D5489
Dental CodeCurrent And Past Dental Terminology For D5489
Most common D5489 code reviews : Onlay - resin-based composite - four or more surfaces, Mesial/distal wedge procedure, single tooth (when not performed in conjunction with surgical procedures n the same sanatomical area) or Deep sedation/general anesthesia - each additional 15 minutes.
D5489 Procedures:
Prophylaxis-adult. For payment purposes, the distinction between the adult and child dentition is determined by contract. Any fee in excess is Disallowed and not chargeable to the Patient. In the absence of group contract language regarding age, a person age fourteen (14) and older is considered an adult for benefit determination purposes of a prophylaxis-adult.
This code indicates extensive diagnostic and cognitive modalities based on the findings of a comprehensive oral evaluation (D5489). It indicates that integration of more extensive diagnostic modalities is needed to develop a treatment plan for a specific problem. Description and documentation of the condition requiring this type of evaluation is necessary.D5489 Examples of conditions requiring this type of evaluation include: dentofacial anomalies, complex perio-prosthetic conditions, and conditions requiring multi-disciplinary consultation.
2019 D5489 CDT
Removal of a portion of the pulp and D5489 application of a medicament with the aim of maintaining the vitality of the remaining portion to encourage continued physiological development andormation of the root. This procedure is not to be construed as the first stage of root canal therapy.
2025 (Updated) Version D5489
Re-cement or re-bond indirectly fabricated or prefabricated post and corePreventive Resin Restoration in a moderate to high caries risk patient - permanent 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 or restorations 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.