| Package | tiga.health.clinical |
| Type | CodeSystem |
| Id | Id |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=tiga.health.clinical@1.1.0&canonical=https://www.ama-assn.org/cdt |
| Url | https://www.ama-assn.org/cdt |
| Version | 1.1 |
| Status | active |
| Name | CDT, The Code on Dental Procedures and Nomenclature, produced by American Dental Association (ADA) |
| Experimental | False |
| Realm | us |
| Content | complete |
No resources found
No resources found
FHIR{
"resourceType" : "CodeSystem",
"id" : "cdt",
"url" : "https://www.ama-assn.org/cdt",
"name" : "CDT, The Code on Dental Procedures and Nomenclature, produced by American Dental Association (ADA)",
"version" : "1.1",
"status" : "active",
"hierarchyMeaning" : "is-a",
"content" : "complete",
"concept" : [
{
"code" : "CDT",
"display" : "CDT",
"concept" : [
{
"code" : "D0120-D0999",
"display" : "DIAGNOSTIC",
"concept" : [
{
"code" : "D0120-D0180",
"display" : "CLINICAL ORAL EVALUATIONS",
"concept" : [
{
"code" : "D0120",
"display" : "periodic oral evaluation - established patient"
},
{
"code" : "D0140",
"display" : "limited oral evaluation - problem focused"
},
{
"code" : "D0145",
"display" : "oral evaluation for a patient under three years of age and counseling with primary caregiver"
},
{
"code" : "D0150",
"display" : "comprehensive oral evaluation - new or established patient"
},
{
"code" : "D0160",
"display" : "detailed and extensive oral evaluation - problem focused, by report"
},
{
"code" : "D0170",
"display" : "re-evaluation - limited, problem focused (established patient; not post-operative visit)"
},
{
"code" : "D0171",
"display" : "re-evaluation - post-operative office visit"
},
{
"code" : "D0180",
"display" : "comprehensive periodontal evaluation - new or established patient"
}
]
},
{
"code" : "D0190-D0191",
"display" : "PRE-DIAGNOSTIC SERVICES",
"concept" : [
{
"code" : "D0190",
"display" : "screening of a patient"
},
{
"code" : "D0191",
"display" : "assessment of a patient"
}
]
},
{
"code" : "D0210-D0709",
"display" : "DIAGNOSTIC IMAGING",
"concept" : [
{
"code" : "D0210-D0371",
"display" : "IMAGE CAPTURE WITH INTERPRETATION",
"concept" : [
{
"code" : "D0210",
"display" : "intraoral - complete series of radiographic images"
},
{
"code" : "D0220",
"display" : "intraoral - periapical first radiographic image"
},
{
"code" : "D0230",
"display" : "intraoral - periapical each additional radiographic image"
},
{
"code" : "D0240",
"display" : "intraoral - occlusal radiographic image"
},
{
"code" : "D0250",
"display" : "extra-oral - 2D projection radiographic image created using a stationary radiation source, and detector"
},
{
"code" : "D0251",
"display" : "extra-oral posterior dental radiographic image"
},
{
"code" : "D0270",
"display" : "bitewing - single radiographic image"
},
{
"code" : "D0272",
"display" : "bitewings - two radiographic images"
},
{
"code" : "D0273",
"display" : "bitewings - three radiographic images"
},
{
"code" : "D0274",
"display" : "bitewings - four radiographic images"
},
{
"code" : "D0277",
"display" : "vertical bitewings - 7 to 8 radiographic images"
},
{
"code" : "D0310",
"display" : "sialography"
},
{
"code" : "D0320",
"display" : "temporomandibular joint arthrogram, including injection"
},
{
"code" : "D0321",
"display" : "other temporomandibular joint radiographic images, by report"
},
{
"code" : "D0322",
"display" : "tomographic survey"
},
{
"code" : "D0330",
"display" : "panoramic radiographic image"
},
{
"code" : "D0340",
"display" : "2D cephalometric radiographic image - acquisition, measurement and analysis"
},
{
"code" : "D0350",
"display" : "2D oral/facial photographic image obtained intra-orally or extra-orally"
},
{
"code" : "D0351",
"display" : "3D photographic image"
},
{
"code" : "D0364",
"display" : "cone beam CT capture and interpretation with limited field of view - less than one whole jaw"
},
{
"code" : "D0365",
"display" : "cone beam CT capture and interpretation with field of view of one full dental arch - mandible"
},
{
"code" : "D0366",
"display" : "cone beam CT capture and interpretation with field of view of one full dental arch - maxilla, with or without cranium"
},
{
"code" : "D0367",
"display" : "cone beam CT capture and interpretation with field of view of both jaws; with or without cranium"
},
{
"code" : "D0368",
"display" : "cone beam CT capture and interpretation for TMJ series including two or more exposures"
},
{
"code" : "D0369",
"display" : "maxillofacial MRI capture and interpretation"
},
{
"code" : "D0370",
"display" : "maxillofacial ultrasound capture and interpretation"
},
{
"code" : "D0371",
"display" : "sialoendoscopy capture and interpretation"
}
]
},
{
"code" : "D0380-D0709",
"display" : "IMAGE CAPTURE ONLY",
"concept" : [
{
"code" : "D0380",
"display" : "cone beam CT image capture with limited field of view - less than one whole jaw"
},
{
"code" : "D0381",
"display" : "cone beam CT image capture with field of view of one full dental arch - mandible"
},
{
"code" : "D0382",
"display" : "cone beam CT image capture with field of view of one full dental arch - maxilla, with or without cranium"
},
{
"code" : "D0383",
"display" : "cone beam CT image capture with field of view of both jaws; with or without cranium"
},
{
"code" : "D0384",
"display" : "cone beam CT image capture for TMJ series including two or more exposures"
},
{
"code" : "D0385",
"display" : "maxillofacial MRI image capture"
},
{
"code" : "D0386",
"display" : "maxillofacial ultrasound image capture"
},
{
"code" : "D0701",
"display" : "panoramic radiographic image - image capture only"
},
{
"code" : "D0702",
"display" : "2-D cephalometric radiographic image - image capture only"
},
{
"code" : "D0703",
"display" : "2-D oral/facial photographic image obtained intra-orally or extra-orally - image capture only"
},
{
"code" : "D0704",
"display" : "3-D photographic image - image capture only"
},
{
"code" : "D0705",
"display" : "extra-oral posterior dental radiographic image - image capture only"
},
{
"code" : "D0706",
"display" : "intraoral - occlusal radiographic image - image capture only"
},
{
"code" : "D0707",
"display" : "intraoral - periapical radiographic image - image capture only"
},
{
"code" : "D0708",
"display" : "intraoral - bitewing radiographic image - image capture only"
},
{
"code" : "D0709",
"display" : "intraoral - complete series of radiographic images - image capture only"
}
]
},
{
"code" : "D0391-D0391",
"display" : "INTERPRETATION AND REPORT ONLY",
"concept" : [
{
"code" : "D0391",
"display" : "interpretation of diagnostic image by a practitioner not associated with capture of the image, including report"
}
]
},
{
"code" : "D0393-D0395",
"display" : "POST PROCESSING OF IMAGE OR IMAGE SETS",
"concept" : [
{
"code" : "D0393",
"display" : "treatment simulation using 3D image volume"
},
{
"code" : "D0394",
"display" : "digital subtraction of two or more images or image volumes of the same modality"
},
{
"code" : "D0395",
"display" : "fusion of two or more 3D image volumes of one or more modalities"
}
]
}
]
},
{
"code" : "D0411-D0605",
"display" : "TESTS AND EXAMINATIONS",
"concept" : [
{
"code" : "D0411",
"display" : "HbA1c in-office point of service testing"
},
{
"code" : "D0412",
"display" : "blood glucose level test - in-office using a glucose meter"
},
{
"code" : "D0414",
"display" : "laboratory processing of microbial specimen to include culture and sensitivity studies, preparation and transmission of written report"
},
{
"code" : "D0415",
"display" : "collection of microorganisms for culture and sensitivity"
},
{
"code" : "D0416",
"display" : "viral culture"
},
{
"code" : "D0417",
"display" : "collection and preparation of saliva sample for laboratory diagnostic testing"
},
{
"code" : "D0418",
"display" : "analysis of saliva sample"
},
{
"code" : "D0419",
"display" : "assessment of salivary flow by measurement"
},
{
"code" : "D0422",
"display" : "collection and preparation of genetic sample material for laboratory analysis and report"
},
{
"code" : "D0423",
"display" : "genetic test for susceptibility to diseases - specimen analysis"
},
{
