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DEEP SEDATION/GENERAL ANESTHESIA – EACH SUBSEQUENT 15 MINUTE INCREMENT
View D9223 Code Details1
DEEP SEDATION/GENERAL ANESTHESIA – FIRST 15 MINUTES
Anesthesia time begins when the doctor administering the anesthetic agent initiates the appropriate anesthesia and non-invasive monitoring protocol an...
Anesthesia time begins when the doctor administering the anesthetic agent initiates the appropriate anesthesia and non-invasive monitoring protocol and remains in continu...
1
EVALUATION FOR MODERATE SEDATION, DEEP SEDATION OR GENERAL ANESTHESIA
View D9219 Code Details1
DEEP SEDATION/GENERAL ANESTHESIA – EACH SUBSEQUENT 15 MINUTE INCREMENT
View D9223 Code Details1
GENETIC TEST FOR SUSCEPTIBILITY TO DISEASES- SPECIMEN ANALYSIS
Certified laboratory analysis to detect specific genetic variations associated with increased susceptibility for diseases.
Certified laboratory analysis to detect specific genetic variations associated with increased susceptibility for diseases.
1
ADJUNCTIVE PRE-DIAGNOSTIC TEST THAT AIDS IN DETECTION OF MUCOSAL ABNORMALITIES INCLUDING PREMALIGNANT AND MALIGNANT LESIONS, NOT TO INCLUDE CYTOLOGY OR BIOPSY PROCEDURES
View D0431 Code Details1
EXCISION OF PERICORONAL GINGIVA
Removal of inflammatory or hypertrophied tissues surrounding partially erupted/impacted teeth.
Removal of inflammatory or hypertrophied tissues surrounding partially erupted/impacted teeth.
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GINGIVAL FLAP PROCEDURE, INCLUDING ROOT PLANING – ONE TO THREE CONTIGUOUS TEETH OR TOOTH BOUNDED SPACES PER QUADRANT
A soft tissue flap is reflected or resected to allow debridement of the root surface and the removal of granulation tissue. Osseous recontouring is no...
A soft tissue flap is reflected or resected to allow debridement of the root surface and the removal of granulation tissue. Osseous recontouring is not accomplished in co...
1
GINGIVAL FLAP PROCEDURE, INCLUDING ROOT PLANING – FOUR OR MORE CONTIGUOUS TEETH OR TOOTH BOUNDED SPACES PER QUADRANT
A soft tissue flap is reflected or resected to allow debridement of the root surface and the removal of granulation tissue. Osseous recontouring is no...
A soft tissue flap is reflected or resected to allow debridement of the root surface and the removal of granulation tissue. Osseous recontouring is not accomplished in co...
1
GINGIVECTOMY OR GINGIVOPLASTY TO ALLOW ACCESS FOR RESTORATIVE PROCEDURE, PER TOOTH
View D4212 Code Details1
GINGIVAL IRRIGATION WITH A MEDICINAL AGENT – PER QUADRANT
View D4921 Code Details4
1
GINGIVECTOMY OR GINGIVOPLASTY TO ALLOW ACCESS FOR RESTORATIVE PROCEDURE, PER TOOTH
View D4212 Code Details1
GINGIVECTOMY OR GINGIVOPLASTY – FOUR OR MORE CONTIGUOUS TEETH OR TOOTH BOUNDED SPACES PER QUADRANT
It is performed to eliminate suprabony pockets, or to restore normal architecture when gingival enlargements or asymmetrical or unaesthetic topography...
It is performed to eliminate suprabony pockets, or to restore normal architecture when gingival enlargements or asymmetrical or unaesthetic topography is evident with nor...
1
GINGIVECTOMY OR GINGIVOPLASTY – ONE TO THREE CONTIGUOUS TEETH OR TOOTH BOUNDED SPACES PER QUADRANT
It is performed to eliminate suprabony pockets, or to restore normal architecture when gingival enlargements or asymmetrical or unaesthetic topography...
It is performed to eliminate suprabony pockets, or to restore normal architecture when gingival enlargements or asymmetrical or unaesthetic topography is evident with nor...
1
EXCISION OF PERICORONAL GINGIVA
Removal of inflammatory or hypertrophied tissues surrounding partially erupted/impacted teeth.
Removal of inflammatory or hypertrophied tissues surrounding partially erupted/impacted teeth.
1
PROPHYLAXIS – ADULT
Removal of plaque, calculus and stains from the tooth structures and implants in the permanent and transitional dentition. It is intended to control l...
Removal of plaque, calculus and stains from the tooth structures and implants in the permanent and transitional dentition. It is intended to control local irritational fa...
