Preventive - [[#Dental Prophylaxis|Dental Prophylaxis]] - [[#Topical Fluoride Treatment (Office Procedure)|Topical Fluoride Treatment (Office Procedure)]] - [[#Counseling|Counseling]] - [[#oral hygiene instructions|oral hygiene instructions]] - [[#Caries prevention|Caries prevention]] - [[#Space Maintenance (Passive Appliances)|Space Maintenance (Passive Appliances)]] Restoration - [[#Amalgam Restorations (Including Polishing)|Amalgam Restorations (Including Polishing)]] - [[#Resin-Based Composite Restorations — Direct|Resin-Based Composite Restorations — Direct]] - [[#Gold Foil Restorations|Gold Foil Restorations]] - [[#Inlay/Onlay Restorations|Inlay/Onlay Restorations]] Endodontic - [[#Pulp Capping|Pulp Capping]] - [[#Pulpotomy|Pulpotomy]] - [[#Pulp Therapy|Pulp Therapy]] - [[#Endodontic Therapy/root canal|Endodontic Therapy/root canal]] - [[#Endodontic Retreatment|Endodontic Retreatment]] - [[#Apexification/Recalcification|Apexification/Recalcification]] - [[#Apicoectomy/Periradicular Services|Apicoectomy/Periradicular Services]] Periodontitics - [[#Gingivectomy/gingivoplasty|Gingivectomy/gingivoplasty]] - [[#Crown lengthening|Crown lengthening]] - [[#Osseous surgery|Osseous surgery]] - [[#Bone grafting|Bone grafting]] - [[#Splint|Splint]] - [[#Scaling|Scaling]] Prosthodontics removable - [[#Complete Dentures|Complete Dentures]] - [[#Partial Dentures|Partial Dentures]] Implant - [[#Single crown|Single crown]] - [[#Fixed partial denture retainers-implant|Fixed partial denture retainers-implant]] - [[#Surgical Implant Services|Surgical Implant Services]] Prosthodontics fixed - [[#Fixed Partial Denture-Pontics|Fixed Partial Denture-Pontics]] - [[#Fixed Partial Denture Retainers — Inlays/Onlays|Fixed Partial Denture Retainers — Inlays/Onlays]] - [[#Fixed Partial Denture Retainers — Crowns|Fixed Partial Denture Retainers — Crowns]] - [[#Fixed Partial Denture Services|Fixed Partial Denture Services]] Maxillofacial surgery - [[#Extractions|Extractions]] - [[#Corticotomy|Corticotomy]] - [[#Alveolplasty|Alveolplasty]] - [[#Vestibuloplasty|Vestibuloplasty]] - [[#Excision|Excision]] - [[#Surgical Incision|Surgical Incision]] - [[#Suturing|Suturing]] General - [[#Anesthesia|Anesthesia]] - [[#Drugs|Drugs]] - [[#Services|Services]] Pedodontics

Diagnostic - [[#Evaluation|Evaluation]] - [[#Diagnostic Imaging|Diagnostic Imaging]]

Diagnostic ¶

Evaluation¶

periodic oral evaluation — established patient
limited oral evaluation — problem focused
oral evaluation for a patient under three years of age and counseling with primary caregiver
comprehensive oral evaluation — new or established patient
detailed and extensive oral evaluation — problem focused,by report
re-evaluation — limited, problem focused (established patient;not post operative visit)
comprehensive periodontal evaluation — new or established patient

Pre-diagnostic Services - screening of a patient - assessment of a patient

Diagnostic Imaging¶

Image Capture with Interpretation - intraoral — comprehensive series of radiographic images - intraoral — periapical first radiographic image - intraoral — periapical each additional radiographic image - intraoral — occlusal radiographic image - extra-oral — 2D projection radiographic image created using a stationary radiation source, and detector - extra-oral posterior dental radiographic image - bitewing — single radiographic image - bitewings — two radiographic images - bitewings — three radiographic images - bitewings — four radiographic images - vertical bitewings — 7 to 8 radiographic images

sialography
temporomandibular joint arthrogram, including injection
other temporomandibular joint radiographic images, by report
tomographic survey
panoramic radiographic image
2D cephalometric radiographic image — acquisition,measurement and analysis
2D oral/facial photographic image obtained intra-orally orextra-orally
cone beam CT capture and interpretation with limited field of view — less than onewhole jaw
cone beam CT capture and interpretation with field of view of one full dental arch — mandible
cone beam CT capture and interpretation with field of view of one full dental arch — maxilla, with or without cranium
cone beam CT capture and interpretation with field of view of both jaws; with or without cranium
cone beam CT capture and interpretation for TMJ series including two or more exposures
maxillofacial MRI capture and interpretation
maxillofacial ultrasound capture and interpretation
sialoendoscopy capture and interpretation
intraoral tomosynthesis — comprehensive series of radiographic images
intraoral tomosynthesis — bitewing radiographic image
intraoral tomosynthesis — periapical radiographic image

preventive ¶

Dental Prophylaxis¶

prophylaxis — adult
prophylaxis — child

Topical Fluoride Treatment (Office Procedure)¶

topical application of fluoride varnish
topical application of fluoride — excluding varnish

Counseling¶

nutritional counseling for control of dental disease
tobacco counseling for the control and prevention of oral disease
counseling for the control and prevention of adverse oral,behavioral, and systemic health effects associated with high-risk substance use

oral hygiene instructions¶

Caries prevention¶

sealant — per tooth
sealant repair — per tooth
preventive resin restoration in a moderate to high caries risk patient —permanent tooth
application of caries arresting medicament — per tooth
caries preventive medicament application — per tooth

Space Maintenance (Passive Appliances)¶

space maintainer — fixed, unilateral — per quadrant
space maintainer — fixed — bilateral, maxillary
Space maintainer — fixed — bilateral, mandibular
space maintainer — removable, unilateral — per quadrant
Space maintainer — removable — bilateral, maxillary
space maintainer — removable — bilateral, mandibular
re-cement or re-bond bilateral space maintainer — maxillary
re-cement or re-bond bilateral space maintainer — mandibular.
re-cement or re-bond unilateral space maintainer — per quadrant
removal of fixed unilateral space maintainer — per quadrant
removal of fixed bilateral space maintainer — maxillary
removal of fixed bilateral space maintainer — mandibular

Space Maintainers

distal shoe space maintainer — fixed, unilateral — per quadrant

vaccinations

Restorations ¶

Amalgam Restorations (Including Polishing)¶

Resin-Based Composite Restorations — Direct¶

Gold Foil Restorations¶

Inlay/Onlay Restorations¶

inlay — metallic
onlay — metallic
inlay — porcelain/ceramic
onlay -porcelain/ceramic
inlay — resin-based composite
Crowns —Single Restorations Only
crown — resin-based composite (indirect)
crown — % resin-based composite (indirect)
crown —resin with high noble metal
crown — resin with predominantly base metal
crown -— resin with noble metal
crown — porcelain/ceramic
crown — porcelain fused to high noble metal
crown — porcelain fused to predominantly base metal
crown — porcelain fused to noble metal
crown — porcelain fused to titanium and titanium alloys
crown — % cast high noble metal
crown — % cast predominantly base metal
crown — % cast noble metal
crown — % porcelain/ceramic
crown -— full cast high noble metal
crown — full cast predominantly base metal
crown — full cast noble metal
crown — titanium and titanium alloys
interim crown — further treatment or completion of diagnosis.

