Bacteriologic Studies, Culture

Policy No: 04
Originally Created: 03/01/1997
Section: Diagnostic Last Reviewed: 01/01/2019
Last Revised: 01/01/2018
Approved: 01/01/2018
Effective: 01/01/2018

Description

Bacteriologic studies for determination of pathologic agents (D0415) May include, but is not limited to tests for susceptibility to periodontal disease.

Policy/criteria

Procedure is in accordance with generally accepted standards of dental practice.

Non covered service - not necessary for diagnosis or treatment.

Administrative guidelines

Deny when done for educational instruction or when a contract exclusion.

Process to contract benefits. Not covered - necessity not established for diagnosis or treatment.

Codes

CDT - D0100-D0999 - see above.

Disclaimer

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