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D1702 PFIZER-BIONTECH COVID-19 VACCINE ADMINISTRATION – SECOND DOSE
PREVENTIVE Vaccinations

SARSCOV2 COVID-19 VAC mRNA 30mcg/0.3mL IM DOSE 2

D1703 MODERNA COVID-19 VACCINE ADMINISTRATION – FIRST DOSE
PREVENTIVE Vaccinations

SARSCOV2 COVID-19 VAC mRNA 100mcg/0.5mL IM DOSE 1

D1704 MODERNA COVID-19 VACCINE ADMINISTRATION – SECOND DOSE
PREVENTIVE Vaccinations

SARSCOV2 COVID-19 VAC mRNA 100mcg/0.5mL IM DOSE 2

D1705 ASTRAZENECA COVID-19 VACCINE ADMINISTRATION – FIRST DOSE
PREVENTIVE Vaccinations

This is a deleted code.

D1706 ASTRAZENECA COVID-19 VACCINE ADMINISTRATION – SECOND DOSE
PREVENTIVE Vaccinations

This is a deleted code.

D1707 JANSSEN COVID-19 VACCINE ADMINISTRATION
PREVENTIVE Vaccinations

This is a deleted code.

D1708 PFIZER-BIONTECH COVID-19 VACCINE ADMINISTRATION – THIRD DOSE
PREVENTIVE Vaccinations

SARSCOV2 COVID-19 VAC mRNA 30mcg/0.3mL IM DOSE 3

D1709 PFIZER-BIONTECH COVID-19 VACCINE ADMINISTRATION – BOOSTER DOSE
PREVENTIVE Vaccinations

SARSCOV2 COVID-19 VAC mRNA 30mcg/0.3mL IM DOSE BOOSTER

D1710 MODERNA COVID-19 VACCINE ADMINISTRATION – THIRD DOSE
PREVENTIVE Vaccinations

SARSCOV2 COVID-19 VAC mRNA 100mcg/0.5mL IM DOSE 3

D1711 MODERNA COVID-19 VACCINE ADMINISTRATION – BOOSTER DOSE
PREVENTIVE Vaccinations

SARSCOV2 COVID-19 VAC mRNA 50mcg/0.25mL IM DOSE BOOSTER

D1712 JANSSEN(JOHNSON & JOHNSON) COVID-19 VACCINE ADMINISTRATION – BOOSTER DOSE
PREVENTIVE Vaccinations

This is a deleted code.

D1713 PFIZER-BIONTECH COVID-19 VACCINE ADMINISTRATION TRIS-SUCROSE PEDIATRIC – FIRST DOSE
PREVENTIVE Vaccinations

SARSCOV2 COVID-19 VAC mRNA 10mcg/0.2mL tris-sucrose IM DOSE 1

D1714 PFIZER-BIONTECH COVID-19 VACCINE ADMINISTRATION TRIS-SUCROSE PEDIATRIC – SECOND DOSE
PREVENTIVE Vaccinations

SARSCOV2 COVID-19 VAC mRNA 10mcg/0.2mL tris-sucrose IM DOSE 2

D1720 INFLUENZA VACCINE ADMINISTRATION
PREVENTIVE
D1781 VACCINE ADMINISTRATION – HUMAN PAPILLOMAVIRUS – DOSE 1
PREVENTIVE Vaccinations

Gardasil 9 0.5mL intramuscular vaccine injection

D1782 VACCINE ADMINISTRATION – HUMAN PAPILLOMAVIRUS – DOSE 2
PREVENTIVE Vaccinations

Gardasil 9 0.5mL intramuscular vaccine injection.

D1783 VACCINE ADMINISTRATION – HUMAN PAPILLOMAVIRUS – DOSE 3
PREVENTIVE Vaccinations

Gardasil 9 0.5mL intramuscular vaccine injection.

D1999 UNSPECIFIED PREVENTIVE PROCEDURE, BY REPORT
PREVENTIVE

Used for procedure that is not adequately described by another CDT Code. Describe procedure.

