D5419

Dental Code

Current And Past Dental Terminology For D5419

Most common D5419 code reviews : Implant/abutment supported interim fixed denture for edentulous arch - maxillary - not covered, Implant/abutment-supported interim fixed denture for edentulous arch, mandibular or Deep sedation/general anesthesia - each additional 15 minutes.

D5419 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.

D5419 Dental Code

This code indicates extensive diagnostic and cognitive modalities based on the findings of a comprehensive oral evaluation (D5419). It indicates that integration of more extensive diagnostic modalities is needed to develop a treatment plan for a specific problem. Description and documentation of the condition requiring this type of evaluation is necessary.D5419 Examples of conditions requiring this type of evaluation include: dentofacial anomalies, complex perio-prosthetic conditions, and conditions requiring multi-disciplinary consultation.

2019 D5419 CDT

Dental case management - patient education to improve oral health literacy. (Not covered service as opposed to when performed as follows: Disallowed when performed on same date of service as nutrition, tobacco counseling and/or oral hygiene instructions.)

2025 (Updated) Version D5419

Onlay - resin-based composite - two surfaces

Preventive Resin Restoration in a moderate to high caries risk patient - permanent tooth Sealants and/or Preventive Resin Restorations are Benefited once per tooth on the occlusal surface of permanent first and second molars for Patients through age fifteen (15). The teeth must be free from caries or restorations on the occlusal surface. A sealant or preventive resin restoration done on the same date of service and on the same surface as a restoration is considered a component of the restoration, and the fee for the sealant or preventive resin restoration is Disallowed.

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