Most common D8527 code reviews : Teledentistry-asynchronous; information stored and forwarded to dentist for subsequent review - disallowed, Removal of implant; superficial (e.g., buried wire, pin, or rod) (Separate procedure) or Accession of tissue, gross examination, preparation and transmission of written report.
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.
Separation of one or more connections between abutments and/or pontics when some portion of a fixed rosthesis is to remain intact D8527 and serviceable following sectioning and extraction or other treatment Includes all recontouring and olishing of retained portions.
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 D8527 is repairable Endodontic treatment is completed, and the perforation is repaired with appropriate material.
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 D8527 when performed by a different provider or if after the time limitation for the same dentist.
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