"code" : "D0425",
"display" : "caries susceptibility tests"
},
{
"code" : "D0431",
"display" : "adjunctive pre-diagnostic test that aids in detection of mucosal abnormalities including premalignant and malignant lesions, not to include cytology or biopsy procedures"
},
{
"code" : "D0460",
"display" : "pulp vitality tests"
},
{
"code" : "D0470",
"display" : "diagnostic casts"
},
{
"code" : "D0600",
"display" : "non-ionizing diagnostic procedure capable of quantifying, monitoring, and recording changes in structure of enamel, dentin, and cementum"
},
{
"code" : "D0601",
"display" : "caries risk assessment and documentation, with a finding of low risk"
},
{
"code" : "D0602",
"display" : "caries risk assessment and documentation, with a finding of moderate risk"
},
{
"code" : "D0603",
"display" : "caries risk assessment and documentation, with a finding of high risk"
},
{
"code" : "D0604",
"display" : "antigen testing for a public health related pathogen, including coronavirus"
},
{
"code" : "D0605",
"display" : "antibody testing for a public health related pathogen, including coronavirus"
}
]
},
{
"code" : "D0472-D0502",
"display" : "ORAL PATHOLOGY LABORATORY (USE CODES D0472 - D0502)",
"concept" : [
{
"code" : "D0472",
"display" : "accession of tissue, gross examination, preparation and transmission of written report"
},
{
"code" : "D0473",
"display" : "accession of tissue, gross and microscopic examination, preparation and transmission of written report"
},
{
"code" : "D0474",
"display" : "accession of tissue, gross and microscopic examination, including assessment of surgical margins for presence of disease, preparation and transmission of written report"
},
{
"code" : "D0475",
"display" : "decalcification procedure"
},
{
"code" : "D0476",
"display" : "special stains for microorganisms"
},
{
"code" : "D0477",
"display" : "special stains, not for microorganisms"
},
{
"code" : "D0478",
"display" : "immunohistochemical stains"
},
{
"code" : "D0479",
"display" : "tissue in-situ hybridization, including interpretation"
},
{
"code" : "D0480",
"display" : "accession of exfoliative cytologic smears, microscopic examination, preparation and transmission of written report"
},
{
"code" : "D0481",
"display" : "electron microscopy"
},
{
"code" : "D0482",
"display" : "direct immunofluorescence"
},
{
"code" : "D0483",
"display" : "indirect immunofluorescence"
},
{
"code" : "D0484",
"display" : "consultation on slides prepared elsewhere"
},
{
"code" : "D0485",
"display" : "consultation, including preparation of slides from biopsy material supplied by referring source"
},
{
"code" : "D0486",
"display" : "laboratory accession of transepithelial cytologic sample, microscopic examination, preparation and transmission of written report"
},
{
"code" : "D0502",
"display" : "other oral pathology procedures, by report"
}
]
},
{
"code" : "D0999",
"display" : "unspecified diagnostic procedure, by report"
}
]
},
{
"code" : "D1110-D1999",
"display" : "PREVENTIVE",
"concept" : [
{
"code" : "D1110-D1120",
"display" : "DENTAL PROPHYLAXIS",
"concept" : [
{
"code" : "D1110",
"display" : "prophylaxis - adult"
},
{
"code" : "D1120",
"display" : "prophylaxis - child"
}
]
},
{
"code" : "D1206-D1208",
"display" : "TOPICAL FLUORIDE TREATMENT (OFFICE PROCEDURE)",
"concept" : [
{
"code" : "D1206",
"display" : "topical application of fluoride varnish"
},
{
"code" : "D1208",
"display" : "topical application of fluoride - excluding varnish"
}
]
},
{
"code" : "D1310-D1355",
"display" : "OTHER PREVENTIVE SERVICES",
"concept" : [
{
"code" : "D1310",
"display" : "nutritional counseling for control of dental disease"
},
{
"code" : "D1320",
"display" : "tobacco counseling for the control and prevention of oral disease"
},
{
"code" : "D1321",
"display" : "counseling for the control and prevention of adverse oral, behavioral, and systemic health effects associated with high-risk substance use"
},
{
"code" : "D1330",
"display" : "oral hygiene instructions"
},
{
"code" : "D1351",
"display" : "sealant - per tooth"
},
{
"code" : "D1352",
"display" : "preventive resin restoration in a moderate to high caries risk patient - permanent tooth"
},
{
"code" : "D1353",
"display" : "sealant repair - per tooth"
},
{
"code" : "D1354",
"display" : "interim caries arresting medicament application - per tooth"
},
{
"code" : "D1355",
"display" : "caries preventive medicament application - per tooth"
}
]
},
{
"code" : "D1510-D1558",
"display" : "SPACE MAINTENANCE (PASSIVE APPLIANCES)",
"concept" : [
{
"code" : "D1510",
"display" : "space maintainer - fixed, unilateral - per quadrant"
},
{
"code" : "D1516",
"display" : "space maintainer - fixed - bilateral, maxillary"
},
{
"code" : "D1517",
"display" : "space maintainer - fixed - bilateral, mandibular"
},
{
"code" : "D1520",
"display" : "space maintainer - removable, unilateral - per quadrant"
},
{
"code" : "D1526",
"display" : "space maintainer - removable - bilateral, maxillary"
},
{
"code" : "D1527",
"display" : "space maintainer - removable - bilateral, mandibular"
},
{
"code" : "D1551",
"display" : "re-cement or re-bond bilateral space maintainer - maxillary"
},
{
"code" : "D1552",
"display" : "re-cement or re-bond bilateral space maintainer - mandibular"
},
{
"code" : "D1553",
"display" : "re-cement or re-bond unilateral space maintainer - per quadrant"
},
{
"code" : "D1556",
"display" : "removal of fixed unilateral space maintainer - per quadrant"
},
{
"code" : "D1557",
"display" : "removal of fixed bilateral space maintainer - maxillary"
},
{
"code" : "D1558",
"display" : "removal of fixed bilateral space maintainer - mandibular"
}
]
},
{
"code" : "D1575-D1575",
"display" : "SPACE MAINTAINERS",
"concept" : [
{
"code" : "D1575",
"display" : "distal shoe space maintainer - fixed, unilateral - per quadrant"
}
]
},
{
"code" : "D1999",
"display" : "unspecified preventive procedure, by report"
}
]
},
{
"code" : "D2140-D2999",
"display" : "RESTORATIVE",
"concept" : [
{
"code" : "D2140-D2161",
"display" : "AMALGAM RESTORATIONS (INCLUDING POLISHING)",
"concept" : [
{
"code" : "D2140",
"display" : "amalgam - one surface, primary or permanent"
},
{
"code" : "D2150",
"display" : "amalgam - two surfaces, primary or permanent"
},
{
"code" : "D2160",
"display" : "amalgam - three surfaces, primary or permanent"
},
{
"code" : "D2161",
"display" : "amalgam - four or more surfaces, primary or permanent"
}
]
},
{
"code" : "D2330-D2394",
"display" : "RESIN-BASED COMPOSITE RESTORATIONS - DIRECT",
"concept" : [
{
"code" : "D2330",
"display" : "resin-based composite - one surface, anterior"
},
{
"code" : "D2331",
"display" : "resin-based composite - two surfaces, anterior"
},
{
"code" : "D2332",
"display" : "resin-based composite - three surfaces, anterior"
},
{
"code" : "D2335",
"display" : "resin-based composite - four or more surfaces or involving incisal angle (anterior)"
},
{
"code" : "D2390",
"display" : "resin-based composite crown, anterior"
},
{
"code" : "D2391",
"display" : "resin-based composite - one surface, posterior"
},
{
"code" : "D2392",
"display" : "resin-based composite - two surfaces, posterior"
},
{
"code" : "D2393",
"display" : "resin-based composite - three surfaces, posterior"
},
{
"code" : "D2394",
"display" : "resin-based composite - four or more surfaces, posterior"
}
]
},
{
"code" : "D2410-D2430",
"display" : "GOLD FOIL RESTORATIONS",
"concept" : [
{
"code" : "D2410",
"display" : "gold foil - one surface"
},
{
"code" : "D2420",
"display" : "gold foil - two surfaces"
},
{
"code" : "D2430",
"display" : "gold foil - three surfaces"
}
]
},
{
"code" : "D2510-D2664",
"display" : "INLAY/ONLAY RESTORATIONS",
"concept" : [
{
"code" : "D2510",
"display" : "inlay - metallic - one surface"
},
{
"code" : "D2520",
"display" : "inlay - metallic - two surfaces"
},
{
"code" : "D2530",
"display" : "inlay - metallic - three or more surfaces"
},
{
"code" : "D2542",
"display" : "onlay - metallic - two surfaces"
},
{
"code" : "D2543",
"display" : "onlay - metallic - three surfaces"
},
{
"code" : "D2544",
"display" : "onlay - metallic - four or more surfaces"
},
{
"code" : "D2610",
