Most common D3535 code reviews : Typical crown benefits for the replacement of an existing crown range from five to seven years before a replacement crown payment will be permitted, Bone replacement graft - retained natural tooth - each additional site in quadrant or Deep sedation/general anesthesia - each additional 15 minutes.
Intraoral-complete series (including bitewings). Individually listed intraoral radiographs by the same dentist/dental office are considered a complete series, usually 14-22 images, intended to display the crowns and roots of all teeth, periapical areas and alveolar bone, if the fee for individual radiographs equals or exceeds the fee for a complete series on the same date of service, any fee in excess for the fee for a full mouth series of radiographs is Disallowed.
This code indicates extensive diagnostic and cognitive modalities based on the findings of a comprehensive oral evaluation (D3535). 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.D3535 Examples of conditions requiring this type of evaluation include: dentofacial anomalies, complex perio-prosthetic conditions, and conditions requiring multi-disciplinary consultation.
A patient presents with a carious pulp exposure of tooth T There is no succedaneous tooth #29 present on a radiograph The roots of this tooth are of adequate length to allow normal function Endodontic treatment is requested on tooth T in order to maintain this tooth in the arch and facilitate the placement of a functional, final restoration. Root canal treatment is performed on the tooth, and the canals are filled with gutta-percha. A temporary restoration is placed, and the patient is referred back to the referring dentist for a final restoration.
Preventive 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.