Most common D5147 code reviews : Onlay - resin-based composite - four or more surfaces, Laboratory processing of microbial specimen to include culture and sensitivity studies, preparation and ransmission or written report or Accession of tissue, gross examination, preparation and transmission of written report.
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 D5147 - allow up to a maximum of 3 teeth per quadrant
Separation of one or more connections between abutments and/or pontics when some portion of a fixed rosthesis is to remain intact D5147 and serviceable following sectioning and extraction or other treatment Includes all recontouring and olishing of retained portions.
Removal of a portion of the pulp and D5147 application of a medicament with the aim of maintaining the vitality of the remaining portion to encourage continued physiological development andormation of the root. This procedure is not to be construed as the first stage of root canal therapy.
Sealant repair - per tooth - This procedure is disallowed when performed by the same dentist/dental office based on the same time limitation that exists for replacement of a sealant. It is allowed at 50% of D5147 when performed by a different provider or if after the time limitation for the same dentist.