"display" : "inlay - porcelain/ceramic - one surface"
},
{
"code" : "D2620",
"display" : "inlay - porcelain/ceramic - two surfaces"
},
{
"code" : "D2630",
"display" : "inlay - porcelain/ceramic - three or more surfaces"
},
{
"code" : "D2642",
"display" : "onlay - porcelain/ceramic - two surfaces"
},
{
"code" : "D2643",
"display" : "onlay - porcelain/ceramic - three surfaces"
},
{
"code" : "D2644",
"display" : "onlay - porcelain/ceramic - four or more surfaces"
},
{
"code" : "D2650",
"display" : "inlay - resin-based composite - one surface"
},
{
"code" : "D2651",
"display" : "inlay - resin-based composite - two surfaces"
},
{
"code" : "D2652",
"display" : "inlay - resin-based composite - three or more surfaces"
},
{
"code" : "D2662",
"display" : "onlay - resin-based composite - two surfaces"
},
{
"code" : "D2663",
"display" : "onlay - resin-based composite - three surfaces"
},
{
"code" : "D2664",
"display" : "onlay - resin-based composite - four or more surfaces"
}
]
},
{
"code" : "D2710-D2799",
"display" : "CROWNS - SINGLE RESTORATIONS ONLY",
"concept" : [
{
"code" : "D2710",
"display" : "crown - resin-based composite (indirect)"
},
{
"code" : "D2712",
"display" : "crown - � resin-based composite (indirect)"
},
{
"code" : "D2720",
"display" : "crown - resin with high noble metal"
},
{
"code" : "D2721",
"display" : "crown - resin with predominantly base metal"
},
{
"code" : "D2722",
"display" : "crown - resin with noble metal"
},
{
"code" : "D2740",
"display" : "crown - porcelain/ceramic"
},
{
"code" : "D2750",
"display" : "crown - porcelain fused to high noble metal"
},
{
"code" : "D2751",
"display" : "crown - porcelain fused to predominantly base metal"
},
{
"code" : "D2752",
"display" : "crown - porcelain fused to noble metal"
},
{
"code" : "D2753",
"display" : "crown - porcelain fused to titanium and titanium alloys"
},
{
"code" : "D2780",
"display" : "crown - 3/4 cast high noble metal"
},
{
"code" : "D2781",
"display" : "crown - 3/4 cast predominantly base metal"
},
{
"code" : "D2782",
"display" : "crown - 3/4 cast noble metal"
},
{
"code" : "D2783",
"display" : "crown - 3/4 porcelain/ceramic"
},
{
"code" : "D2790",
"display" : "crown - full cast high noble metal"
},
{
"code" : "D2791",
"display" : "crown - full cast predominantly base metal"
},
{
"code" : "D2792",
"display" : "crown - full cast noble metal"
},
{
"code" : "D2794",
"display" : "crown - titanium and titanium alloys"
},
{
"code" : "D2799",
"display" : "provisional crown- further treatment or completion of diagnosis necessary prior to final impression"
}
]
},
{
"code" : "D2910-D2990",
"display" : "OTHER RESTORATIVE SERVICES",
"concept" : [
{
"code" : "D2910",
"display" : "re-cement or re-bond inlay, onlay, veneer or partial coverage restoration"
},
{
"code" : "D2915",
"display" : "re-cement or re-bond indirectly fabricated or prefabricated post and core"
},
{
"code" : "D2920",
"display" : "re-cement or re-bond crown"
},
{
"code" : "D2921",
"display" : "reattachment of tooth fragment, incisal edge or cusp"
},
{
"code" : "D2928",
"display" : "prefabricated porcelain/ceramic crown - permanent tooth"
},
{
"code" : "D2929",
"display" : "prefabricated porcelain/ceramic crown - primary tooth"
},
{
"code" : "D2930",
"display" : "prefabricated stainless steel crown - primary tooth"
},
{
"code" : "D2931",
"display" : "prefabricated stainless steel crown - permanent tooth"
},
{
"code" : "D2932",
"display" : "prefabricated resin crown"
},
{
"code" : "D2933",
"display" : "prefabricated stainless steel crown with resin window"
},
{
"code" : "D2934",
"display" : "prefabricated esthetic coated stainless steel crown - primary tooth"
},
{
"code" : "D2940",
"display" : "protective restoration"
},
{
"code" : "D2941",
"display" : "interim therapeutic restoration - primary dentition"
},
{
"code" : "D2949",
"display" : "restorative foundation for an indirect restoration"
},
{
"code" : "D2950",
"display" : "core buildup, including any pins when required"
},
{
"code" : "D2951",
"display" : "pin retention - per tooth, in addition to restoration"
},
{
"code" : "D2952",
"display" : "post and core in addition to crown, indirectly fabricated"
},
{
"code" : "D2953",
"display" : "each additional indirectly fabricated post - same tooth"
},
{
"code" : "D2954",
"display" : "prefabricated post and core in addition to crown"
},
{
"code" : "D2955",
"display" : "post removal"
},
{
"code" : "D2957",
"display" : "each additional prefabricated post - same tooth"
},
{
"code" : "D2960",
"display" : "labial veneer (resin laminate) - direct"
},
{
"code" : "D2961",
"display" : "labial veneer (resin laminate) - indirect"
},
{
"code" : "D2962",
"display" : "labial veneer (porcelain laminate) - indirect"
},
{
"code" : "D2971",
"display" : "additional procedures to construct new crown under existing partial denture framework"
},
{
"code" : "D2975",
"display" : "coping"
},
{
"code" : "D2980",
"display" : "crown repair necessitated by restorative material failure"
},
{
"code" : "D2981",
"display" : "inlay repair necessitated by restorative material failure"
},
{
"code" : "D2982",
"display" : "onlay repair necessitated by restorative material failure"
},
{
"code" : "D2983",
"display" : "veneer repair necessitated by restorative material failure"
},
{
"code" : "D2990",
"display" : "resin infiltration of incipient smooth surface lesions"
}
]
},
{
"code" : "D2999",
"display" : "unspecified restorative procedure, by report"
}
]
},
{
"code" : "D3110-D3999",
"display" : "ENDODONTICS",
"concept" : [
{
"code" : "D3110-D3120",
"display" : "PULP CAPPING",
"concept" : [
{
"code" : "D3110",
"display" : "pulp cap - direct (excluding final restoration)"
},
{
"code" : "D3120",
"display" : "pulp cap - indirect (excluding final restoration)"
}
]
},
{
"code" : "D3220-D3222",
"display" : "PULPOTOMY",
"concept" : [
{
"code" : "D3220",
"display" : "therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction and application of medicament"
},
{
"code" : "D3221",
"display" : "pulpal debridement, primary and permanent teeth"
},
{
"code" : "D3222",
"display" : "partial pulpotomy for apexogenesis - permanent tooth with incomplete root development"
}
]
},
{
"code" : "D3230-D3240",
"display" : "ENDODONTIC THERAPY ON PRIMARY TEETH",
"concept" : [
{
"code" : "D3230",
"display" : "pulpal therapy (resorbable filling) - anterior, primary tooth (excluding final restoration)"
},
{
"code" : "D3240",
"display" : "pulpal therapy (resorbable filling) - posterior, primary tooth (excluding final restoration)"
}
]
},
{
"code" : "D3310-D3333",
"display" : "ENDODONTIC THERAPY (INCLUDING TREATMENT PLAN, CLINICAL PROCEDURES AND FOLLOW-UP CARE)",
"concept" : [
{
"code" : "D3310",
"display" : "endodontic therapy, anterior tooth (excluding final restoration)"
},
{
"code" : "D3320",
"display" : "endodontic therapy, premolar tooth (excluding final restoration)"
},
{
"code" : "D3330",
"display" : "endodontic therapy, molar tooth (excluding final restoration)"
},
{
"code" : "D3331",
"display" : "treatment of root canal obstruction; non-surgical access"
},
{
"code" : "D3332",
"display" : "incomplete endodontic therapy; inoperable, unrestorable or fractured tooth"
},
{
"code" : "D3333",
"display" : "internal root repair of perforation defects"
}
]
},
{
"code" : "D3346-D3348",
"display" : "ENDODONTIC RETREATMENT",
"concept" : [
{
"code" : "D3346",
"display" : "retreatment of previous root canal therapy - anterior"
},
{
"code" : "D3347",
"display" : "retreatment of previous root canal therapy - premolar"
},
{
"code" : "D3348",
"display" : "retreatment of previous root canal therapy - molar"
}
]
},
{
"code" : "D3351-D3353",
"display" : "APEXIFICATION/RECALCIFICATION",
"concept" : [
{
"code" : "D3351",
"display" : "apexification/recalcification - initial visit (apical closure/calcific repair of perforations, root resorption, etc.)"
},
{
"code" : "D3352",
"display" : "apexification/recalcification - interim medication replacement"
},
{
"code" : "D3353",
"display" : "apexification/recalcification - final visit (includes completed root canal therapy - apical closure/calcific repair of perforations, root resorption, etc.)"
