D5787

Dental Code

Current And Past Dental Terminology For D5787

Most common D5787 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.

D5787 Procedures:

Sealant-per tooth Sealants and/or Preventive Resin Restorations are Benefited once per tooth on the occlusal surface of permanent first and second molars for Patients through age fifteen (15). The teeth must be free from caries orrestorations on the occlusal surface. A sealant or preventive resin restoration done on the same date of service and on the same surface as a restoration is considered a component of the restoration, and the fee for the sealant or preventive resin restoration is Disallowed.

D5787 Dental Code

Separation of one or more connections between abutments and/or pontics when some portion of a fixed rosthesis is to remain intact D5787 and serviceable following sectioning and extraction or other treatment Includes all recontouring and olishing of retained portions.

2019 D5787 CDT

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.

2025 (Updated) Version D5787

Re-cement or re-bond inlay, onlay, veneer or partial coverage 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 D5787 when performed by a different provider or if after the time limitation for the same dentist.

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