Most common D9154 code reviews : Implant/abutment supported interim fixed denture for edentulous arch - maxillary - not covered, Scaling in the presence of generalized moderate or severe gingival inflammation - full mouth, after oral valuation 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 D9154 and serviceable following sectioning and extraction or other treatment Includes all recontouring and olishing of retained portions.
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.)
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 D9154 when performed by a different provider or if after the time limitation for the same dentist.