Most common D1165 code reviews : Teledentistry-asynchronous; information stored and forwarded to dentist for subsequent review - disallowed, Scaling in the presence of generalized moderate or severe gingival inflammation - full mouth, after oral valuation or Intravenous moderate (conscious) sedation analgesia - each additional 15 minutes.
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.
Most often D1165 related to the diagnosis of an infection, which may be covered by a patient`s medical insurance the dental office may want to confirm which plan offers the best benefits to the patient).
A patient is referred for evaluation and treatment The patient`s dentist began the treatment , but a perforation of the pulpal floor occurred. After clinical and radiographic examination, you inform the patient that the perforation ight be repairable After access cavity preparation, you determine that the perforation for D1165 is repairable Endodontic treatment is completed, and the perforation is repaired with appropriate material.
Indirectly fabricated post and core in addition to crown is Benefited only on a completed endodontically treated tooth. **An indirectly fabricated post and core for an anterior tooth is Benefited only when there is insufficient tooth structure to support an indirectly fabricated restoration due to loss of actual tooth structure from caries or fracture. If sufficient tooth structure remains, the fee for the post and core is Disallowed.
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