Most common D6960 code reviews : Pulpal Debridement, Primary or Permanent Tooth - Paid to the general dentist that will not be completing the endodontic treatment, Posterior-anterior or lateral skull and facial bone survey radiographic image or Intravenous moderate (conscious) sedation analgesia - each additional 15 minutes.
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 D6960 - allow up to a maximum of 3 teeth per quadrant
Most often D6960 related to the diagnosis of an infection, which may be covered by a patient`s medical insurance the dental office may want to confirm which plan offers the best benefits to the patient).
Scaling and debridement in the presence of inflammation or mucositis of a single implant, including cleaning of the implant surfaces, without flap entry and closure. (When submitted with prophy, considered inclusive of prophy; no separate benefit for 6081 or when submitted alone or in multiples, allow to pay as prophy, but subject to prophy limitation.)
Indirectly fabricated post and core in addition to crown is Benefited only on a completed endodontically treated tooth. **An indirectly fabricated post and core for an anterior tooth is Benefited only when there is insufficient tooth structure to support an indirectly fabricated restoration due to loss of actual tooth structure from caries or fracture. If sufficient tooth structure remains, the fee for the post and core is Disallowed.
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