}
]
},
{
"code" : "D3355-D3357",
"display" : "PULPAL REGENERATION",
"concept" : [
{
"code" : "D3355",
"display" : "pulpal regeneration - initial visit"
},
{
"code" : "D3356",
"display" : "pulpal regeneration - interim medication replacement"
},
{
"code" : "D3357",
"display" : "pulpal regeneration - completion of treatment"
}
]
},
{
"code" : "D3410-D3503",
"display" : "APICOECTOMY/PERIRADICULAR SERVICES",
"concept" : [
{
"code" : "D3410",
"display" : "apicoectomy - anterior"
},
{
"code" : "D3421",
"display" : "apicoectomy - premolar (first root)"
},
{
"code" : "D3425",
"display" : "apicoectomy - molar (first root)"
},
{
"code" : "D3426",
"display" : "apicoectomy (each additional root)"
},
{
"code" : "D3428",
"display" : "bone graft in conjunction with periradicular surgery - per tooth, single site"
},
{
"code" : "D3429",
"display" : "bone graft in conjunction with periradicular surgery - each additional contiguous tooth in the same surgical site"
},
{
"code" : "D3430",
"display" : "retrograde filling - per root"
},
{
"code" : "D3431",
"display" : "biologic materials to aid in soft and osseous tissue regeneration in conjunction with periradicular surgery"
},
{
"code" : "D3432",
"display" : "guided tissue regeneration, resorbable barrier, per site, in conjunction with periradicular surgery"
},
{
"code" : "D3450",
"display" : "root amputation - per root"
},
{
"code" : "D3460",
"display" : "endodontic endosseous implant"
},
{
"code" : "D3470",
"display" : "intentional re-implantation (including necessary splinting)"
},
{
"code" : "D3471",
"display" : "surgical repair of root resorption - anterior"
},
{
"code" : "D3472",
"display" : "surgical repair of root resorption - premolar"
},
{
"code" : "D3473",
"display" : "surgical repair of root resorption - molar"
},
{
"code" : "D3501",
"display" : "surgical exposure of root surface without apicoectomy or repair of root resorption - anterior"
},
{
"code" : "D3502",
"display" : "surgical exposure of root surface without apicoectomy or repair of root resorption - premolar"
},
{
"code" : "D3503",
"display" : "surgical exposure of root surface without apicoectomy or repair of root resorption - molar"
}
]
},
{
"code" : "D3910-D3950",
"display" : "OTHER ENDODONTIC PROCEDURES",
"concept" : [
{
"code" : "D3910",
"display" : "surgical procedure for isolation of tooth with rubber dam"
},
{
"code" : "D3920",
"display" : "hemisection (including any root removal), not including root canal therapy"
},
{
"code" : "D3950",
"display" : "canal preparation and fitting of preformed dowel or post"
}
]
},
{
"code" : "D3999",
"display" : "unspecified endodontic procedure, by report"
}
]
},
{
"code" : "D4210-D4999",
"display" : "PERIODONTICS",
"concept" : [
{
"code" : "D4210-D4285",
"display" : "SURGICAL SERVICES (INCLUDING USUAL POSTOPERATIVE CARE)",
"concept" : [
{
"code" : "D4210",
"display" : "gingivectomy or gingivoplasty - four or more contiguous teeth or tooth bounded spaces per quadrant"
},
{
"code" : "D4211",
"display" : "gingivectomy or gingivoplasty - one to three contiguous teeth or tooth bounded spaces per quadrant"
},
{
"code" : "D4212",
"display" : "gingivectomy or gingivoplasty to allow access for restorative procedure, per tooth"
},
{
"code" : "D4230",
"display" : "anatomical crown exposure - four or more contiguous teeth or tooth bounded spaces per quadrant"
},
{
"code" : "D4231",
"display" : "anatomical crown exposure - one to three teeth or tooth bounded spaces per quadrant"
},
{
"code" : "D4240",
"display" : "gingival flap procedure, including root planing - four or more contiguous teeth or tooth bounded spaces per quadrant"
},
{
"code" : "D4241",
"display" : "gingival flap procedure, including root planing - one to three contiguous teeth or tooth bounded spaces per quadrant"
},
{
"code" : "D4245",
"display" : "apically positioned flap"
},
{
"code" : "D4249",
"display" : "clinical crown lengthening - hard tissue"
},
{
"code" : "D4260",
"display" : "osseous surgery (including elevation of a full thickness flap and closure) - four or more contiguous teeth or tooth bounded spaces per quadrant"
},
{
"code" : "D4261",
"display" : "osseous surgery (including elevation of a full thickness flap and closure) - one to three contiguous teeth or tooth bounded spaces per quadrant"
},
{
"code" : "D4263",
"display" : "bone replacement graft - retained natural tooth - first site in quadrant"
},
{
"code" : "D4264",
"display" : "bone replacement graft - retained natural tooth - each additional site in quadrant"
},
{
"code" : "D4265",
"display" : "biologic materials to aid in soft and osseous tissue regeneration"
},
{
"code" : "D4266",
"display" : "guided tissue regeneration - resorbable barrier, per site"
},
{
"code" : "D4267",
"display" : "guided tissue regeneration - nonresorbable barrier, per site (includes membrane removal)"
},
{
"code" : "D4268",
"display" : "surgical revision procedure, per tooth"
},
{
"code" : "D4270",
"display" : "pedicle soft tissue graft procedure"
},
{
"code" : "D4273",
"display" : "autogenous connective tissue graft procedure (including donor and recipient surgical sites) first tooth, implant, or edentulous tooth position in graft"
},
{
"code" : "D4274",
"display" : "mesial/distal wedge procedure, single tooth (when not performed in conjunction with surgical procedures in the same anatomical area)"
},
{
"code" : "D4275",
"display" : "non-autogenous connective tissue graft (including recipient site and donor material) first tooth, implant, or edentulous tooth position in graft"
},
{
"code" : "D4276",
"display" : "combined connective tissue and double pedicle graft, per tooth"
},
{
"code" : "D4277",
"display" : "free soft tissue graft procedure (including recipient and donor surgical sites) first tooth, implant or edentulous tooth position in graft"
},
{
"code" : "D4278",
"display" : "free soft tissue graft procedure (including recipient and donor surgical sites) each additional contiguous tooth, implant or edentulous tooth position in same graft site"
},
{
"code" : "D4283",
"display" : "autogenous connective tissue graft procedure (including donor and recipient surgical sites) - each additional contiguous tooth, implant or edentulous tooth position in same graft site"
},
{
"code" : "D4285",
"display" : "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"
}
]
},
{
"code" : "D4320-D4381",
"display" : "NON-SURGICAL PERIODONTAL SERVICE",
"concept" : [
{
"code" : "D4320",
"display" : "provisional splinting - intracoronal"
},
{
"code" : "D4321",
"display" : "provisional splinting - extracoronal"
},
{
"code" : "D4341",
"display" : "periodontal scaling and root planing - four or more teeth per quadrant"
},
{
"code" : "D4342",
"display" : "periodontal scaling and root planing - one to three teeth per quadrant"
},
{
"code" : "D4346",
"display" : "scaling in presence of generalized moderate or severe gingival inflammation - full mouth, after oral evaluation"
},
{
"code" : "D4355",
"display" : "full mouth debridement to enable a comprehensive oral evaluation and diagnosis on a subsequent visit"
},
{
"code" : "D4381",
"display" : "localized delivery of antimicrobial agents via a controlled release vehicle into diseased crevicular tissue, per tooth"
}
]
},
{
"code" : "D4910-D4921",
"display" : "OTHER PERIODONTAL SERVICES",
"concept" : [
{
"code" : "D4910",
"display" : "periodontal maintenance"
},
{
"code" : "D4920",
"display" : "unscheduled dressing change (by someone other than treating dentist or their staff)"
},
{
"code" : "D4921",
"display" : "gingival irrigation - per quadrant"
}
]
},
{
"code" : "D4999",
"display" : "unspecified periodontal procedure, by report"
}
]
},
{
"code" : "D5110-D5899",
"display" : "PROSTHODONTICS (removable)",
"concept" : [
{
"code" : "D5110-D5140",
"display" : "COMPLETE DENTURES (INCLUDING ROUTINE POST-DELIVERY CARE)",
"concept" : [
{
"code" : "D5110",
"display" : "complete denture - maxillary"
},
{
"code" : "D5120",
"display" : "complete denture - mandibular"
},
{
"code" : "D5130",
"display" : "immediate denture - maxillary"
},
{
"code" : "D5140",
"display" : "immediate denture - mandibular"
}
]
},
{
"code" : "D5211-D5286",
"display" : "PARTIAL DENTURES (INCLUDING ROUTINE POST-DELIVERY CARE)",
"concept" : [
{
"code" : "D5211",
"display" : "maxillary partial denture - resin base (including, retentive/clasping materials, rests, and teeth)"
},
{
"code" : "D5212",
"display" : "mandibular partial denture - resin base (including, retentive/clasping materials, rests, and teeth)"
},
{
"code" : "D5213",
