Most common D1133 code reviews : Onlay - resin-based composite - four or more surfaces, Implant/abutment-supported interim fixed denture for edentulous arch, mandibular or Accession of tissue, gross 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.
Separation of one or more connections between abutments and/or pontics when some portion of a fixed rosthesis is to remain intact D1133 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 D1133 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 D1133 when performed by a different provider or if after the time limitation for the same dentist.