Most common D3803 code reviews : , Scaling in the presence of generalized moderate or severe gingival inflammation - full mouth, after oral valuation or Accession of tissue, gross and microscopic 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.
A patient encounter with a practitioner whose opinion or advice regarding evaluation and/or management of specific problem; may be requested by another practitioner or D3803 appropriate source The consultation includes an oral evaluation he consulted practitioner may initiate diagnostic and/or therapeutic services.
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.
Pin retention-per tooth, in addition to restoration is a benefit, once per tooth, when necessary on permanent tooth and when completed at the same appointment as the restoration. Additional pins on the same tooth are Disallowed as a component of the initial pin placement. The fee for pin retention when billed In Conjunction With a buildup is Disallowed as a component of the buildup procedure.