Endodontics ¶

Pulp Capping¶

pulp cap — direct (excluding final restoration)
pulp cap — indirect (excluding final restoration)

Pulpotomy¶

therapeutic pulpotomy (excluding final restoration)
pulpal debridement, primary and permanent teeth
partial pulpotomy for apexogenesis — permanent tooth with incomplete root development

Pulp Therapy¶

pulpal therapy (resorbable filling) — anterior, primary tooth (excluding final restoration)
pulpal therapy (resorbable filling) — posterior, primary tooth (excluding final restoration)

Endodontic Therapy/root canal¶

D3310 endodontic therapy, anterior tooth (excluding final restoration)
D3320 endodontic therapy, premolar tooth (excluding final restoration)
D3330 endodontic therapy, molar tooth (excluding final restoration)
D3331 treatment of root canal obstruction; non-surgical access
D3332 incomplete endodontic therapy; inoperable, unrestorable or fractured tooth
D3333_ internal root repair of perforation defects

Endodontic Retreatment¶

D3346 retreatment of previous root canal therapy — anterior
D3347 retreatment of previous root canal therapy — premolar
D3348 retreatment of previous root canal therapy — molar

Apexification/Recalcification¶

D3351 apexification/recalcification — initial visit (apical closure/calcific repair of perforations, root resorption, etc.)
D3352 apexification/recalcification — interim medication replacement
D3353 apexification/recalcification — final visit (includes completed root canal therapy —apical closure/calcific repair of perforations, root resorption, etc.)
D3355 pulpal regeneration — initial visit
D3356 pulpal regeneration — interim medication replacement
D3357 pulpal regeneration — completion of treatment

Apicoectomy/Periradicular Services¶

apicoectomy -— anterior
apicoectomy — premolar (first root)
apicoectomy — molar (first root)
apicoectomy (each additional root)
surgical repair of root resorption — anterior
surgical repair of root resorption — premolar
surgical repair of root resorption — molar
surgical exposure of root surface without apicoectomy or repair of root resorption — anterior

Endodontics - surgical exposure of root surface without apicoectomy or repair of root resorption — premolar - surgical exposure of root surface without apicoectomy or repair of root resorption — molar - bone graft in conjunction with periradicular surgery — per tooth,single site Includes non-autogenous graft material. - bone graft in conjunction with periradicular surgery — each additional contiguous tooth in the same surgical site - retrograde filling — per root - biologic materials to aid in soft and osseous tissue regeneration in conjunction with periradicular surgery - guided tissue regeneration, resorbable barrier, per site,in conjunction with periradicular surgery - root amputation — per root - endodontic endosseous implant - intentional re-implantation (including necessary splinting)

Other Endodontic Procedures - surgical procedure for isolation of tooth with rubber dam - intraorifice barrier - hemisection (including any root removal), not including root canal therapy - decoronation or submergence of an erupted tooth - canal preparation and fitting of preformed dowel or post - unspecified endodontic procedure, by report

Periodontics ¶

Sugrical

Gingivectomy/gingivoplasty¶

gingivectomy or gingivoplasty — four or more contiguous teeth or tooth bounded spaces per quadrant
gingivectomy or gingivoplasty — one to three contiguous teeth or tooth bounded spaces per quadrant
gingivectomy or gingivoplasty to allow access for restorative procedure, per tooth

Crown lengthening¶

anatomical crown exposure — four or more contiguous teeth or bounded tooth spaces per quadrant
clinical crown lengthening — hard tissue

Osseous surgery¶

osseous surgery (including elevation of a full thickness flap and closure) — four or more contiguous teeth or tooth bounded spaces per quadrant
osseous surgery (including elevation of a full thickness flap and closure) — one to three contiguous teeth or tooth bounded spaces per quadrant

Bone grafting¶

bone replacement graft — retained natural tooth —first site in quadrant
bone replacement graft — retained natural tooth — each additional site in quadrant
biologic materials to aid in soft and osseous tissue regeneration,per site
guided tissue regeneration, natural teeth — resorbable barrier,per site
removal of non-resorbable barrier
surgical revision procedure, per tooth

Procedures - pedicle soft tissue graft procedure

autogenous connective tissue graft procedure (including donor and recipient surgical sites) first tooth, implant or edentulous tooth position in graft
autogenous connective tissue graft procedure (including donor and recipient surgical sites) — each additional contiguous tooth,implant or edentulous tooth position in same graft site
non-autogenous connective tissue graft (including recipient site and donor material) first tooth, implant, or edentulous tooth position in graft
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
mesial/distal wedge procedure, single tooth (when not performed in conjunction with surgical procedures in the same anatomical area)
combined connective tissue and pedicle graft, per tooth
free soft tissue graft procedure (including recipient and donor surgical sites) first tooth, implant, or edentulous tooth position in graft
free soft tissue graft procedure (including recipient and donor surgical sites) each additional contiguous tooth, implant, or edentulous tooth position in same graft site
gingival flap procedure, including root planing — four or more contiguous teeth or tooth bounded spaces per quadrant
gingival flap procedure, including root planing — one to three contiguous teeth or tooth bounded spaces per quadrant
apically positioned flap

Non-Surgical Periodontal Service

Splint¶

splint — intra-coronal; natural teeth or prosthetic crowns
splint — extra-coronal; natural teeth or prosthetic crowns

Scaling¶

periodontal scaling and root planing — four or more teeth per quadrant
periodontal scaling and root planing — one to three teeth per quadrant
scaling in presence of generalized moderate or severe gingival inflammation — full mouth, after oral evaluation
full mouth debridement to enable a comprehensive periodontal evaluation and diagnosis on a subsequent visit
localized delivery of antimicrobial agents via a controlled release vehicle into diseased crevicular tissue, per tooth