"display" : "maxillary partial denture - cast metal framework with resin denture bases (including retentive/clasping materials, rests and teeth)"
},
{
"code" : "D5214",
"display" : "mandibular partial denture - cast metal framework with resin denture bases (including retentive/clasping materials, rests and teeth)"
},
{
"code" : "D5221",
"display" : "immediate maxillary partial denture - resin base (including retentive/clasping materials, rests and teeth)"
},
{
"code" : "D5222",
"display" : "immediate mandibular partial denture - resin base (including retentive/clasping materials, rests and teeth)"
},
{
"code" : "D5223",
"display" : "immediate maxillary partial denture - cast metal framework with resin denture bases (including retentive/clasping materials, rests and teeth)"
},
{
"code" : "D5224",
"display" : "immediate mandibular partial denture - cast metal framework with resin denture bases (including retentive/clasping materials, rests and teeth)"
},
{
"code" : "D5225",
"display" : "maxillary partial denture - flexible base (including retentive/clasping materials, rests, and teeth)"
},
{
"code" : "D5226",
"display" : "mandibular partial denture - flexible base (including retentive/clasping materials, rests, and teeth)"
},
{
"code" : "D5282",
"display" : "removable unilateral partial denture - one piece cast metal (including retentive/clasping materials, rests, and teeth), maxillary"
},
{
"code" : "D5283",
"display" : "removable unilateral partial denture - one piece cast metal (including rententive/clasping materias, rests, and teeth), mandibular"
},
{
"code" : "D5284",
"display" : "removable unilateral partial denture - one piece flexible base (including retentive/clasping materials, rests, and teeth) - per quadrant"
},
{
"code" : "D5286",
"display" : "removable unilateral partial denture - one piece resin (including retentive/clasping materials, rests, and teeth) - per quadrant"
}
]
},
{
"code" : "D5410-D5422",
"display" : "ADJUSTMENTS TO DENTURES",
"concept" : [
{
"code" : "D5410",
"display" : "adjust complete denture - maxillary"
},
{
"code" : "D5411",
"display" : "adjust complete denture - mandibular"
},
{
"code" : "D5421",
"display" : "adjust partial denture - maxillary"
},
{
"code" : "D5422",
"display" : "adjust partial denture - mandibular"
}
]
},
{
"code" : "D5511-D5520",
"display" : "REPAIRS TO COMPLETE DENTURES",
"concept" : [
{
"code" : "D5511",
"display" : "repair broken complete denture base, mandibular"
},
{
"code" : "D5512",
"display" : "repair broken complete denture base, maxillary"
},
{
"code" : "D5520",
"display" : "replace missing or broken teeth - complete denture (each tooth)"
}
]
},
{
"code" : "D5611-D5671",
"display" : "REPAIRS TO PARTIAL DENTURES",
"concept" : [
{
"code" : "D5611",
"display" : "repair resin partial denture base, mandibular"
},
{
"code" : "D5612",
"display" : "repair resin partial denture base, maxillary"
},
{
"code" : "D5621",
"display" : "repair cast partial framework, mandibular"
},
{
"code" : "D5622",
"display" : "repair cast partial framework, maxillary"
},
{
"code" : "D5630",
"display" : "repair or replace broken retentive clasping materials - per tooth"
},
{
"code" : "D5640",
"display" : "replace broken teeth - per tooth"
},
{
"code" : "D5650",
"display" : "add tooth to existing partial denture"
},
{
"code" : "D5660",
"display" : "add clasp to existing partial denture - per tooth"
},
{
"code" : "D5670",
"display" : "replace all teeth and acrylic on cast metal framework (maxillary)"
},
{
"code" : "D5671",
"display" : "replace all teeth and acrylic on cast metal framework (mandibular)"
}
]
},
{
"code" : "D5710-D5721",
"display" : "DENTURE REBASE PROCEDURES",
"concept" : [
{
"code" : "D5710",
"display" : "rebase complete maxillary denture"
},
{
"code" : "D5711",
"display" : "rebase complete mandibular denture"
},
{
"code" : "D5720",
"display" : "rebase maxillary partial denture"
},
{
"code" : "D5721",
"display" : "rebase mandibular partial denture"
}
]
},
{
"code" : "D5730-D5761",
"display" : "DENTURE RELINE PROCEDURES",
"concept" : [
{
"code" : "D5730",
"display" : "reline complete maxillary denture (direct)"
},
{
"code" : "D5731",
"display" : "reline complete mandibular denture (direct)"
},
{
"code" : "D5740",
"display" : "reline maxillary partial denture (direct)"
},
{
"code" : "D5741",
"display" : "reline mandibular partial denture (direct)"
},
{
"code" : "D5750",
"display" : "reline complete maxillary denture (indirect)"
},
{
"code" : "D5751",
"display" : "reline complete mandibular denture (indirect)"
},
{
"code" : "D5760",
"display" : "reline maxillary partial denture (indirect)"
},
{
"code" : "D5761",
"display" : "reline mandibular partial denture (indirect)"
}
]
},
{
"code" : "D5810-D5821",
"display" : "INTERIM PROSTHESIS",
"concept" : [
{
"code" : "D5810",
"display" : "interim complete denture (maxillary)"
},
{
"code" : "D5811",
"display" : "interim complete denture (mandibular)"
},
{
"code" : "D5820",
"display" : "interim partial denture (including retentive/clasping materials, rests, and teeth), maxillary"
},
{
"code" : "D5821",
"display" : "interim partial denture (including retentive/clasping materials, rests, and teeth), mandibular"
}
]
},
{
"code" : "D5850-D5899",
"display" : "OTHER REMOVABLE PROSTHETIC SERVICES",
"concept" : [
{
"code" : "D5850",
"display" : "tissue conditioning, maxillary"
},
{
"code" : "D5851",
"display" : "tissue conditioning, mandibular"
},
{
"code" : "D5862",
"display" : "precision attachment, by report"
},
{
"code" : "D5863",
"display" : "overdenture - complete maxillary"
},
{
"code" : "D5864",
"display" : "overdenture - partial maxillary"
},
{
"code" : "D5865",
"display" : "overdenture - complete mandibular"
},
{
"code" : "D5866",
"display" : "overdenture - partial mandibular"
},
{
"code" : "D5867",
"display" : "replacement of replaceable part of semi-precision or precision attachment (male or female component)"
},
{
"code" : "D5875",
"display" : "modification of removable prosthesis following implant surgery"
},
{
"code" : "D5876",
"display" : "add metal substructure to acrylic full denture (per arch)"
},
{
"code" : "D5899",
"display" : "unspecified removable prosthodontic procedure, by report"
}
]
}
]
},
{
"code" : "D5911-D5999",
"display" : "MAXILLOFACIAL PROSTHETICS",
"concept" : [
{
"code" : "D5911",
"display" : "facial moulage (sectional)"
},
{
"code" : "D5912",
"display" : "facial moulage (complete)"
},
{
"code" : "D5913",
"display" : "nasal prosthesis"
},
{
"code" : "D5914",
"display" : "auricular prosthesis"
},
{
"code" : "D5915",
"display" : "orbital prosthesis"
},
{
"code" : "D5916",
"display" : "ocular prosthesis"
},
{
"code" : "D5919",
"display" : "facial prosthesis"
},
{
"code" : "D5922",
"display" : "nasal septal prosthesis"
},
{
"code" : "D5923",
"display" : "ocular prosthesis, interim"
},
{
"code" : "D5924",
"display" : "cranial prosthesis"
},
{
"code" : "D5925",
"display" : "facial augmentation implant prosthesis"
},
{
"code" : "D5926",
"display" : "nasal prosthesis, replacement"
},
{
"code" : "D5927",
"display" : "auricular prosthesis, replacement"
},
{
"code" : "D5928",
"display" : "orbital prosthesis, replacement"
},
{
"code" : "D5929",
"display" : "facial prosthesis, replacement"
},
{
"code" : "D5931",
"display" : "obturator prosthesis, surgical"
},
{
"code" : "D5932",
"display" : "obturator prosthesis, definitive"
},
{
"code" : "D5933",
"display" : "obturator prosthesis, modification"
},
{
"code" : "D5934",
"display" : "mandibular resection prosthesis with guide flange"
},
{
"code" : "D5935",
"display" : "mandibular resection prosthesis without guide flange"
},
{
"code" : "D5936",
"display" : "obturator prosthesis, interim"
},
{
"code" : "D5937",
"display" : "trismus appliance (not for TMD treatment)"
},
{
"code" : "D5951",
"display" : "feeding aid"
},
{
"code" : "D5952",
"display" : "speech aid prosthesis, pediatric"
},
{
"code" : "D5953",
"display" : "speech aid prosthesis, adult"
},
{
"code" : "D5954",
"display" : "palatal augmentation prosthesis"
},
{
"code" : "D5955",
"display" : "palatal lift prosthesis, definitive"
},
{
"code" : "D5958",
"display" : "palatal lift prosthesis, interim"
},
{
"code" : "D5959",
"display" : "palatal lift prosthesis, modification"
},
{
"code" : "D5960",
"display" : "speech aid prosthesis, modification"
},
{
"code" : "D5982",
"display" : "surgical stent"
},
{
"code" : "D5983-D5996",
"display" : "CARRIERS",
"concept" : [
{
"code" : "D5983",
"display" : "radiation carrier"
},
{
"code" : "D5986",
"display" : "fluoride gel carrier"
},
{
"code" : "D5991",
"display" : "vesiculobullous disease medicament carrier"
},
{
"code" : "D5995",
