Most common D0146 code reviews : Interim caries-arresting medicament application, Posterior-anterior or lateral skull and facial bone survey radiographic image or Intravenous moderate (conscious) sedation analgesia - first 30 minutes.
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.
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 D0146 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 (D0146) by the same dentist on the same visit.
This code, D0146 treatment of root canal obstruction; non-surgical access, is intended to be used in cases where there is complete calcification of 50% or more of the canal length, not diameter. This code may also be used to report he removal of separated files or other obstructions (but not posts) left in the root canal by another practitioner.
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.