Other Periodontal Services - periodontal maintenance - unscheduled dressing change (by someone other than treating dentist or their staff) - gingival irrigation with a medicinal agent — per quadrant - unspecified periodontal procedure, by report

prosthodontics removable ¶

Complete Dentures¶

complete denture — maxillary
complete denture — mandibular
immediate denture — maxillary
immediate denture — mandibular

Partial Dentures¶

maxillary partial denture — resin base (including retentive/ clasping materials,rests, and teeth)
mandibular partial denture — resin base (including retentive/clasping materials,rests, and teeth)
maxillary partial denture — cast metal framework with resin denture bases (including retentive/clasping materials, rests and teeth)
mandibular partial denture — cast metal framework with resin denture bases (including retentive/clasping materials, rests and teeth)
maxillary partial denture — flexible base (including retentive/clasping materials, rests, and teeth)
mandibular partial denture — flexible base (including retentive/clasping materials, rests, and teeth)
immediate maxillary partial denture — resin base (including retentive/clasping materials, rests and teeth)
immediate mandibular partial denture — resin base (including retentive/clasping materials, rests and teeth)
immediate maxillary partial denture — cast metal framework with resin denture bases (including retentive/clasping materials,rests and teeth)
immediate mandibular partial denture — cast metal framework
with resin denture bases (including retentive/clasping materials,rests and teeth)
immediate maxillary partial denture — flexible base(including any clasps, rests and teeth)
immediate mandibular partial denture — flexible base(including any clasps, rests and teeth)
removable unilateral partial denture — one piece cast metal(including retentive/clasping materials, rests, and teeth),maxillary
removable unilateral partial denture — one piece cast metal(including retentive/clasping materials, rests, and teeth),mandibular
removable unilateral partial denture — one piece flexible base
(including retentive/clasping materials, rests, and teeth) —per quadrant
removable unilateral partial denture — one piece resin (including
retentive/clasping materials, rests, and teeth) — per quadrant

Adjustments to Dentures - adjust complete denture — maxillary - adjust complete denture — mandibular - adjust partial denture — maxillary - adjust partial denture — mandibular

Repairs to Complete Dentures - repair broken complete denture base, mandibular - repair broken complete denture base, maxillary - replace missing or broken teeth — complete denture (each tooth)

Repairs to Partial Dentures - repair resin partial denture base, mandibular - repair resin partial denture base, maxillary - repair cast partial framework, mandibular - repair cast partial framework, maxillary - repair or replace broken retentive/clasping materials — per tooth - replace broken teeth — per tooth - add tooth to existing partial denture - add clasp to existing partial denture — per tooth - replace all teeth and acrylic on cast metal framework (maxillary) - replace all teeth and acrylic on cast metal framework (mandibular)

Denture Rebase Procedures - rebase — process of refitting a denture by replacing the base material. - rebase complete maxillary denture - rebase complete mandibular denture - rebase maxillary partial denture - rebase mandibular partial denture - rebase hybrid prosthesis - Replacing the base material connected to the framework.

Denture Reline Procedures

reline complete maxillary denture (direct)
reline complete mandibular denture (direct)
reline maxillary partial denture (direct)
reline mandibular partial denture (direct)
reline complete maxillary denture (indirect)
reline complete mandibular denture (indirect)
reline maxillary partial denture (indirect)
reline mandibular partial denture (indirect)

Interim Prosthesis - interim complete denture (maxillary) - interim complete denture (mandibular) - interim partial denture (including retentive/clasping materials,rests, and teeth), maxillary - interim partial denture (including retentive/clasping materials,rests, and teeth), mandibular

Other Removable Prosthetic Services - soft liner for complete or partial removable denture-— indirect - tissue conditioning, maxillary - tissue conditioning, mandibular

precision attachment, by report
overdenture — complete maxillary
overdenture — partial maxillary
overdenture — complete mandibular
overdenture — partial mandibular
replacement of replaceable part of semi-precision or precision attachment, per attachment
modification of removable prosthesis following implant surgery
add metal substructure to acrylic full denture (per arch)
unspecified removable prosthodontic procedure, by report

Implant ¶

Pre-Surgical Services - radiographic/surgical implant index, by report

Surgical Implant Services¶

surgical placement of implant body: endosteal implant
surgical access to an implant body (second stage implant surgery)
surgical placement of interim implant body for transitional prosthesis: endosteal implant
surgical placement of mini implant
surgical placement: eposteal implant
surgical placement: transosteal implant
surgical removal of implant body
debridement of a peri-implant defect or defects surrounding a single implant, and surface cleaning of the exposed implant surfaces, including flap entry and closure
debridement and osseous contouring of a peri-implant defect or defects surrounding a single implant and includes surface cleaning of the exposed implant surfaces, including flap entry and closure
bone graft for repair of peri-implant defect — does not include flap entry and closure
bone graft at time of implant placement
removal of implant body not requiring bone removal or flap elevation
guided tissue regeneration — resorbable barrier, per implant
guided tissue regeneration — non-resorbable barrier, per implant

Implant Supported Prosthetics Supporting Structures - connecting bar — implant supported or abutment supported - prefabricated abutment -— includes modification and placement - custom fabricated abutment — includes placement - interim implant abutment placement - semi-precision abutment — placement - semi-precision attachment — placement

Implant/Abutment Supported Removable Dentures - implant/abutment supported removable denture for edentulous - arch — maxillary - implant/abutment supported removable denture for edentulous - arch — mandibular - implant/abutment supported removable denture for partially - edentulous arch — maxillary - implant/abutment supported removable denture for partially - edentulous arch — mandibular - Implant/Abutment Supported Fixed Dentures (Hybrid Prosthesis) - implant/abutment supported fixed denture for edentulous arch — maxillary - implant/abutment supported fixed denture for edentulous arch — mandibular - implant/abutment supported fixed denture for partially edentulous arch — maxillary - implant/abutment supported fixed denture for partially edentulous arch — mandibular - implant/abutment supported interim fixed denture for edentulous arch — mandibular - implant/abutment supported interim fixed denture for edentulous arch — maxillary

Single crown¶

Single Crowns, Abutment Supported - abutment supported porcelain/ceramic crown - abutment supported porcelain fused to metal crown (high noble metal) - abutment supported porcelain fused to metal crown (predominantly base metal) - abutment supported porcelain fused to metal crown (noble metal) - abutment supported crown — porcelain fused to titanium or titanium alloys - abutment supported cast metal crown (high noble metal) - abutment supported cast metal crown (predominantly base metal) - abutment supported cast metal crown (noble metal) - abutment supported crown-— titanium and titanium alloys

Single Crowns, Implant Supported - implant supported porcelain/ceramic crown - implant supported crown — porcelain fused to high noble alloys - implant supported crown —porcelain fused to predominantly base alloys - implant supported crown — porcelain fused to noble alloys - implant supported crown — porcelain fused to titanium or titanium alloys - implant supported crown —high noble alloys - implant supported crown — predominantly base alloys - implant supported crown — noble alloys - implant supported crown — titanium and titanium alloys

