D1490
Dental CodeCurrent And Past Dental Terminology For D1490
Most common D1490 code reviews : , Repair broken complete denture base or Posterior-anterior or lateral skull and facial bone survey film.
D1490 Procedures:
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 D1490 - allow up to a maximum of 3 teeth per quadrant
A detailed and extensive problem-focused evaluation entails extensive diagnostic and cognitive modalities ased on the findings of a comprehensive oral evaluation.D1490 integration of more extensive diagnostic modalities to develop a treatment lan for a specific problem is required The condition requiring this type of evaluation should be described and documented Examples f conditions requiring this type of evaluation may include dentofacial anomalies, complicated perio-prosthetic conditions, complex emporomandibular dysfunction, facial pain of unknown origin, severe systemic diseases requiring multi-disciplinary consultation.
2019 D1490 CDT
A patient presents to your office with a buccal space abscess in the upper left quadrant eliminating the nasolabial fold The tooth has no history of previous trauma Clinical evaluation reveals a large resin with recurrent caries Endodontic testing is performed and tooth #10 is necrotic and severely responsive to percussion A periapical radiograph is taken and a 4mm x 5mm periapical lesion of endodontic origin is visualized. Palpation reveals a fluctuant buccal swelling centered apically to tooth #10. Incision and drainage performed with a drain sutured into place Endodontic treatment or retreatment can be initiated and calcium hydroxide placed Any additional treatments should be coded appropriately.
2025 (Updated) Version D1490
Re-cement or re-bond indirectly fabricated or prefabricated post and coreEndodontic therapy - molar tooth (excluding final restoration). The fee for palliative treatment is Disallowed when done In Conjunction With root canal therapy by the same dentist/dental office on the same date of service. Palliative treatment is payable on a separate date of service for relief of pain. Incompletely filled root canals are not payable, and the fee for the endodontic therapy is Disallowed. Post removal is not included in this procedure.