Most common D3313 code reviews : Implant/abutment supported interim fixed denture for edentulous arch - maxillary - not covered, Mesial/distal wedge procedure, single tooth (when not performed in conjunction with surgical procedures n the same sanatomical area) or Intravenous moderate (conscious) sedation analgesia - each additional 15 minutes.
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.
Most often D3313 related to the diagnosis of an infection, which may be covered by a patient`s medical insurance the dental office may want to confirm which plan offers the best benefits to the patient).
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.)
Indirectly fabricated post and core in addition to crown is Benefited only on a completed endodontically treated tooth. **An indirectly fabricated post and core for an anterior tooth is Benefited only when there is insufficient tooth structure to support an indirectly fabricated restoration due to loss of actual tooth structure from caries or fracture. If sufficient tooth structure remains, the fee for the post and core is Disallowed.