D4146
Dental CodeCurrent And Past Dental Terminology For D4146
Most common D4146 code reviews : HbA1c in-office, point-of-service testing - not covered, Posterior-anterior or lateral skull and facial bone survey radiographic image or Intravenous moderate (conscious) sedation analgesia - first 30 minutes.
D4146 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 is used to report evaluation of periodontal conditions, probing and charting, evaluation and recording of new or established patients` dental and medical history and general health assessment.With D4146 Patients showing signs or symptoms of periodontal disease and patients with risk factors such as smoking or diabetes would require comprehensive periodontal evaluation. This may also include evaluation and recording of dental caries, missing or unerupted teeth, restorations, occlusal relationships and oral cancer evaluation. This code should not be used along with a comprehensive oral evaluation (D4146) by the same dentist on the same visit.
2019 D4146 CDT
In lieu of surgery, the formation of a pathway to achieve an apical seal without surgical intervention ecause of a non-negotiable root canal blocked by foreign bodies,D4146 included but not limited to separated instruments, broken posts or alcification of 50% or more of the roots.
2020 (Updated) Version D4146
Incomplete endodontic therapy - inoperable or fractured tooth.Core build up, including pins when required - refers to building up of coronal structure when there is insufficient retention for a separate extracoronal restorative procedure. A core buildup is not a filler to eliminate any undercut, box form or concave irregularity in a preparation. The fees for buildups not required for retention are Disallowed.
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