Most common D5437 code reviews : Implant/abutment supported interim fixed denture for edentulous arch - maxillary - not covered, Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use or Accession of tissue, gross and microscopic examination, preparation and transmission of written report.
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.
A patient encounter with a practitioner whose opinion or advice regarding evaluation and/or management of specific problem; may be requested by another practitioner or D5437 appropriate source The consultation includes an oral evaluation he consulted practitioner may initiate diagnostic and/or therapeutic services.
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.)
Pin retention-per tooth, in addition to restoration is a benefit, once per tooth, when necessary on permanent tooth and when completed at the same appointment as the restoration. Additional pins on the same tooth are Disallowed as a component of the initial pin placement. The fee for pin retention when billed In Conjunction With a buildup is Disallowed as a component of the buildup procedure.