D5500

Dental Code

Current And Past Dental Terminology For D5500

Most common D5500 code reviews : Implant/abutment supported interim fixed denture for edentulous arch - maxillary - not covered, Mesial/distal wedge procedure, single tooth (when not performed in conjunction with surgical procedures n the same sanatomical area) or Deep sedation/general anesthesia - each additional 15 minutes.

D5500 Procedures:

Non-autogenous connective tissue graft procedure (including recipient surgical site and donor material) - each additional contiguous tooth, implant or edentulous tooth position in same graft site. Local anesthesia is usually considered a component part of periodontal procedures, but dependent upon the plan will allow up to 50% of D5500 - allow up to a maximum of 3 teeth per quadrant

D5500 Dental Code

This code indicates extensive diagnostic and cognitive modalities based on the findings of a comprehensive oral evaluation (D5500). 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.D5500 Examples of conditions requiring this type of evaluation include: dentofacial anomalies, complex perio-prosthetic conditions, and conditions requiring multi-disciplinary consultation.

2019 D5500 CDT

Dental case management - patient education to improve oral health literacy. (Not covered service as opposed to when performed as follows: Disallowed when performed on same date of service as nutrition, tobacco counseling and/or oral hygiene instructions.)

2020 (Updated) Version D5500

Prefabricated esthetic coated stainless steel crown - primary tooth

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.

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