Most common D5639 code reviews : , Implant/abutment-supported interim fixed denture for edentulous arch, mandibular or Resin-based composite - four or more surfaces or involving the incisal angle (anterior).
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.
Procedure in D5639 which the nearly exposed pulp is covered with a protective dressing to protect the pulp from dditional injury and to promote healing and repair via formation of secondary dentin This code is not to be used for bases and iners when all caries has been removed.
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.
Prefabricated post and core in addition to crown is payable only on a completed endodontically treated tooth. If sufficient tooth structure remains, the fee for the post and core is Disallowed. **A prefabricated post and core for an anterior tooth is Benefited only when there is insufficient tooth structure to support an indirectly fabricated restoration. If sufficient tooth structure remains, the fee for the post and core is Disallowed.