D2140 AMALGAM – ONE SURFACE, PRIMARY OR PERMANENT
RESTORATIVE AMALGAM RESTORATIONS (INCLUDING POLISHING)
D2150 AMALGAM – TWO SURFACES, PRIMARY OR PERMANENT
RESTORATIVE AMALGAM RESTORATIONS (INCLUDING POLISHING)
D2160 AMALGAM – THREE SURFACES, PRIMARY OR PERMANENT
RESTORATIVE AMALGAM RESTORATIONS (INCLUDING POLISHING)
D2161 AMALGAM – FOUR OR MORE SURFACES, PRIMARY OR PERMANENT
RESTORATIVE AMALGAM RESTORATIONS (INCLUDING POLISHING)
D2330 RESIN-BASED COMPOSITE – ONE SURFACE, ANTERIOR
RESTORATIVE RESIN-BASED COMPOSITE RESTORATIONS - DIRECT
D2331 RESIN-BASED COMPOSITE – TWO SURFACES, ANTERIOR
RESTORATIVE RESIN-BASED COMPOSITE RESTORATIONS - DIRECT
D2332 RESIN-BASED COMPOSITE – THREE SURFACES, ANTERIOR
RESTORATIVE RESIN-BASED COMPOSITE RESTORATIONS - DIRECT
D2335 RESIN-BASED COMPOSITE – FOUR OR MORE SURFACES (ANTERIOR)
RESTORATIVE RESIN-BASED COMPOSITE RESTORATIONS - DIRECT
D2390 RESIN-BASED COMPOSITE CROWN, ANTERIOR
RESTORATIVE RESIN-BASED COMPOSITE RESTORATIONS - DIRECT

Full resin-based composite coverage of tooth.

D2391 RESIN-BASED COMPOSITE – ONE SURFACE, POSTERIOR
RESTORATIVE RESIN-BASED COMPOSITE RESTORATIONS - DIRECT
D2392 RESIN-BASED COMPOSITE – TWO SURFACES, POSTERIOR
RESTORATIVE RESIN-BASED COMPOSITE RESTORATIONS - DIRECT
D2393 RESIN-BASED COMPOSITE – THREE SURFACES, POSTERIOR
RESTORATIVE RESIN-BASED COMPOSITE RESTORATIONS - DIRECT
D2394 RESIN-BASED COMPOSITE – FOUR OR MORE SURFACES, POSTERIOR
RESTORATIVE RESIN-BASED COMPOSITE RESTORATIONS - DIRECT
D2410 GOLD FOIL – ONE SURFACE
RESTORATIVE GOLD FOIL RESTORATIONS
D2420 GOLD FOIL – TWO SURFACES
RESTORATIVE GOLD FOIL RESTORATIONS
D2430 GOLD FOIL – THREE SURFACES
RESTORATIVE GOLD FOIL RESTORATIONS
D2510 INLAY – METALLIC – ONE SURFACE
RESTORATIVE INLAY/ONLAY RESTORATIONS
D2520 INLAY – METALLIC – TWO SURFACES
RESTORATIVE INLAY/ONLAY RESTORATIONS
D2530 INLAY – METALLIC – THREE OR MORE SURFACES
RESTORATIVE INLAY/ONLAY RESTORATIONS
D2542 ONLAY – METALLIC – TWO SURFACES
RESTORATIVE INLAY/ONLAY RESTORATIONS
D2543 ONLAY – METALLIC – THREE SURFACES
RESTORATIVE INLAY/ONLAY RESTORATIONS
D2544 ONLAY – METALLIC – FOUR OR MORE SURFACES
RESTORATIVE INLAY/ONLAY RESTORATIONS
D2610 INLAY – PORCELAIN/CERAMIC – ONE SURFACE
RESTORATIVE INLAY/ONLAY RESTORATIONS
D2620 INLAY – PORCELAIN/CERAMIC – TWO SURFACES
RESTORATIVE INLAY/ONLAY RESTORATIONS
D2630 INLAY – PORCELAIN/CERAMIC – THREE OR MORE SURFACES
RESTORATIVE INLAY/ONLAY RESTORATIONS
D2642 ONLAY – PORCELAIN/CERAMIC – TWO SURFACES
RESTORATIVE INLAY/ONLAY RESTORATIONS
D2643 ONLAY – PORCELAIN/CERAMIC – THREE SURFACES
RESTORATIVE INLAY/ONLAY RESTORATIONS
D2644 ONLAY – PORCELAIN/CERAMIC – FOUR OR MORE SURFACES
RESTORATIVE INLAY/ONLAY RESTORATIONS
D2650 INLAY – RESIN-BASED COMPOSITE – ONE SURFACE
RESTORATIVE INLAY/ONLAY RESTORATIONS
D2651 INLAY – RESIN-BASED COMPOSITE – TWO SURFACES
RESTORATIVE INLAY/ONLAY RESTORATIONS
D2652 INLAY – RESIN-BASED COMPOSITE – THREE OR MORE SURFACES
RESTORATIVE INLAY/ONLAY RESTORATIONS
D2662 ONLAY – RESIN-BASED COMPOSITE – TWO SURFACES
RESTORATIVE INLAY/ONLAY RESTORATIONS