1
SCALING IN PRESENCE OF GENERALIZED MODERATE OR SEVERE GINGIVAL INFLAMMATION- FULL MOUTH, AFTER ORAL EVALUATION
The removal of plaque, calculus and stains from supra-and sub-gingival tooth surfaces when there is generalized moderate or severe gingival inflammati...
The removal of plaque, calculus and stains from supra-and sub-gingival tooth surfaces when there is generalized moderate or severe gingival inflammation in the absence of...
1
RESIN-BASED COMPOSITE – FOUR OR MORE SURFACES, POSTERIOR
View D2394 Code Details1
RESIN-BASED COMPOSITE – FOUR OR MORE SURFACES, POSTERIOR
View D2394 Code Details1
HbA1c IN-OFFICE POINT OF SERVICE TESTING
View D0411 Code Details1
BLOOD GLUCOSE LEVEL TEST – IN-OFFICE USING A GLUCOSE METER
This procedure provides an immediate finding of a patient’s blood glucose level at the time of sample collection for the point-of-service analysis.
This procedure provides an immediate finding of a patient’s blood glucose level at the time of sample collection for the point-of-service analysis.
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APPLICATION OF DESENSITIZING RESIN FOR CERVICAL AND/OR ROOT SURFACE, PER TOOTH
Typically reported on a “per tooth” basis for application of adhesive resins. This code is not to be used for bases, liners, or adhesives used und...
Typically reported on a “per tooth” basis for application of adhesive resins. This code is not to be used for bases, liners, or adhesives used under restorations.
1
PALLIATIVE TREATMENT OF DENTAL PAIN – PER VISIT
Treatment that relieves pain but is not curative; services provided do not have distinct procedure codes.
Treatment that relieves pain but is not curative; services provided do not have distinct procedure codes.
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GOLD FOIL – ONE SURFACE
View D2410 Code Details1
GOLD FOIL – THREE SURFACES
View D2430 Code Details1
GOLD FOIL – TWO SURFACES
View D2420 Code Details34
1
BONE GRAFT AT TIME OF IMPLANT PLACEMENT
Placement of a barrier membrane, or biologic materials to aid in osseous regeneration are reported separately.
Placement of a barrier membrane, or biologic materials to aid in osseous regeneration are reported separately.
1
AUTOGENOUS CONNECTIVE TISSUE GRAFT PROCEDURE (INCLUDING DONOR AND RECIPIENT SURGICAL SITES) – EACH ADDITIONAL CONTIGUOUS TOOTH, IMPLANT OR EDENTULOUS TOOTH POSITION IN SAME GRAFT SITE.
Used in conjunction with D4273.
1
HARVEST OF BONE FOR USE IN AUTOGENOUS GRAFTING PROCEDURE
Reported in addition to those autogenous graft placement procedures that do not include harvesting of bone.
Reported in addition to those autogenous graft placement procedures that do not include harvesting of bone.
1
BONE GRAFT IN CONJUNCTION WITH PERIRADICULAR SURGERY – EACH ADDITIONAL CONTIGUOUS TOOTH IN THE SAME SURGICAL SITE
Includes non-autogenous graft material.
Includes non-autogenous graft material.
1
BONE GRAFT IN CONJUNCTION WITH PERIRADICULAR SURGERY – PER TOOTH, SINGLE SITE
Includes non-autogenous graft material.
Includes non-autogenous graft material.
1
BONE GRAFT AT TIME OF IMPLANT PLACEMENT
Placement of a barrier membrane, or biologic materials to aid in osseous regeneration are reported separately.
Placement of a barrier membrane, or biologic materials to aid in osseous regeneration are reported separately.
1
BONE GRAFT IN CONJUNCTION WITH PERIRADICULAR SURGERY – PER TOOTH, SINGLE SITE
Includes non-autogenous graft material.
Includes non-autogenous graft material.
1
BONE REPLACEMENT GRAFT FOR RIDGE PRESERVATION – PER SITE
Graft is placed in an extraction or implant removal site at the time of the extraction or removal to preserve ridge integrity (e.g., clinically indica...
Graft is placed in an extraction or implant removal site at the time of the extraction or removal to preserve ridge integrity (e.g., clinically indicated in preparation f...
2
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BONE REPLACEMENT GRAFT- RETAINED NATURAL TOOTH- EACH ADDITIONAL SITE IN QUADRANT
This procedure involves the use of grafts to stimulate periodontal regeneration when the disease process has led to a deformity of the bone. This proc...
