Intraoral-complete series (including bitewings). Individually listed intraoral radiographs by the same dentist/dental office are considered a complete series, usually 14-22 images, intended to display the crowns and roots of all teeth, periapical areas and alveolar bone, if the fee for individual radiographs equals or exceeds the fee for a complete series on the same date of service, any fee in excess for the fee for a full mouth series of radiographs is Disallowed.
A detailed and extensive problem-focused evaluation entails extensive diagnostic and cognitive modalities ased on the findings of a comprehensive oral evaluation.D6469 integration of more extensive diagnostic modalities to develop a treatment lan for a specific problem is required The condition requiring this type of evaluation should be described and documented Examples f conditions requiring this type of evaluation may include dentofacial anomalies, complicated perio-prosthetic conditions, complex emporomandibular dysfunction, facial pain of unknown origin, severe systemic diseases requiring multi-disciplinary consultation.
A patient presents with a carious pulp exposure of tooth T There is no succedaneous tooth #29 present on a radiograph The roots of this tooth are of adequate length to allow normal function Endodontic treatment is requested on tooth T in order to maintain this tooth in the arch and facilitate the placement of a functional, final restoration. Root canal treatment is performed on the tooth, and the canals are filled with gutta-percha. A temporary restoration is placed, and the patient is referred back to the referring dentist for a final restoration.
Endodontic therapy - molar tooth (excluding final restoration). The fee for palliative treatment is Disallowed when done In Conjunction With root canal therapy by the same dentist/dental office on the same date of service. Palliative treatment is payable on a separate date of service for relief of pain. Incompletely filled root canals are not payable, and the fee for the endodontic therapy is Disallowed. Post removal is not included in this procedure.
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