"display" : "periodontal medicament carrier with peripheral seal - laboratory processed - maxillary"
},
{
"code" : "D5996",
"display" : "periodontal medicament carrier with peripheral seal - laboratory processed - mandibular"
}
]
},
{
"code" : "D5984",
"display" : "radiation shield"
},
{
"code" : "D5985",
"display" : "radiation cone locator"
},
{
"code" : "D5987",
"display" : "commissure splint"
},
{
"code" : "D5988",
"display" : "surgical splint"
},
{
"code" : "D5992",
"display" : "adjust maxillofacial prosthetic appliance, by report"
},
{
"code" : "D5993",
"display" : "maintenance and cleaning of a maxillofacial prosthesis (extra- or intra-oral) other than required adjustments, by report"
},
{
"code" : "D5999",
"display" : "unspecified maxillofacial prosthesis, by report"
}
]
},
{
"code" : "D6010-D6199",
"display" : "IMPLANT SERVICES",
"concept" : [
{
"code" : "D6010-D6104",
"display" : "SURGICAL SERVICES",
"concept" : [
{
"code" : "D6010",
"display" : "surgical placement of implant body: endosteal implant"
},
{
"code" : "D6011",
"display" : "surgical access to an implant body (second stage implant surgery)"
},
{
"code" : "D6012",
"display" : "surgical placement of interim implant body for transitional prosthesis: endosteal implant"
},
{
"code" : "D6013",
"display" : "surgical placement of mini implant"
},
{
"code" : "D6040",
"display" : "surgical placement: eposteal implant"
},
{
"code" : "D6050",
"display" : "surgical placement: transosteal implant"
},
{
"code" : "D6100",
"display" : "implant removal, by report"
},
{
"code" : "D6101",
"display" : "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"
},
{
"code" : "D6102",
"display" : "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"
},
{
"code" : "D6103",
"display" : "bone graft for repair of peri-implant defect - does not include flap entry and closure"
},
{
"code" : "D6104",
"display" : "bone graft at time of implant placement"
}
]
},
{
"code" : "D6051-D6199",
"display" : "IMPLANT SUPPORTED PROSTHETICS",
"concept" : [
{
"code" : "D6051-D6192",
"display" : "Supporting Structures",
"concept" : [
{
"code" : "D6051",
"display" : "interim abutment"
},
{
"code" : "D6055",
"display" : "connecting bar - implant supported or abutment supported"
},
{
"code" : "D6056",
"display" : "prefabricated abutment - includes modification and placement"
},
{
"code" : "D6057",
"display" : "custom fabricated abutment - includes placement"
},
{
"code" : "D6191",
"display" : "semi-precision abutment - placement"
},
{
"code" : "D6192",
"display" : "semi-precision attachment - placement"
}
]
},
{
"code" : "D6058-D6097",
"display" : "Single Crowns, Abutment Supported",
"concept" : [
{
"code" : "D6058",
"display" : "abutment supported porcelain/ceramic crown"
},
{
"code" : "D6059",
"display" : "abutment supported porcelain fused to metal crown (high noble metal)"
},
{
"code" : "D6060",
"display" : "abutment supported porcelain fused to metal crown (predominantly base metal)"
},
{
"code" : "D6061",
"display" : "abutment supported porcelain fused to metal crown (noble metal)"
},
{
"code" : "D6062",
"display" : "abutment supported cast metal crown (high noble metal)"
},
{
"code" : "D6063",
"display" : "abutment supported cast metal crown (predominantly base metal)"
},
{
"code" : "D6064",
"display" : "abutment supported cast metal crown (noble metal)"
},
{
"code" : "D6094",
"display" : "abutment supported crown - titanium and titanium alloys"
},
{
"code" : "D6097",
"display" : "abutment supported crown - porcelain fused to titanium and titanium alloys"
}
]
},
{
"code" : "D6065-D6088",
"display" : "Single Crowns, Implant Supported",
"concept" : [
{
"code" : "D6065",
"display" : "implant supported porcelain/ceramic crown"
},
{
"code" : "D6066",
"display" : "implant supported crown - porcelain fused to high noble alloys"
},
{
"code" : "D6067",
"display" : "implant supported crown - high noble alloys"
},
{
"code" : "D6082",
"display" : "implant supported crown - porcelain fused to predominantly base alloys"
},
{
"code" : "D6083",
"display" : "implant supported crown - porcelain fused to noble alloys"
},
{
"code" : "D6084",
"display" : "implant supported crown - porcelain fused to titanium and titanium alloys"
},
{
"code" : "D6086",
"display" : "implant supported crown - predominantly base alloys"
},
{
"code" : "D6087",
"display" : "implant supported crown - noble alloys"
},
{
"code" : "D6088",
"display" : "implant supported crown - titanium and titanium alloys"
}
]
},
{
"code" : "D6068-D6195",
"display" : "Fixed Partial Denture (FPD) Retainer, Abutment Supported",
"concept" : [
{
"code" : "D6068",
"display" : "abutment supported retainer for porcelain/ceramic FPD"
},
{
"code" : "D6069",
"display" : "abutment supported retainer for porcelain fused to metal FPD (high noble metal)"
},
{
"code" : "D6070",
"display" : "abutment supported retainer for porcelain fused to metal FPD (predominantly base metal)"
},
{
"code" : "D6071",
"display" : "abutment supported retainer for porcelain fused to metal FPD (noble metal)"
},
{
"code" : "D6072",
"display" : "abutment supported retainer for cast metal FPD (high noble metal)"
},
{
"code" : "D6073",
"display" : "abutment supported retainer for cast metal FPD (predominantly base metal)"
},
{
"code" : "D6074",
"display" : "abutment supported retainer for cast metal FPD (noble metal)"
},
{
"code" : "D6194",
"display" : "abutment supported retainer crown for FPD - titanium and titanium alloys"
},
{
"code" : "D6195",
"display" : "abutment supported retainer - porcelain fused to titanium and titanium alloys"
}
]
},
{
"code" : "D6075-D6123",
"display" : "Fixed Partial Denture (FPD) Retainer, Implant Supported",
"concept" : [
{
"code" : "D6075",
"display" : "implant supported retainer for ceramic FPD"
},
{
"code" : "D6076",
"display" : "implant supported retainer for FPD - porcelain fused to high noble alloys"
},
{
"code" : "D6077",
"display" : "implant supported retainer for metal FPD - high noble alloys"
},
{
"code" : "D6098",
"display" : "implant supported retainer - porcelain fused to predominantly base alloys"
},
{
"code" : "D6099",
"display" : "implant supported retainer for FPD - porcelain fused to noble alloys"
},
{
"code" : "D6120",
"display" : "implant supported retainer - porcelain fused to titanium and titanium alloys"
},
{
"code" : "D6121",
"display" : "implant supported retainer for metal FPD - predominantly base alloys"
},
{
"code" : "D6122",
"display" : "implant supported retainer for metal FPD - noble alloys"
},
{
"code" : "D6123",
"display" : "implant supported retainer for metal FPD - titanium and titanium alloys"
}
]
},
{
"code" : "D6110-D6113",
"display" : "Implant/Abutment Supported Removable Dentures",
"concept" : [
{
"code" : "D6110",
"display" : "implant /abutment supported removable denture for edentulous arch - maxillary"
},
{
"code" : "D6111",
"display" : "implant /abutment supported removable denture for edentulous arch - mandibular"
},
{
"code" : "D6112",
"display" : "implant /abutment supported removable denture for partially edentulous arch - maxillary"
},
{
"code" : "D6113",
"display" : "implant /abutment supported removable denture for partially edentulous arch - mandibular"
}
]
},
{
"code" : "D6114-D6119",
"display" : "Implant /Abutment Supported Fixed Dentures (Hybrid Prosthesis)",
"concept" : [
{
"code" : "D6114",
"display" : "implant /abutment supported fixed denture for edentulous arch - maxillary"
},
{
"code" : "D6115",
"display" : "implant /abutment supported fixed denture for edentulous arch - mandibular"
},
{
"code" : "D6116",
"display" : "implant /abutment supported fixed denture for partially edentulous arch - maxillary"
},
{
"code" : "D6117",
"display" : "implant /abutment supported fixed denture for partially edentulous arch - mandibular"
},
{
"code" : "D6118",
"display" : "implant/abutment supported interim fixed denture for edentulous arch - mandibular"
},
{
"code" : "D6119",
"display" : "implant/abutment supported interim fixed denture for edentulous arch - maxillary"
}
]
},
{
"code" : "D6199",
"display" : "unspecified implant procedure, by report"
}
]
},
{
"code" : "D6080-D6096",
"display" : "OTHER IMPLANT SERVICES",
"concept" : [
{
"code" : "D6080",
"display" : "implant maintenance procedures when prostheses are removed and reinserted, including cleansing of prostheses and abutments"
},
{
"code" : "D6081",
"display" : "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"
},
{
"code" : "D6085",
"display" : "provisional implant crown"
},
{
"code" : "D6090",
"display" : "repair implant supported prosthesis, by report"
},
{