This procedure involves the use of grafts to stimulate periodontal regeneration when the disease process has led to a deformity of the bone. This procedure does not inclu...
1
BONE REPLACEMENT GRAFT – RETAINED NATURAL TOOTH- FIRST SITE IN QUADRANT
This procedure involves the use of grafts to stimulate periodontal regeneration when the disease process has led to a deformity of the bone. This proc...
This procedure involves the use of grafts to stimulate periodontal regeneration when the disease process has led to a deformity of the bone. This procedure does not inclu...
1
BONE REPLACEMENT GRAFT- RETAINED NATURAL TOOTH- EACH ADDITIONAL SITE IN QUADRANT
This procedure involves the use of grafts to stimulate periodontal regeneration when the disease process has led to a deformity of the bone. This proc...
This procedure involves the use of grafts to stimulate periodontal regeneration when the disease process has led to a deformity of the bone. This procedure does not inclu...
1
BONE REPLACEMENT GRAFT – RETAINED NATURAL TOOTH- FIRST SITE IN QUADRANT
This procedure involves the use of grafts to stimulate periodontal regeneration when the disease process has led to a deformity of the bone. This proc...
This procedure involves the use of grafts to stimulate periodontal regeneration when the disease process has led to a deformity of the bone. This procedure does not inclu...
1
COMBINED CONNECTIVE TISSUE AND PEDICLE GRAFT, PER TOOTH
Advanced gingival recession often cannot be corrected with a single procedure. Combined tissue grafting procedures are needed to achieve the desired o...
Advanced gingival recession often cannot be corrected with a single procedure. Combined tissue grafting procedures are needed to achieve the desired outcome.
1
FREE SOFT TISSUE GRAFT PROCEDURE (INCLUDING DONOR SITE SURGERY)
This is a previously deleted code. See D4277 for a free soft tissue graft procedure (first tooth) or D4278 free soft tissue graft procedure (each addi...
This is a previously deleted code. See D4277 for a free soft tissue graft procedure (first tooth) or D4278 free soft tissue graft procedure (each additional tooth).
1
FREE SOFT TISSUE GRAFT PROCEDURE (INCLUDING RECIPIENT AND DONOR SURGICAL SITES) EACH ADDITIONAL CONTIGUOUS TOOTH, IMPLANT, OR EDENTULOUS TOOTH POSITION IN SAME GRAFT SITE
Used in conjunction with D4277.
1
FREE SOFT TISSUE GRAFT PROCEDURE (INCLUDING RECIPIENT AND DONOR SURGICAL SITES) EACH ADDITIONAL CONTIGUOUS TOOTH, IMPLANT, OR EDENTULOUS TOOTH POSITION IN SAME GRAFT SITE
Used in conjunction with D4277.
0
0
1
HARVEST OF BONE FOR USE IN AUTOGENOUS GRAFTING PROCEDURE
Reported in addition to those autogenous graft placement procedures that do not include harvesting of bone.
Reported in addition to those autogenous graft placement procedures that do not include harvesting of bone.
1
BONE GRAFT AT TIME OF IMPLANT PLACEMENT
Placement of a barrier membrane, or biologic materials to aid in osseous regeneration are reported separately.
Placement of a barrier membrane, or biologic materials to aid in osseous regeneration are reported separately.
1
REPAIR OF MAXILLOFACIAL SOFT AND/OR HARD TISSUE DEFECT
Reconstruction of surgical, traumatic, or congenital defects of the facial bones, including the mandible, may utilizegraft materials in conjunction wi...
Reconstruction of surgical, traumatic, or congenital defects of the facial bones, including the mandible, may utilizegraft materials in conjunction with soft tissue proce...
1
NON-AUTOGENOUS CONNECTIVE TISSUE GRAFT PROCEDURE (INCLUDING RECIPIENT SURGICAL SITE AND DONOR MATERIAL) -EACH ADDITIONAL CONTIGUOUS TOOTH, IMPLANT OR EDENTULOUS TOOTH POSITION IN SAME GRAFT SITE
Used in conjunction with D4275.
1
OSSEOUS, OSTEOPERIOSTEAL, OR CARTILAGE GRAFT OF THE MANDIBLE OR MAXILLA – AUTOGENOUS OR NONAUTOGENOUS, BY REPORT
This procedure is for ridge augmentation or reconstruction to increase height, width and/or volume of residual alveolar ridge. It includes obtaining g...
This procedure is for ridge augmentation or reconstruction to increase height, width and/or volume of residual alveolar ridge. It includes obtaining graft material. Place...
