D1257
Dental CodeCurrent And Past Dental Terminology For D1257
Most common D1257 code reviews : HbA1c in-office, point-of-service testing - not covered, Laboratory processing of microbial specimen to include culture and sensitivity studies, preparation and ransmission or written report or Deep sedation/general anesthesia - each additional 15 minutes.
D1257 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 (D1257). 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.D1257 Examples of conditions requiring this type of evaluation include: dentofacial anomalies, complex perio-prosthetic conditions, and conditions requiring multi-disciplinary consultation.
2019 D1257 CDT
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,D1257 included but not limited to separated instruments, broken posts or alcification of 50% or more of the roots.
2025 (Updated) Version D1257
Incomplete endodontic therapy - inoperable or fractured tooth.Preventive 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.