D4360
Dental CodeCurrent And Past Dental Terminology For D4360
Most common D4360 code reviews : Teledentistry-asynchronous; information stored and forwarded to dentist for subsequent review - disallowed, Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use or Posterior-anterior or lateral skull and facial bone survey film.
D4360 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.
A detailed and extensive problem-focused evaluation entails extensive diagnostic and cognitive modalities ased on the findings of a comprehensive oral evaluation.D4360 integration of more extensive diagnostic modalities to develop a treatment lan for a specific problem is required The condition requiring this type of evaluation should be described and documented Examples f conditions requiring this type of evaluation may include dentofacial anomalies, complicated perio-prosthetic conditions, complex emporomandibular dysfunction, facial pain of unknown origin, severe systemic diseases requiring multi-disciplinary consultation.
2019 D4360 CDT
A patient is referred for evaluation and treatment The patient`s dentist began the treatment , but a perforation of the pulpal floor occurred. After clinical and radiographic examination, you inform the patient that the perforation ight be repairable After access cavity preparation, you determine that the perforation for D4360 is repairable Endodontic treatment is completed, and the perforation is repaired with appropriate material.
2020 (Updated) Version D4360
Onlay - resin-based composite - two surfacesEndodontic therapy - molar tooth (excluding final restoration). The fee for palliative treatment is Disallowed when done In Conjunction With root canal therapy by the same dentist/dental office on the same date of service. Palliative treatment is payable on a separate date of service for relief of pain. Incompletely filled root canals are not payable, and the fee for the endodontic therapy is Disallowed. Post removal is not included in this procedure.
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