Most common D4009 code reviews : Teledentistry-asynchronous; information stored and forwarded to dentist for subsequent review - disallowed, Scaling and debridement in the presence of inflammation or mucositis of a single implant, including leaning of the implant surfaces, without flap entry and closure or Intravenous moderate (conscious) sedation analgesia - first 30 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.
This code is used to report evaluation of periodontal conditions, probing and charting, evaluation and recording of new or established patients` dental and medical history and general health assessment.With D4009 Patients showing signs or symptoms of periodontal disease and patients with risk factors such as smoking or diabetes would require comprehensive periodontal evaluation. This may also include evaluation and recording of dental caries, missing or unerupted teeth, restorations, occlusal relationships and oral cancer evaluation. This code should not be used along with a comprehensive oral evaluation (D4009) by the same dentist on the same visit.
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 D4009 is repairable Endodontic treatment is completed, and the perforation is repaired with appropriate material.
Core build up, including pins when required - refers to building up of coronal structure when there is insufficient retention for a separate extracoronal restorative procedure. A core buildup is not a filler to eliminate any undercut, box form or concave irregularity in a preparation. The fees for buildups not required for retention are Disallowed.