1
PEDICLE SOFT TISSUE GRAFT PROCEDURE
A pedicle flap of gingiva can be raised from an edentulous ridge, adjacent teeth, or from the existing gingiva on the tooth and moved laterally or cor...
A pedicle flap of gingiva can be raised from an edentulous ridge, adjacent teeth, or from the existing gingiva on the tooth and moved laterally or coronally to replace al...
1
PEDICLE SOFT TISSUE GRAFT PROCEDURE
A pedicle flap of gingiva can be raised from an edentulous ridge, adjacent teeth, or from the existing gingiva on the tooth and moved laterally or cor...
A pedicle flap of gingiva can be raised from an edentulous ridge, adjacent teeth, or from the existing gingiva on the tooth and moved laterally or coronally to replace al...
1
BONE GRAFT FOR REPAIR OF PERI-IMPLANT DEFECT – DOES NOT INCLUDE FLAP ENTRY AND CLOSURE.
Placement of a barrier membrane or biologic materials to aid in osseous regeneration are reported separately.
Placement of a barrier membrane or biologic materials to aid in osseous regeneration are reported separately.
1
OSSEOUS, OSTEOPERIOSTEAL, OR CARTILAGE GRAFT OF THE MANDIBLE OR MAXILLA – AUTOGENOUS OR NONAUTOGENOUS, BY REPORT
This procedure is for ridge augmentation or reconstruction to increase height, width and/or volume of residual alveolar ridge. It includes obtaining g...
This procedure is for ridge augmentation or reconstruction to increase height, width and/or volume of residual alveolar ridge. It includes obtaining graft material. Place...
1
BONE REPLACEMENT GRAFT FOR RIDGE PRESERVATION – PER SITE
Graft is placed in an extraction or implant removal site at the time of the extraction or removal to preserve ridge integrity (e.g., clinically indica...
Graft is placed in an extraction or implant removal site at the time of the extraction or removal to preserve ridge integrity (e.g., clinically indicated in preparation f...
1
SINUS AUGMENTATION WITH BONE OR BONE SUBSTITUTES VIA A LATERAL OPEN APPROACH
The augmentation of the sinus cavity to increase alveolar height for reconstruction of edentulous portions of the maxilla. This procedure is performed...
The augmentation of the sinus cavity to increase alveolar height for reconstruction of edentulous portions of the maxilla. This procedure is performed via a lateral open ...
1
SINUS AUGMENTATION VIA A VERTICAL APPROACH
The augmentation of the sinus to increase alveolar height by vertical access through the ridge crest by raising the floor of the sinus and grafting as...
The augmentation of the sinus to increase alveolar height by vertical access through the ridge crest by raising the floor of the sinus and grafting as necessary. This inc...
1
SKIN GRAFT (IDENTIFY DEFECT COVERED, LOCATION AND TYPE OF GRAFT)
View D7920 Code Details4
1
FREE SOFT TISSUE GRAFT PROCEDURE (INCLUDING RECIPIENT AND DONOR SURGICAL SITES) EACH ADDITIONAL CONTIGUOUS TOOTH, IMPLANT, OR EDENTULOUS TOOTH POSITION IN SAME GRAFT SITE
Used in conjunction with D4277.
0
1
PEDICLE SOFT TISSUE GRAFT PROCEDURE
A pedicle flap of gingiva can be raised from an edentulous ridge, adjacent teeth, or from the existing gingiva on the tooth and moved laterally or cor...
A pedicle flap of gingiva can be raised from an edentulous ridge, adjacent teeth, or from the existing gingiva on the tooth and moved laterally or coronally to replace al...
1
AUTOGENOUS CONNECTIVE TISSUE GRAFT PROCEDURE (INCLUDING DONOR AND RECIPIENT SURGICAL SITES) FIRST TOOTH, IMPLANT, OR EDENTULOUS TOOTH POSITION IN GRAFT
There are two surgical sites. The recipient site utilizes a split thickness incision, retaining the overlapping flap of gingiva and/or mucosa. The con...
There are two surgical sites. The recipient site utilizes a split thickness incision, retaining the overlapping flap of gingiva and/or mucosa. The connective tissue is di...
1
AUTOGENOUS CONNECTIVE TISSUE GRAFT PROCEDURE (INCLUDING DONOR AND RECIPIENT SURGICAL SITES) FIRST TOOTH, IMPLANT, OR EDENTULOUS TOOTH POSITION IN GRAFT
There are two surgical sites. The recipient site utilizes a split thickness incision, retaining the overlapping flap of gingiva and/or mucosa. The con...
There are two surgical sites. The recipient site utilizes a split thickness incision, retaining the overlapping flap of gingiva and/or mucosa. The connective tissue is di...