Fixed partial denture retainers-implant¶

Fixed Partial Denture (FPD) Retainer, Abutment Supported - abutment supported retainer for porcelain/ceramic FPD - abutment supported retainer for porcelain fused to metal FPD(high noble metal) - abutment supported retainer for porcelain fused to metal FPD (predominantly base metal) - abutment supported retainer for porcelain fused to metal FPD (noble metal) - abutment supported retainer — porcelain fused to titanium and titanium alloys - abutment supported retainer for cast metal FPD (high noble metal) - abutment supported retainer for cast metal FPD (predominantly base metal) - abutment supported retainer for cast metal FPD (noble metal) - abutment supported retainer crown for FPD — titanium and titanium alloys

Fixed Partial Denture (FPD) Retainer, Implant Supported - implant supported porcelain/ceramic crown - implant supported crown — porcelain fused to high noble alloys - implant supported crown —porcelain fused to predominantly base alloys. - implant supported crown — porcelain fused to noble alloys - implant supported crown — porcelain fused to titanium or titanium alloys - implant supported crown —high noble alloys - implant supported crown — predominantly base alloys - implant supported crown — noble alloys - implant supported crown — titanium and titanium alloys

Fixed Partial Denture (FPD) Retainer, Abutment Supported - abutment supported retainer for porcelain/ceramic FPD - abutment supported retainer for porcelain fused to metal FPD (high noble metal) - abutment supported retainer for porcelain fused to metal FPD (predominantly base metal) - abutment supported retainer for porcelain fused to metal FPD(noble metal) - abutment supported retainer — porcelain fused to titanium and titanium alloys - abutment supported retainer for cast metal FPD (high noble metal) - abutment supported retainer for cast metal FPD (predominantlybase metal) - abutment supported retainer for cast metal FPD (noble metal) - abutment supported retainer crown for FPD — titanium and titanium alloys

Fixed Partial Denture (FPD) Retainer, Implant Supported - implant supported retainer for ceramic FPD - implant supported retainer for FPD — porcelain fused to high noble alloys - implant supported retainer — porcelain fused to predominantly base alloys - implant supported retainer for FPD — porcelain fused to noble alloys - implant supported retainer — porcelain fused to titanium and titanium alloys - implant supported retainer for metal FPD — high noble alloys - implant supported retainer for metal FPD — predominantly base alloys - implant supported retainer for metal FPD — noble alloys - implant supported retainer for metal FPD — titanium and titanium alloys

Other Implant Services - implant maintenance procedures when prostheses are removed and reinserted, including cleansing of prostheses and abutments - scaling and debridement in the presence of inflammation or mucositis of a single implant, including cleaning of the implant surfaces, without flap entry and closure - interim implant crown - repair implant supported prosthesis, by report - replacement of replaceable part of semi-precision or precision attachment of implant/abutment supported prosthesis,per attachment - re-cement or re-bond implant/abutment supported crown - re-cement or re-bond implant/abutment supported fixed partial denture - repair implant abutment, by report - remove broken implant retaining screw - replacement of restorative material used to close an access opening of a screw-retained implant supported prosthesis, per implant - remove interim implant component - Removal of implant component (e.g., interim abutment; provisional implant crown) originally placed for a specific clinical purpose and period of time determined by the dentist. - unspecified implant procedure, by report

prosthodontics -fixed ¶

Fixed Partial Denture-Pontics¶

pontic — indirect resin based composite
pontic — cast high noble metal
pontic — cast predominantly base metal
pontic — cast noble metal
pontic — titanium and titanium alloys
pontic — porcelain fused to high noble metal
pontic — porcelain fused to predominantly base metal
pontic — porcelain fused to noble metal
pontic — porcelain fused to titanium and titanium alloys
pontic — porcelain/ceramic
pontic — resin with high noble metal
pontic — resin with predominantly base metal
pontic — resin with noble metal
interim pontic — further treatment or completion of diagnosis necessary prior to final impression

Fixed Partial Denture Retainers — Inlays/Onlays¶

retainer — cast metal for resin bonded fixed prosthesis
retainer — porcelain/ceramic for resin bonded fixed prosthesis
resin retainer — for resin bonded fixed prosthesis
retainer inlay — porcelain/ceramic, two surfaces
retainer inlay — porcelain/ceramic, three or more surfaces
retainer inlay — cast high noble metal, two surfaces
retainer inlay — cast high noble metal, three or more surfaces
retainer inlay — cast predominantly base metal, two surfaces
retainer inlay — cast predominantly base metal, three or more surfaces
retainer inlay — cast noble metal, two surfaces
retainer inlay — cast noble metal, three or more surfaces
retainer inlay — titanium
retainer onlay — porcelain/ceramic, two surfaces
retainer onlay — porcelain/ceramic, three or more surfaces
retainer onlay — cast high noble metal, two surfaces
retainer onlay — cast high noble metal, three or more surfaces
retainer onlay — cast predominantly base metal, two surfaces
retainer onlay — cast predominantly base metal, three or more surfaces
retainer onlay — cast noble metal, two surfaces
retainer onlay — cast noble metal, three or more surfaces
retainer onlay — titanium

Fixed Partial Denture Retainers — Crowns¶

D6710 retainer crown -— indirect resin based composite
D6720_ retainer crown —resin with high noble metal
D6721 retainer crown -— resin with predominantly base metal
D6722 retainer crown —resin with noble metal
D6740_ retainer crown — porcelain/ceramic
D6750_ retainer crown — porcelain fused to high noble metal
D6751 _ retainer crown — porcelain fused to predominantly base metal
D6752_ retainer crown — porcelain fused to noble metal
D6753_ retainer crown -— porcelain fused to titanium and titanium alloys
D6780 retainer crown — % cast high noble metal
D6781 retainer crown — % cast predominantly base metal
D6782 retainer crown — % cast noble metal
D6783_ retainer crown — % porcelain/ceramic
D6784_ retainer crown % — titanium and titanium alloys
D6790 retainer crown -full cast high noble metal
D6791_ retainer crown —full cast predominantly base metal
D6792_ retainer crown —full cast noble metal
D6794_ retainer crown — titanium and titanium alloys
D6793 interim retainer crown — further treatment or completion of diagnosis necessary prior to final impression

Fixed Partial Denture Services¶

connector bar
re-cement or re-bond fixed partial denture
stress breaker
A non-rigid connector.
precision attachment
fixed partial denture repair necessitated by restorative material failure
pediatric partial denture, fixed
unspecified fixed prosthodontic procedure, by report