"code" : "D6091",
"display" : "replacement of replaceable part of semi-precision or precision attachment (male or female component) of implant/abutment supported prosthesis, per attachment"
},
{
"code" : "D6092",
"display" : "re-cement or re-bond implant/abutment supported crown"
},
{
"code" : "D6093",
"display" : "re-cement or re-bond implant/abutment supported fixed partial denture"
},
{
"code" : "D6095",
"display" : "repair implant abutment, by report"
},
{
"code" : "D6096",
"display" : "remove broken implant retaining screw"
}
]
},
{
"code" : "D6190-D6190",
"display" : "PRE-SURGICAL SERVICES",
"concept" : [
{
"code" : "D6190",
"display" : "radiographic/surgical implant index, by report"
}
]
}
]
},
{
"code" : "D6205-D6999",
"display" : "PROSTHODONTICS, fixed",
"concept" : [
{
"code" : "D6205-D6253",
"display" : "FIXED PARTIAL DENTURE PONTICS",
"concept" : [
{
"code" : "D6205",
"display" : "pontic - indirect resin based composite"
},
{
"code" : "D6210",
"display" : "pontic - cast high noble metal"
},
{
"code" : "D6211",
"display" : "pontic - cast predominantly base metal"
},
{
"code" : "D6212",
"display" : "pontic - cast noble metal"
},
{
"code" : "D6214",
"display" : "pontic - titanium and titanium alloys"
},
{
"code" : "D6240",
"display" : "pontic - porcelain fused to high noble metal"
},
{
"code" : "D6241",
"display" : "pontic - porcelain fused to predominantly base metal"
},
{
"code" : "D6242",
"display" : "pontic - porcelain fused to noble metal"
},
{
"code" : "D6243",
"display" : "pontic - porcelain fused to titanium and titanium alloys"
},
{
"code" : "D6245",
"display" : "pontic - porcelain/ceramic"
},
{
"code" : "D6250",
"display" : "pontic - resin with high noble metal"
},
{
"code" : "D6251",
"display" : "pontic - resin with predominantly base metal"
},
{
"code" : "D6252",
"display" : "pontic - resin with noble metal"
},
{
"code" : "D6253",
"display" : "provisional pontic - further treatment or completion of diagnosis necessary prior to final impression"
}
]
},
{
"code" : "D6545-D6634",
"display" : "FIXED PARTIAL DENTURE RETAINERS - INLAYS/ONLAYS",
"concept" : [
{
"code" : "D6545",
"display" : "retainer - cast metal for resin bonded fixed prosthesis"
},
{
"code" : "D6548",
"display" : "retainer - porcelain/ceramic for resin bonded fixed prosthesis"
},
{
"code" : "D6549",
"display" : "retainer - for resin bonded fixed prosthesis"
},
{
"code" : "D6600",
"display" : "retainer inlay - porcelain/ceramic, two surfaces"
},
{
"code" : "D6601",
"display" : "retainer inlay - porcelain/ceramic, three or more surfaces"
},
{
"code" : "D6602",
"display" : "retainer inlay - cast high noble metal, two surfaces"
},
{
"code" : "D6603",
"display" : "retainer inlay - cast high noble metal, three or more surfaces"
},
{
"code" : "D6604",
"display" : "retainer inlay - cast predominantly base metal, two surfaces"
},
{
"code" : "D6605",
"display" : "retainer inlay - cast predominantly base metal, three or more surfaces"
},
{
"code" : "D6606",
"display" : "retainer inlay - cast noble metal, two surfaces"
},
{
"code" : "D6607",
"display" : "retainer inlay - cast noble metal, three or more surfaces"
},
{
"code" : "D6608",
"display" : "retainer onlay - porcelain/ceramic, two surfaces"
},
{
"code" : "D6609",
"display" : "retainer onlay - porcelain/ceramic, three or more surfaces"
},
{
"code" : "D6610",
"display" : "retainer onlay - cast high noble metal, two surfaces"
},
{
"code" : "D6611",
"display" : "retainer onlay - cast high noble metal, three or more surfaces"
},
{
"code" : "D6612",
"display" : "retainer onlay - cast predominantly base metal, two surfaces"
},
{
"code" : "D6613",
"display" : "retainer onlay - cast predominantly base metal, three or more surfaces"
},
{
"code" : "D6614",
"display" : "retainer onlay - cast noble metal, two surfaces"
},
{
"code" : "D6615",
"display" : "retainer onlay - cast noble metal, three or more surfaces"
},
{
"code" : "D6624",
"display" : "retainer inlay - titanium"
},
{
"code" : "D6634",
"display" : "retainer onlay - titanium"
}
]
},
{
"code" : "D6710-D6794",
"display" : "FIXED PARTIAL DENTURE RETAINERS - CROWNS",
"concept" : [
{
"code" : "D6710",
"display" : "retainer crown - indirect resin based composite"
},
{
"code" : "D6720",
"display" : "retainer crown - resin with high noble metal"
},
{
"code" : "D6721",
"display" : "retainer crown - resin with predominantly base metal"
},
{
"code" : "D6722",
"display" : "retainer crown - resin with noble metal"
},
{
"code" : "D6740",
"display" : "retainer crown - porcelain/ceramic"
},
{
"code" : "D6750",
"display" : "retainer crown - porcelain fused to high noble metal"
},
{
"code" : "D6751",
"display" : "retainer crown - porcelain fused to predominantly base metal"
},
{
"code" : "D6752",
"display" : "retainer crown - porcelain fused to noble metal"
},
{
"code" : "D6753",
"display" : "retainer crown - porcelain fused to titanium and titanium alloys"
},
{
"code" : "D6780",
"display" : "retainer crown - 3/4 cast high noble metal"
},
{
"code" : "D6781",
"display" : "retainer crown - 3/4 cast predominantly base metal"
},
{
"code" : "D6782",
"display" : "retainer crown - 3/4 cast noble metal"
},
{
"code" : "D6783",
"display" : "retainer crown - 3/4 porcelain/ceramic"
},
{
"code" : "D6784",
"display" : "retainer crown � - titanium and titanium alloys"
},
{
"code" : "D6790",
"display" : "retainer crown - full cast high noble metal"
},
{
"code" : "D6791",
"display" : "retainer crown - full cast predominantly base metal"
},
{
"code" : "D6792",
"display" : "retainer crown - full cast noble metal"
},
{
"code" : "D6793",
"display" : "provisional retainer crown - further treatment or completion of diagnosis necessary prior to final impression"
},
{
"code" : "D6794",
"display" : "retainer crown - titanium and titanium alloys"
}
]
},
{
"code" : "D6920-D6985",
"display" : "OTHER FIXED PARTIAL DENTURE SERVICES",
"concept" : [
{
"code" : "D6920",
"display" : "connector bar"
},
{
"code" : "D6930",
"display" : "re-cement or re-bond fixed partial denture"
},
{
"code" : "D6940",
"display" : "stress breaker"
},
{
"code" : "D6950",
"display" : "precision attachment"
},
{
"code" : "D6980",
"display" : "fixed partial denture repair necessitated by restorative material failure"
},
{
"code" : "D6985",
"display" : "pediatric partial denture, fixed"
}
]
},
{
"code" : "D6999",
"display" : "unspecified fixed prosthodontic procedure, by report"
}
]
},
{
"code" : "D7111-D7999",
"display" : "ORAL & MAXILLOFACIAL SURGERY",
"concept" : [
{
"code" : "D7111-D7251",
"display" : "EXTRACTIONS (INCLUDES LOCAL ANESTHESIA, SUTURING, IF NEEDED, AND ROUTINE POSTOPERATIVE CARE)",
"concept" : [
{
"code" : "D7111",
"display" : "extraction, coronal remnants - primary tooth"
},
{
"code" : "D7140",
"display" : "extraction, erupted tooth or exposed root (elevation and/or forceps removal)"
},
{
"code" : "D7210",
"display" : "extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated"
},
{
"code" : "D7220",
"display" : "removal of impacted tooth - soft tissue"
},
{
"code" : "D7230",
"display" : "removal of impacted tooth - partially bony"
},
{
"code" : "D7240",
"display" : "removal of impacted tooth - completely bony"
},
{
"code" : "D7241",
"display" : "removal of impacted tooth - completely bony, with unusual surgical complications"
},
{
"code" : "D7250",
"display" : "removal of residual tooth roots (cutting procedure)"
},
{
"code" : "D7251",
"display" : "coronectomy - intentional partial tooth removal"
}
]
},
{
"code" : "D7260-D7297",
"display" : "OTHER SURGICAL PROCEDURES",
"concept" : [
{
"code" : "D7260",
"display" : "oroantral fistula closure"
},
{
"code" : "D7261",
"display" : "primary closure of a sinus perforation"
},
{
"code" : "D7270",
"display" : "tooth re-implantation and/or stabilization of accidentally evulsed or displaced tooth"
},
{
"code" : "D7272",
"display" : "tooth transplantation (includes re-implantation from one site to another and splinting and/or stabilization)"
},
{
"code" : "D7280",
"display" : "exposure of an unerupted tooth"
},
{
"code" : "D7282",
"display" : "mobilization of erupted or malpositioned tooth to aid eruption"
},
{
"code" : "D7283",
"display" : "placement of device to facilitate eruption of impacted tooth"
},
{
"code" : "D7285",
"display" : "incisional biopsy of oral tissue-hard (bone, tooth)"
},
{
"code" : "D7286",
"display" : "incisional biopsy of oral tissue-soft"
},
{
"code" : "D7287",
"display" : "exfoliative cytological sample collection"
},
{
"code" : "D7288",
"display" : "brush biopsy - transepithelial sample collection"
},
{
"code" : "D7290",
"display" : "surgical repositioning of teeth"
