Most common D4249 code reviews : Implant/abutment supported interim fixed denture for edentulous arch - maxillary - not covered, Bone replacement graft - retained natural tooth - each additional site in quadrant or Accession of tissue, gross examination, preparation and transmission of written report.
Anesthesia services are considered completed when the patient may be safely left under the observation of trained personnel and the doctor may safely leave the room to attend to other patients or duties. The level of anesthesia is determined by the anesthesia provider's documentation of the anesthetics effects upon the central nervous system and not dependent upon the route of administration.
Separation of one or more connections between abutments and/or pontics when some portion of a fixed rosthesis is to remain intact D4249 and serviceable following sectioning and extraction or other treatment Includes all recontouring and olishing of retained portions.
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.)
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 D4249 when performed by a different provider or if after the time limitation for the same dentist.
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