Oral maxillofacial ¶

Extractions¶

extraction, coronal remnants — primary tooth
extraction, erupted tooth or exposed root (elevation and/or forceps removal)
extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated
removal of impacted tooth — soft tissue
removal of impacted tooth — partially bony
removal of impacted tooth — completely bony
removal of impacted tooth — completely bony, with unusual surgical complications
removal of residual tooth roots (cutting procedure)
coronectomy-— intentional partial tooth removal, impacted teeth only

Other Surgical Procedures

oroantral fistula closure
primary closure of a sinus perforation
repair, or immediate closure of oroantral or oralnasal communication in absence of fistulous tract.
tooth re-implantation and/or stabilization of accidentally evulsed or displaced tooth
tooth transplantation (includes re-implantation from one site to another and splinting and/or stabilization)
exposure of an unerupted tooth
mobilization of erupted or malpositioned tooth to aid eruption
placement of device to facilitate eruption of impacted tooth
Placement of an attachment on an unerupted tooth, after its exposure, to aid in its eruption.
incisional biopsy of oral tissue — hard (bone, tooth)
incisional biopsy of oral tissue — soft
exfoliative cytological sample collection
brush biopsy — transepithelial sample collection
surgical repositioning of teeth
transseptal fiberotomy/supra crestal fiberotomy, by report
placement of temporary anchorage device [screw retained plate]requiring flap
removal of temporary anchorage device [screw retained plate],requiring flap
placement of temporary anchorage device requiring flap
removal of temporary anchorage device, requiring flap
placement of temporary anchorage device without flaRemoval of temporary anchorage device without flap
harvest of bone for use in autogenous grafting procedure

Corticotomy¶

corticotomy —one to three teeth or tooth spaces, per quadrant
corticotomy — four or more teeth or tooth spaces, per quadrant

Alveolplasty¶

Alveoloplasty — Preparation of Ridge
alveoloplasty in conjunction with extractions — four or more teeth or tooth spaces, per quadrant
alveoloplasty in conjunction with extractions — one to three teeth or tooth spaces, per quadrant
alveoloplasty not in conjunction with extractions — four or more teeth or tooth spaces, per quadrant
alveoloplasty not in conjunction with extractions — one to three teeth or tooth spaces, per quadrant

Vestibuloplasty¶

vestibuloplasty — ridge extension (secondary epithelialization)
vestibuloplasty — ridge extension (including soft tissue grafts, muscle reattachment, revision of soft tissue attachment and management of hypertrophied and hyperplastic tissue)

Excision¶

Excision of Soft Tissue Lesions - excision of benign lesion up to 1.25 cm - excision of benign lesion greater than 1.25 cm - excision of benign lesion, complicated - excision of malignant lesion up to 1.25 cm - excision of malignant lesion greater than 1.25 cm - excision of malignant lesion, complicated

Excision of Intra-Osseous Lesions - excision of malignant tumor — lesion diameter up to 1.25 cm - excision of malignant tumor — lesion diameter greater than 1.25 cm - removal of benign odontogenic cyst or tumor — lesion diameter up to 1.25 cm - removal of benign odontogenic cyst or tumor — lesion diameter greater than 1.25 cm - removal of benign nonodontogenic cyst or tumor — lesion diameter up to 1.25 cm - removal of benign nonodontogenic cyst or tumor — lesion diameter greater than 1.25 cm

Excision of Bone Tissue - removal of lateral exostosis (maxilla or mandible) - removal of torus palatinus - removal of torus mandibularis - reduction of osseous tuberosity - radical resection of maxilla or mandible - Partial resection of maxilla or mandible; removal of lesion and defect with margin of normal appearing bone. Reconstruction and bone grafts should be reported separately.

Surgical Incision¶

marsupialization of odontogenic cyst
incision and drainage of abscess — intraoral soft tissue
incision and drainage of abscess-— intraoral soft tissue —complicated (includes drainage of multiple fascial spaces)
incision and drainage of abscess — extraoral soft tissue Involves incision through skin.
incision and drainage of abscess — extraoral soft tissue —complicated (includes drainage of multiple fascial spaces)
removal of foreign body from mucosa, skin, or subcutaneous alveolar tissue
removal of reaction producing foreign bodies, musculoskeletal system
partial ostectomy/sequestrectomy for removal of non-vital bone
maxillary sinusotomy for removal of tooth fragment or foreign body

Treatment of Closed Fractures - maxilla — open reduction (teeth immobilized, if present) - maxilla — closed reduction (teeth immobilized, if present) - mandible — open reduction (teeth immobilized, if present) - mandible — closed reduction (teeth immobilized, if present) - malar and/or zygomatic arch — open reduction - malar and/or zygomatic arch — closed reduction - alveolus — closed reduction, may include stabilization of teeth - alveolus — open reduction, may include stabilization of teeth - facial bones — complicated reduction with fixation and multiple surgical approaches - Reduction of Dislocation and Management of Other Temporomandibular Joint Dysfunctions - open reduction of dislocation - closed reduction of dislocation - manipulation under anesthesia - condylectomy - surgical discectomy, with/without implant - disc repair - synovectomy - myotomy - joint reconstruction - arthrotomy - arthroplasty - arthrocentesis - non-arthroscopic lysis and lavage - arthroscopy — diagnosis, with or without biopsy - arthroscopy: lavage and lysis of adhesions - arthroscopy: disc repositioning and stabilization - arthroscopy: synovectomy - arthroscopy: discectomy - arthroscopy: debridement

occlusal orthotic device, by report
D7881 occlusal orthotic device adjustment
D7899 unspecified TMD therapy, by report
Repair of Traumatic Wounds
D7910 suture of recent small wounds up to 5 cm

Suturing¶

(Reconstruction Requiring Delicate Handling of Tissues and Wide Undermining for Meticulous Closure)

