Most common D1017 code reviews : Removal of fixed orthodontic appliances for reasons other than completion of treatment - not covered, Repair broken complete denture base or Accession of tissue, gross 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 D1017 - allow up to a maximum of 3 teeth per quadrant
Separation of one or more connections between abutments and/or pontics when some portion of a fixed rosthesis is to remain intact D1017 and serviceable following sectioning and extraction or other treatment Includes all recontouring and olishing of retained portions.
There is a succedaneous tooth #29 present on a radiograph, but it will be several years before it erupts Endodontic treatment is requested on tooth T in order to maintain this tooth and its space in the arch Treatment is performed on the tooth, and the canals are filled with a resorbable material. A temporary restoration is placed, and the patient is referred back to the referring dentist for a final restoration.
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 D1017 when performed by a different provider or if after the time limitation for the same dentist.