1
AUTOGENOUS CONNECTIVE TISSUE GRAFT PROCEDURE (INCLUDING DONOR AND RECIPIENT SURGICAL SITES) FIRST TOOTH, IMPLANT, OR EDENTULOUS TOOTH POSITION IN GRAFT
There are two surgical sites. The recipient site utilizes a split thickness incision, retaining the overlapping flap of gingiva and/or mucosa. The con...
There are two surgical sites. The recipient site utilizes a split thickness incision, retaining the overlapping flap of gingiva and/or mucosa. The connective tissue is di...
1
SYNTHETIC GRAFT – MANDIBLE OR FACIAL BONES, BY REPORT
Includes allogenic material.
Includes allogenic material.
1
CROWN – PORCELAIN FUSED TO HIGH NOBLE METAL
View D2750 Code Details2
1
FULL MOUTH DEBRIDEMENT TO ENABLE A COMPREHENSIVE PERIODONTAL EVALUATION AND DIAGNOSIS ON A SUBSEQUENT VISIT
View D4355 Code Details1
PULPAL DEBRIDEMENT, PRIMARY AND PERMANENT TEETH
Pulpal debridement for the relief of acute pain prior to conventional root canal therapy. This procedure is not to be used when endodontic treatment i...
Pulpal debridement for the relief of acute pain prior to conventional root canal therapy. This procedure is not to be used when endodontic treatment is completed on the s...
1
OCCLUSAL GUARD ADJUSTMENT
View D9943 Code Details1
OCCLUSAL GUARD – HARD APPLIANCE, PARTIAL ARCH
Removable dental appliance designed to minimize the effects of bruxism or other occlusal factors. Provides only partial occlusal coverage such as ante...
Removable dental appliance designed to minimize the effects of bruxism or other occlusal factors. Provides only partial occlusal coverage such as anterior deprogrammer. N...
1
GUIDED TISSUE REGENERATION, RESORBABLE BARRIER, PER SITE, IN CONJUNCTION WITH PERIRADICULAR SURGERY
View D3432 Code Details4
3
GUIDED TISSUE REGENERATION, EDENTULOUS AREA – NON-RESORBABLE BARRIER, PER SITE
This procedure does not include flap entry and closure, or, when indicated, wound debridement, osseous contouring, bone replacement grafts, and placem...
GUIDED TISSUE REGENERATION – NON-RESORBABLE BARRIER, PER IMPLANT
This procedure does not include flap entry and closure, or, when indicated, wound debridement, osseous contouring, bone replacement grafts, and placem...
GUIDED TISSUE REGENERATION, NATURAL TEETH – NON-RESORBABLE BARRIER, PER SITE
This procedure does not include flap entry and closure, or, when indicated, wound debridement, osseous contouring, bone replacement grafts, and placem...
This procedure does not include flap entry and closure, or, when indicated, wound debridement, osseous contouring, bone replacement grafts, and placement of biologic mate...
This procedure does not include flap entry and closure, or, when indicated, wound debridement, osseous contouring, bone replacement grafts, and placement of biologic mate...
This procedure does not include flap entry and closure, or, when indicated, wound debridement, osseous contouring, bone replacement grafts, and placement of biologic mate...
1
GUIDED TISSUE REGENERATION, RESORBABLE BARRIER, PER SITE, IN CONJUNCTION WITH PERIRADICULAR SURGERY
View D3432 Code Details3
GUIDED TISSUE REGENERATION, EDENTULOUS AREA – RESORBABLE BARRIER, PER SITE
This procedure does not include flap entry and closure, or, when indicated, wound debridement, osseous contouring, bone replacement grafts, and placem...
GUIDED TISSUE REGENERATION – RESORBABLE BARRIER, PER IMPLANT
This procedure does not include flap entry and closure, or, when indicated, wound debridement, osseous contouring, bone replacement grafts, and placem...
GUIDED TISSUE REGENERATION, NATURAL TEETH – RESORBABLE BARRIER, PER SITE
This procedure does not include flap entry and closure, or, when indicated, wound debridement, osseous contouring, bone replacement grafts, and placem...
This procedure does not include flap entry and closure, or, when indicated, wound debridement, osseous contouring, bone replacement grafts, and placement of biologic mate...
This procedure does not include flap entry and closure, or, when indicated, wound debridement, osseous contouring, bone replacement grafts, and placement of biologic mate...
This procedure does not include flap entry and closure, or, when indicated, wound debridement, osseous contouring, bone replacement grafts, and placement of biologic mate...