D7911 complicated suture — up to 5 cm
D7912 complicated suture — greater than 5 cm Other Repair Proceed
D7920_ skin graft (identify defect covered, location and type of graft)
D7921 collection and application of autologous blood concentrate product
D7922 placement of intra-socket biological dressing to aid in hemostasis or clot stabilization, per site
D7940 _ osteoplasty — for orthognathic deformities a
D7941 osteotomy — mandibular rami
D7943 osteotomy — mandibular rami with bone graft; includes obtaining the graft
osteotomy — segmented or subapical
osteotomy — body of mandible
LeFort | (maxilla — total)
LeFort | (maxilla — segmented)
LeFort Il or LeFort Ill (osteoplasty of facial bones for midface hypoplasia or retrusion) — without bone graft
LeFort Il or LeFort Ill — with bone graft
osseous, osteoperiosteal, or cartilage graft of the mandible or maxilla — autogenous or nonautogenous, by report
sinus augmentation with bone or bone substitutes via a lateral open approach
sinus augmentation via a vertical approach
bone replacement graft for ridge preservation — per site
repair of maxillofacial soft and/or hard tissue defect
guided tissue regeneration, edentulous area — resorbable barrier, per site
guided tissue regeneration, edentulous area — non-resorbable barrier, per site
buccal / labial frenectomy (frenulectomy)
lingual frenectomy (frenulectomy)
frenuloplasty
Excision of frenum with accompanying excision or repositioning of aberrant muscle and z-plasty or other local flap closure.
excision of hyperplastic tissue — per arch
excision of pericoronal gingiva
Removal of inflammatory or hypertrophied tissues surrounding partially erupted/impacted teeth.
surgical reduction of fibrous tuberosity
non —surgical sialolithotomy
surgical sialolithotomy
excision of salivary gland, by report
sialodochoplasty
closure of salivary fistula
emergency tracheotomy
coronoidectomy
surgical placement of craniofacial implant — extra oral
surgical placement: zygomatic implant
synthetic graft — mandible or facial bones, by report
implant-mandible for augmentation purposes (excluding alveolar ridge), by report
appliance removal (not by dentist who placed appliance),.includes removal of archbar
intraoral placement of a fixation device not in conjunction with a fracture
unspecified oral surgery procedure, by report

Orthodontics ¶

Limited Orthodontic Treatment - D8010 limited orthodontic treatment of the primary dentition - D8020 limited orthodontic treatment of the transitional dentition - D8030 limited orthodontic treatment of the adolescent dentition - D8040 limited orthodontic treatment of the adult dentition

Comprehensive Orthodontic Treatment - comprehensive orthodontic treatment of the transitional dentition - comprehensive orthodontic treatment of the adolescent dentition - comprehensive orthodontic treatment of the adult dentition

Minor Treatment to Control Harmful Habits - removable appliance therapy - Removable indicates patient can remove; includes appliances for thumb sucking and tongue thrusting. - fixed appliance therapy - Fixed indicates patient cannot remove appliance; includes appliances for thumb sucking and tongue thrusting.

Other Orthodontic Services - pre-orthodontic treatment examination to monitor growth and development - periodic orthodontic treatment visit - orthodontic retention (removal of appliances, construction and placement of retainer(s)) - removable orthodontic retainer adjustment - removal of fixed orthodontic appliances for reasons other than - completion of treatment - repair of orthodontic appliance — maxillary - repair of orthodontic appliance — mandibular - re-cement or re-bond fixed retainer — maxillary - re-cement or re-bond fixed retainer — mandibular - repair of fixed retainer, includes reattachment — maxillary - repair of fixed retainer, includes reattachment — mandibular - replacement of lost or broken retainer — maxillary - replacement of lost or broken retainer — mandibular

Maxillofacial prosthesis ¶

adjust maxillofacial prosthetic appliance, by report maintenance and cleaning of a maxillofacial prosthesis (extra-or intra-oral) other than required adjustments, by report

auricular prosthesis Synonymous terminology: artificial ear, ear prosthesis.
auricular prosthesis, replacement Synonymous terminology: replacement ear.
commissure splint Synonymous terminology: lip splint.
cranial prosthesis Synonymous terminology: Skull plate, cranioplasty prosthesis,
facial augmentation implant prosthesis Synonymous terminology: facial implant.
facial moulage (complete) Synonymous terminology: facial impression
facial moulage (sectional)
facial prosthesis Synonymous terminology: prosthetic dressing.
facial prosthesis, replacement
feeding aid Synonymous terminology: feeding prosthesis.
mandibular resection prosthesis with guide flange Synonymous terminology: resection device, resection appliance.
mandibular resection prosthesis without guide flange
nasal prosthesis Synonymous terminology: artificial nose.
nasal prosthesis, replacement Synonymous terminology: replacement nose.
nasal septal prosthesis Synonymous terminology: Septal plug, septal button.
obturator prosthesis, definitive Synonymous terminology: obturator.
obturator prosthesis, interim Synonymous terminology: immediate postoperative obturator.
obturator prosthesis, modification Synonymous terminology: adjustment, denture adjustment, temporary or office reline.
obturator prosthesis, surgical Synonymous terminology: Obturator, surgical stayplate, immediate temporary obturator.
ocular prosthesis Synonymous terminology: artificial eye, glass eye.
ocular prosthesis, interim
orbital prosthesis
orbital prosthesis, replacement
palatal augmentation prosthesis Synonymous terminology: superimposed prosthesis, maxillary glossectomy prosthesis, maxillary speech prosthesis, palatal drop prosthesis. A removable prosthesis which alters the hard and/or soft palate’s topographical form adjacent to the tongue.
palatal lift prosthesis, definitive
palatal lift prosthesis, interim Synonymous terminology: diagnostic palatal lift. A prosthesis which elevates and assists in restoring soft palate function which may be lost due to clefting, surgery, trauma or unknown paralysis. It is intended for interim use to determine its usefulness in achieving palatalpharyngeal competency or enhance swallowing reflexes. This prosthesis is intended for interim use as a diagnostic aid to assess the level of possible improvement in speech intelligibility. Some clinicians believe use of a palatal lift on an interim basis may stimulate an otherwise flaccid soft palate to increase functional activity, subsequently lessening its need.
palatal lift prosthesis, modification Synonymous terminology: revision of lift, adjustment. Alterations in the adaptation, contour, form or function of an existing palatal lift necessitated due to tissue impingement, lack of function, poor clasp adaptation or the like.
radiation cone locator Synonymous terminology: docking device, cone locator. A prosthesis utilized to direct and reduplicate the path of radiation to an oral tumor during a split course of irradiation.
radiation shield Synonymous terminology: radiation stent, tongue protector, lead shield. An intraoral prosthesis designed to shield adjacent tissues from radiation during orthovoltage treatment of malignant lesions of the head and neck region.
speech aid prosthesis, adult Synonymous terminology: prosthetic speech appliance, speech aid, speech bulb. A definitive prosthesis, which can improve speech in adult cleft palate patients either by obturating (sealing off) a palatal cleft or fistula, or occasionally by assisting an incompetent soft palate. Both mechanisms are necessary to achieve velopharyngeal competency. Generally, this prosthesis is fabricated when no further growth is anticipated and the objective is to achieve long-term use. Hence, more precise materials and techniques are utilized. Occasionally such procedures are accomplished in conjunction with precision attachments in crown work undertaken on some or all maxillary teeth to achieve improved aesthetics.
speech aid prosthesis, modification Synonymous terminology: adjustment, repair, revision. Any revision of a pediatric or adult speech aid not necessitating Its replacement. Frequently, revisions of the obturating section of any speech aid are required to facilitate enhanced speech intelligibility. Such revisions or repairs do not require complete remaking of the prosthesis, thus extending its longevity.
speech aid prosthesis, pediatric Synonymous terminology: nasopharyngeal obturator, speech appliance, obturator, cleft palate appliance, prosthetic speech aid, speech bulb. A temporary or interim prosthesis used to close a defect in the hard and/ or soft palate. It may replace tissue lost due to developmental or surgical alterations. It is necessary for the production of intelligible speech. Normal lateral growth of the palatal bones necessitates occasional replacement of this prosthesis. Intermittent revisions of the obturator section can assist in maintenance of palatalpharyngeal closure (termed a speech aid prosthesis modification). Frequently, such prostheses are not fabricated before the deciduous dentition is fully erupted since clasp retention is often essential.
.surgical splint Synonymous terminology: Gunning splint, modified Gunning splint, labiolingual splint, fenestrated splint, Kingsley splint, cast metal splint. Splints are designed to utilize existing teeth and/or alveolar processes as points of anchorage to assist in stabilization and immobilization of broken bones during healing. They are used to re-establish, as much as possible, normal occlusal relationships during the process of immobilization. Frequently, existing prostheses (é.g., a patient’s complete dentures) can be modified to serve as surgical splints. Frequently, surgical splints have arch bars added to facilitate intermaxillary fixation. Rubber elastics may be used to assist in this process. Circummandibular eyelet hooks can be utilized Tor enhanced stabilization with wiring to adjacent bone.
surgical stent Synonymous terminology: periodontal stent, skin graft stent,
columellar stent. Stents are utilized to apply pressure to soft tissues to facilitate healing and prevent cicatrization or collapse. A surgical stent may be required in surgical and post-surgical revisions to achieve close approximation of tissues. Usually such materials as temporary or interim soft denture liners, gutta percha, or dental modeling impression compound may be used.
trismus appliance (not for TMD treatment) Synonymous terminology: occlusal device for mandibular trismus
dynamic bite opener. A prosthesis, which assists the patient in increasing their oral aperture width in order to eat as well as maintain oral hygiene. Several versions and designs are possible, all intending to ease the severe lack of oral opening experienced by many patients immediately following extensive intraoral surgical procedures.

