Most common D4690 code reviews : Implant/abutment supported interim fixed denture for edentulous arch - maxillary - not covered, Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use or Accession of tissue, gross and microscopic examination, preparation and transmission of written report.
Non-autogenous connective tissue graft procedure (including recipient surgical site and donor material) - each additional contiguous tooth, implant or edentulous tooth position in same graft site. Local anesthesia is usually considered a component part of periodontal procedures, but dependent upon the plan will allow up to 50% of D4690 - allow up to a maximum of 3 teeth per quadrant
A patient encounter with a practitioner whose opinion or advice regarding evaluation and/or management of specific problem; may be requested by another practitioner or D4690 appropriate source The consultation includes an oral evaluation he consulted practitioner may initiate diagnostic and/or therapeutic services.
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.)
Pin retention-per tooth, in addition to restoration is a benefit, once per tooth, when necessary on permanent tooth and when completed at the same appointment as the restoration. Additional pins on the same tooth are Disallowed as a component of the initial pin placement. The fee for pin retention when billed In Conjunction With a buildup is Disallowed as a component of the buildup procedure.