Pulp Vitality Tests

Policy No: 05
Originally Created: 03/01/2011
Section: Diagnostic
Last Reviewed: 01/01/2019
Last Revised: 01/01/2018
Approved: 01/01/2018
Effective: 01/01/2018


Pulp vitality tests (D0460) Includes multiple teeth and contralateral comparison(s), as indicated.


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

Administrative guidelines

Process to contract benefits.

Multiple pulp vitality tests during the same visit should be combined as a single pulp vitality test.


CDT - D0100-D0999 - see above.


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