Carriers

fluoride gel carrier Synonymous terminology: fluoride applicator. A prosthesis, which covers the teeth in either dental arch and Is used to apply topical fluoride in close proximity to tooth enamel and dentin for several minutes daily.

Maxillofacial Prosthetics - periodontal medicament carrier with peripheral seal —laboratory processed — maxillary A custom fabricated, laboratory processed carrier for the maxillary arch that covers the teeth and alveolar mucosa. Used as a vehicle to deliver prescribed medicaments for sustained contact with the gingiva, alveolar mucosa, and into the periodontal sulcus or pocket.

periodontal medicament carrier with peripheral seal —laboratory processed — mandibular A custom fabricated, laboratory processed carrier for the mandibular arch that covers the teeth and alveolar mucosa. Used as a vehicle to deliver prescribed medicaments for sustained contact with the gingiva, alveolar mucosa, and into the periodontal sulcus or pocket.
radiation carrier Synonymous terminology: radiotherapy prosthesis, carrier prosthesis, radiation applicator, radium carrier, intracavity carrier, intracavity applicator. A device used to administer radiation to confined areas by means of capsules, beads or needles of radiation emitting materials such as radium or cesium. Its function is to hold the radiation source securely in the same location during the entire period of treatment. Radiation oncologists occasionally request these devices to achieve close approximation and controlled application of radiation to a tumor deemed amiable to eradication.
vesiculobullous disease medicament carrier A custom fabricated carrier that covers the teeth and alveolar mucosa, or alveolar mucosa alone, and Is used to deliver prescription medicaments for treatment of immunologically mediated vesiculobullous diseases. unspecified maxillofacial prosthesis, by report Used for a procedure that is not adequately described by a code. Describe the procedure.

General service ¶

Unclassified Treatment - D9110 palliative treatment of dental pain — per visit Treatment that relieves pain but is not curative; services provided do not have distinct procedure codes. - D9120_ fixed partial denture sectioning Separation of one or more connections between abutments and/ or pontics when some portion of a fixed prosthesis is to remain intact and serviceable following sectioning and extraction or other treatment. Includes all recontouring and polishing of retained portions. - D9130 temporomandibular joint dysfunction — non-invasive physical therapies Therapy including but not limited to massage, diathermy, ultrasound, or cold application to provide relief from muscle spasms, inflammation Or pain, intending to improve freedom of motion and joint function. This should be reported on a per session basis.

Anesthesia¶

D9210 local anesthesia not in conjunction with operative or surgical procedures
D9211 regional block anesthesia
D9212 trigeminal division block anesthesia
D9215 local anesthesia in conjunction with operative or surgical procedures
D9219 evaluation for moderate sedation, deep sedation or general anesthesia
D9222 deep sedation/general anesthesia — first 15 minutes
D9223 deep sedation/general anesthesia — each subsequent 15 minute increment
D9230 inhalation of nitrous oxide/analgesia, anxiolysis
D9239 intravenous moderate (conscious) sedation/analgesia —first 15 minutes Anesthesia time begins when the doctor administering the anesthetic agent initiates the appropriate anesthesia and non-invasive monitoring protocol and remains in continuous attendance of the patient. Anesthesia services are considered completed when the patient may be safely left under the observation of trained personnel and the doctor may safely leave the room to attend to other patients or duties. The level of anesthesia is determined by the anesthesia provider’s documentation of the anesthetic effects upon the central nervous system and not dependent upon the route of administration.
D9243 intravenous moderate (conscious) sedation/analgesia — each subsequent 15 minute increment
D9248_ non-intravenous conscious sedation This includes non-|lV minimal and moderate sedation. A medically controlled state of depressed consciousness while maintaining the patient’s airway, protective reflexes and the ability to respond to stimulation or verbal commands. It includes non- intravenous administration of sedative and/or analgesic agent(s) and appropriate monitoring. The level of anesthesia is determined by the anesthesia provider’s documentation of the anesthetic’s effects upon the central nervous system and not dependent upon the route of administration.

Professional Consultation - D9310 consultation — diagnostic service provided by dentist or physician other than requesting dentist or physician A patient encounter with a practitioner whose opinion or advice regarding evaluation and/or management of a specific problem; may be requested by another practitioner or appropriate source. The consultation includes an oral evaluation. The consulted practitioner may initiate diagnostic and/or therapeutic services. - D9311 consultation with a medical health care professional Treating dentist consults with a medical health care professional concerning medical issues that may affect patient’s planned dental treatment.

