Most common D2146 code reviews : Teledentistry-asynchronous; information stored and forwarded to dentist for subsequent review - disallowed, Posterior-anterior or lateral skull and facial bone survey radiographic image or Intravenous moderate (conscious) sedation analgesia - first 30 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 D2146 - allow up to a maximum of 3 teeth per quadrant
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 D2146 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 (D2146) by the same dentist on the same visit.
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 D2146 is repairable Endodontic treatment is completed, and the perforation is repaired with appropriate material.
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.