Most common D5231 code reviews : Interim caries-arresting medicament application, Scaling in the presence of generalized moderate or severe gingival inflammation - full mouth, after oral valuation or Resin-based composite - four or more surfaces or involving the incisal angle (anterior).
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.
Procedure in D5231 which the nearly exposed pulp is covered with a protective dressing to protect the pulp from dditional injury and to promote healing and repair via formation of secondary dentin This code is not to be used for bases and iners when all caries has been removed.
This code, D5231 treatment of root canal obstruction; non-surgical access, is intended to be used in cases where there is complete calcification of 50% or more of the canal length, not diameter. This code may also be used to report he removal of separated files or other obstructions (but not posts) left in the root canal by another practitioner.
Prefabricated post and core in addition to crown is payable only on a completed endodontically treated tooth. If sufficient tooth structure remains, the fee for the post and core is Disallowed. **A prefabricated post and core for an anterior tooth is Benefited only when there is insufficient tooth structure to support an indirectly fabricated restoration. If sufficient tooth structure remains, the fee for the post and core is Disallowed.
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