Most common D5631 code reviews : HbA1c in-office, point-of-service testing - not covered, Laboratory processing of microbial specimen to include culture and sensitivity studies, preparation and ransmission or written report 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.D5631 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.
In lieu of surgery, the formation of a pathway to achieve an apical seal without surgical intervention ecause of a non-negotiable root canal blocked by foreign bodies,D5631 included but not limited to separated instruments, broken posts or alcification of 50% or more of the roots.
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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