Most common D4133 code reviews : Interim caries-arresting medicament application, Implant/abutment-supported interim fixed denture for edentulous arch, mandibular or Accession of tissue, gross examination, preparation and transmission of written report.
Sealant-per tooth Sealants and/or Preventive Resin Restorations are Benefited once per tooth on the occlusal surface of permanent first and second molars for Patients through age fifteen (15). The teeth must be free from caries orrestorations on the occlusal surface. A sealant or preventive resin restoration done on the same date of service and on the same surface as a restoration is considered a component of the restoration, and the fee for the sealant or preventive resin restoration is Disallowed.
Separation of one or more connections between abutments and/or pontics when some portion of a fixed rosthesis is to remain intact D4133 and serviceable following sectioning and extraction or other treatment Includes all recontouring and olishing of retained portions.
This code, D4133 treatment of root canal obstruction; non-surgical access, is intended to be used in cases where there is complete calcification of 50% or more of the canal length, not diameter. This code may also be used to report he removal of separated files or other obstructions (but not posts) left in the root canal by another practitioner.
Sealant repair - per tooth - This procedure is disallowed when performed by the same dentist/dental office based on the same time limitation that exists for replacement of a sealant. It is allowed at 50% of D4133 when performed by a different provider or if after the time limitation for the same dentist.
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