Professional Visits

house/extended care facility call Includes visits to nursing homes, long-term care facilities, hospice sites, institutions, etc. Report in addition to reporting appropriate code numbers for actual services performed.
hospital or ambulatory surgical center call Care provided outside the dentist’s office to a patient who is ina hospital or ambulatory surgical center. Services delivered to the patient on the date of service are documented separately using the applicable procedure codes.
office visit for observation (during regularly scheduled hours) — no other services performed
office visit — after regularly scheduled hours
case presentation, subsequent to detailed and extensive treatment planning

Drugs¶

therapeutic parenteral drug, single administration Includes single administration of antibiotics, steroids, anti-inflammatory drugs, or other therapeutic medications. This code should not be used to report administration of sedative, anesthetic or reversal agents.
therapeutic parenteral drugs, two or more administrations, different medications Includes multiple administrations of antibiotics, steroids, anti-intlammatory drugs or other therapeutic medications. This code should not be used to report administration of sedatives, anesthetic or reversal agents. This code should be reported when two or more different medications are necessary and should not be reported in addition to code D9610 on the same date.
infiltration of sustained release therapeutic drug, per quadrant
Infiltration of a sustained release pharmacologic agent for long acting surgical site pain control. Not for local anesthesia purposes. drugs or medicaments dispensed in the office for home use Includes, but is not limited to oral antibiotics, oral analgesics, and topical fluoride; does not include writing prescriptions.

Services¶

D9910 application of desensitizing medicament Includes in-office treatment for root sensitivity. Typically reported on a “per visit” basis for application of topical fluoride. This code is not to be used for bases, liners or adhesives used under restorations.
D9911 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 under restorations.
D9912 _ pre-visit patient screening Capture and documentation of a patient’s health status prior to or on the scheduled date of service to evaluate risk of infectious disease transmission if the patient is to be treated within the dental practice.
D9920 behavior management, by report May be reported in addition to treatment provided. Should be reported In 15-minute increments.
D9930 treatment of complications (post-surgical) — unusual circumstances, by report For example, treatment of a dry socket following extraction or removal of bony sequestrum.
D9932 cleaning and inspection of removable complete denture, maxillary This procedure does not include any adjustments.
D9933 cleaning and inspection of removable complete denture,mandibular This procedure does not include any adjustments.
D9934 cleaning and inspection of removable partial denture, maxillary This procedure does not include any adjustments.
D9935_ cleaning and inspection of removable partial denture, mandibular his procedure does not include any adjustments.
D9941_ fabrication of athletic mouthguard
D9942 repair and/or reline of occlusal guard
D9943_ occlusal guard adjustment

occlusal guard — hard appliance, full arch Removable dental appliance designed to minimize the effects of bruxism or other occlusal factors. Not to be reported for any type of sleep apnea, snoring or TMD appliances. occlusal guard — soft appliance, full arch Removable dental appliance designed to minimize the effects of bruxism or other occlusal factors. Not to be reported for any type of sleep apnea, snoring or TMD appliances. 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 anterior deprogrammer. Not to be reported for any type of sleep apnea, snoring or TMD appliances. custom sleep apnea appliance fabrication and placement adjustment of custom sleep apnea appliance repair of custom sleep apnea appliance reline custom sleep apnea appliance (indirect) Resurface dentition side of appliance with new soft or hard base material as required to restore original form and function. occlusion analysis — mounted case Includes, but is not limited to, facebow, interocclusal records tracings, and diagnostic wax-up; for diagnostic casts, see D0470. occlusal adjustment -— limited May also be known as equilibration; reshaping the occlusal surfaces of teeth to create harmonious contact relationships between the maxillary and mandibular teeth. Presently includes discing/odontoplasty/ enamoplasty. Typically reported ona “per visit” basis. This should not be reported when the procedure only involves bite adjustment in the routine post-delivery care for a direct/indirect restoration or fixed/ removable prosthodontics.

occlusal adjustment — complete Occlusal adjustment may require several appointments of varying length, and sedation may be necessary to attain adequate relaxation of the musculature. Study casts mounted on an articulating instrument may be utilized for analysis of occlusal disharmony. It is designed to achieve functional relationships and masticatory efficiency in conjunction with restorative treatment, orthodontics, orthognathic surgery, or jaw trauma when indicated. Occlusal adjustment enhances the healing potential of tissues affected by the lesions of occlusal trauma. enamel microabrasion The removal of discolored surface enamel defects resulting from altered mineralization or decalcification of the superficial enamel layer. Submit per treatment visit. odontoplasty — per tooth Removal/reshaping of enamel surfaces or projections. external bleaching — per arch — performed in office external bleaching — per tooth internal bleaching — per tooth external bleaching for home application, per arch; includes materials and fabrication of custom trays

Non-clinical procedures

duplicate/copy patient’s records sales tax missed appointment cancelled appointment certified translation or sign-language services — per visit dental case management -— addressing appointment compliance barriers Individualized efforts to assist a patient to maintain scheduled appointments by solving transportation challenges or other barriers.

dental case management-— care coordination Assisting in a patient’s decisions regarding the coordination of oral health care services across multiple providers, provider types, specialty areas of treatment, health care settings, health care organizations and payment systems. This is the additional time and resources expended to provide experience or expertise beyond that possessed by the patient. dental case management -— motivational interviewing Patient-centered, personalized counseling using methods such as Motivational Interviewing (MI) to identify and modify behaviors interfering with positive oral health outcomes. This is a separate service from traditional nutritional or tobacco counseling. dental case management -— patient education to improve oral health literacy Individual, customized communication of information to assist the patient in making appropriate health decisions designed to improve oral health literacy, explained in a manner acknowledging economic circumstances and different cultural beliefs, values, attitudes, traditions and language preferences, and adopting information and services to these differences, which requires the expenditure of time and resources beyond that of an oral evaluation or case presentation. dental case management-— patients with special health care needs Special treatment considerations for patients/individuals with physical, medical, developmental or cognitive conditions resulting in substantial functional limitations or incapacitation, which require that modifications be made to delivery of treatment to provide customized or comprehensive oral health care services. teledentistry — synchronous; real-time encounter Reported in addition to other procedures (e.g., diagnostic) delivered to the patient on the date of service. teledentistry — asynchronous; information stored and forwarded to dentist for subsequent review Reported in addition to other procedures (e.g., diagnostic) delivered to the patient on the date of service. unspecified adjunctive procedure, by report Used for a procedure that is not adequately described by a code. Describe the procedure.