Most common D3678 code reviews : HbA1c in-office, point-of-service testing - not covered, Bone replacement graft - retained natural tooth - each additional site in quadrant 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 D3678 - 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 D3678 and serviceable following sectioning and extraction or other treatment Includes all recontouring and olishing of retained portions.
In lieu of surgery, the formation of a pathway to achieve an apical seal without surgical intervention ecause of a non-negotiable root canal blocked by foreign bodies,D3678 included but not limited to separated instruments, broken posts or alcification of 50% or more of the roots.
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 D3678 when performed by a different provider or if after the time limitation for the same dentist.