D5521
Dental CodeCurrent And Past Dental Terminology For D5521
Most common D5521 code reviews : Teledentistry-asynchronous; information stored and forwarded to dentist for subsequent review - disallowed, Laboratory processing of microbial specimen to include culture and sensitivity studies, preparation and ransmission or written report or Deep sedation/general anesthesia - each additional 15 minutes.
D5521 Procedures:
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 indicates extensive diagnostic and cognitive modalities based on the findings of a comprehensive oral evaluation (D5521). It indicates that integration of more extensive diagnostic modalities is needed to develop a treatment plan for a specific problem. Description and documentation of the condition requiring this type of evaluation is necessary.D5521 Examples of conditions requiring this type of evaluation include: dentofacial anomalies, complex perio-prosthetic conditions, and conditions requiring multi-disciplinary consultation.
2019 D5521 CDT
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 D5521 is repairable Endodontic treatment is completed, and the perforation is repaired with appropriate material.
2020 (Updated) Version D5521
Prefabricated esthetic coated stainless steel crown - primary toothPreventive Resin Restoration in a moderate to high caries risk patient - permanent 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 or restorations 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.
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