},
{
"code" : "D7291",
"display" : "transseptal fiberotomy/supra crestal fiberotomy, by report"
},
{
"code" : "D7292",
"display" : "placement of temporary anchorage device [screw retained plate] requiring flap; includes device removal"
},
{
"code" : "D7293",
"display" : "placement of temporary anchorage device requiring flap; includes device removal"
},
{
"code" : "D7294",
"display" : "placement of temporary anchorage device without flap; includes device removal"
},
{
"code" : "D7295",
"display" : "harvest of bone for use in autogenous grafting procedure"
},
{
"code" : "D7296",
"display" : "corticotomy - one to three teeth or tooth spaces, per quadrant"
},
{
"code" : "D7297",
"display" : "corticotomy - four or more teeth or tooth spaces, per quadrant"
}
]
},
{
"code" : "D7310-D7321",
"display" : "ALVEOLOPLASTY - PREPARATION OF RIDGE",
"concept" : [
{
"code" : "D7310",
"display" : "alveoloplasty in conjunction with extractions - four or more teeth or tooth spaces, per quadrant"
},
{
"code" : "D7311",
"display" : "alveoloplasty in conjunction with extractions - one to three teeth or tooth spaces, per quadrant"
},
{
"code" : "D7320",
"display" : "alveoloplasty not in conjunction with extractions - four or more teeth or tooth spaces, per quadrant"
},
{
"code" : "D7321",
"display" : "alveoloplasty not in conjunction with extractions - one to three teeth or tooth spaces, per quadrant"
}
]
},
{
"code" : "D7340-D7350",
"display" : "VESTIBULOPLASTY",
"concept" : [
{
"code" : "D7340",
"display" : "vestibuloplasty - ridge extension (secondary epithelialization)"
},
{
"code" : "D7350",
"display" : "vestibuloplasty - ridge extension (including soft tissue grafts, muscle reattachment, revision of soft tissue attachment and management of hypertrophied and hyperplastic tissue)"
}
]
},
{
"code" : "D7410-D7465",
"display" : "EXCISION OF SOFT TISSUE LESIONS",
"concept" : [
{
"code" : "D7410",
"display" : "excision of benign lesion up to 1.25 cm"
},
{
"code" : "D7411",
"display" : "excision of benign lesion greater than 1.25 cm"
},
{
"code" : "D7412",
"display" : "excision of benign lesion, complicated"
},
{
"code" : "D7413",
"display" : "excision of malignant lesion up to 1.25 cm"
},
{
"code" : "D7414",
"display" : "excision of malignant lesion greater than 1.25 cm"
},
{
"code" : "D7415",
"display" : "excision of malignant lesion, complicated"
},
{
"code" : "D7465",
"display" : "destruction of lesion(s) by physical or chemical method, by report"
}
]
},
{
"code" : "D7440-D7461",
"display" : "EXCISION OF INTRA-OSSEOUS LESIONS",
"concept" : [
{
"code" : "D7440",
"display" : "excision of malignant tumor - lesion diameter up to 1.25 cm"
},
{
"code" : "D7441",
"display" : "excision of malignant tumor - lesion diameter greater than 1.25 cm"
},
{
"code" : "D7450",
"display" : "removal of benign odontogenic cyst or tumor - lesion diameter up to 1.25 cm"
},
{
"code" : "D7451",
"display" : "removal of benign odontogenic cyst or tumor - lesion diameter greater than 1.25 cm"
},
{
"code" : "D7460",
"display" : "removal of benign nonodontogenic cyst or tumor - lesion diameter up to 1.25 cm"
},
{
"code" : "D7461",
"display" : "removal of benign nonodontogenic cyst or tumor - lesion diameter greater than 1.25 cm"
}
]
},
{
"code" : "D7471-D7490",
"display" : "EXCISION OF BONE TISSUE",
"concept" : [
{
"code" : "D7471",
"display" : "removal of lateral exostosis (maxilla or mandible)"
},
{
"code" : "D7472",
"display" : "removal of torus palatinus"
},
{
"code" : "D7473",
"display" : "removal of torus mandibularis"
},
{
"code" : "D7485",
"display" : "reduction of osseous tuberosity"
},
{
"code" : "D7490",
"display" : "radical resection of maxilla or mandible"
}
]
},
{
"code" : "D7510-D7560",
"display" : "SURGICAL INCISION",
"concept" : [
{
"code" : "D7510",
"display" : "incision and drainage of abscess - intraoral soft tissue"
},
{
"code" : "D7511",
"display" : "incision and drainage of abscess - intraoral soft tissue - complicated (includes drainage of multiple fascial spaces)"
},
{
"code" : "D7520",
"display" : "incision and drainage of abscess - extraoral soft tissue"
},
{
"code" : "D7521",
"display" : "incision and drainage of abscess - extraoral soft tissue - complicated (includes drainage of multiple fascial spaces)"
},
{
"code" : "D7530",
"display" : "removal of foreign body from mucosa, skin, or subcutaneous alveolar tissue"
},
{
"code" : "D7540",
"display" : "removal of reaction producing foreign bodies, musculoskeletal system"
},
{
"code" : "D7550",
"display" : "partial ostectomy/sequestrectomy for removal of non-vital bone"
},
{
"code" : "D7560",
"display" : "maxillary sinusotomy for removal of tooth fragment or foreign body"
}
]
},
{
"code" : "D7610-D7680",
"display" : "TREATMENT OF CLOSED FACTURES",
"concept" : [
{
"code" : "D7610",
"display" : "maxilla - open reduction (teeth immobilized, if present)"
},
{
"code" : "D7620",
"display" : "maxilla - closed reduction (teeth immobilized, if present)"
},
{
"code" : "D7630",
"display" : "mandible - open reduction (teeth immobilized, if present)"
},
{
"code" : "D7640",
"display" : "mandible - closed reduction (teeth immobilized, if present)"
},
{
"code" : "D7650",
"display" : "malar and/or zygomatic arch - open reduction"
},
{
"code" : "D7660",
"display" : "malar and/or zygomatic arch - closed reduction"
},
{
"code" : "D7670",
"display" : "alveolus - closed reduction, may include stabilization of teeth"
},
{
"code" : "D7671",
"display" : "alveolus - open reduction, may include stabilization of teeth"
},
{
"code" : "D7680",
"display" : "facial bones - complicated reduction with fixation and multiple surgical approaches"
}
]
},
{
"code" : "D7710-D7780",
"display" : "TREATMENT OF OPEN FRACTURES",
"concept" : [
{
"code" : "D7710",
"display" : "maxilla - open reduction"
},
{
"code" : "D7720",
"display" : "maxilla - closed reduction"
},
{
"code" : "D7730",
"display" : "mandible - open reduction"
},
{
"code" : "D7740",
"display" : "mandible - closed reduction"
},
{
"code" : "D7750",
"display" : "malar and/or zygomatic arch - open reduction"
},
{
"code" : "D7760",
"display" : "malar and/or zygomatic arch - closed reduction"
},
{
"code" : "D7770",
"display" : "alveolus - open reduction stabilization of teeth"
},
{
"code" : "D7771",
"display" : "alveolus, closed reduction stabilization of teeth"
},
{
"code" : "D7780",
"display" : "facial bones - complicated reduction with fixation and multiple approaches"
}
]
},
{
"code" : "D7810-D7899",
"display" : "REDUCTION OF DISLOCATION AND MANAGEMENT OF OTHER TEMPOROMANDIBULAR JOINT DYSFUNCTIONS",
"concept" : [
{
"code" : "D7810",
"display" : "open reduction of dislocation"
},
{
"code" : "D7820",
"display" : "closed reduction of dislocation"
},
{
"code" : "D7830",
"display" : "manipulation under anesthesia"
},
{
"code" : "D7840",
"display" : "condylectomy"
},
{
"code" : "D7850",
"display" : "surgical discectomy, with/without implant"
},
{
"code" : "D7852",
"display" : "disc repair"
},
{
"code" : "D7854",
"display" : "synovectomy"
},
{
"code" : "D7856",
"display" : "myotomy"
},
{
"code" : "D7858",
"display" : "joint reconstruction"
},
{
"code" : "D7860",
"display" : "arthrotomy"
},
{
"code" : "D7865",
"display" : "arthroplasty"
},
{
"code" : "D7870",
"display" : "arthrocentesis"
},
{
"code" : "D7871",
"display" : "non-arthroscopic lysis and lavage"
},
{
"code" : "D7872",
"display" : "arthroscopy - diagnosis, with or without biopsy"
},
{
"code" : "D7873",
"display" : "arthroscopy: lavage and lysis of adhesions"
},
{
"code" : "D7874",
"display" : "arthroscopy: disc repositioning and stabilization"
},
{
"code" : "D7875",
"display" : "arthroscopy: synovectomy"
},
{
"code" : "D7876",
"display" : "arthroscopy: discectomy"
},
{
"code" : "D7877",
"display" : "arthroscopy: debridement"
},
{
"code" : "D7880",
"display" : "occlusal orthotic device, by report"
},
{
"code" : "D7881",
"display" : "occlusal orthotic device adjustment"
},
{
"code" : "D7899",
"display" : "unspecified TMD therapy, by report"
}
]
},
{
"code" : "D7910-D7910",
"display" : "REPAIR OF TRAUMATIC WOUNDS",
"concept" : [
{
"code" : "D7910",
"display" : "suture of recent small wounds up to 5 cm"
}
]
},
{
"code" : "D7911-D7912",
"display" : "COMPLICATED SUTURING (RECONSTRUCTION REQUIRING DELICATE HANDLING OF TISSUES AND WIDE UNDERMINING FOR METICULOUS CLOSURE)",
"concept" : [
{
"code" : "D7911",
"display" : "complicated suture - up to 5 cm"
},
{
"code" : "D7912",
"display" : "complicated suture - greater than 5 cm"
}
]
},
{
"code" : "D7920-D7998",
"display" : "OTHER REPAIR PROCEDURES",
"concept" : [
{
"code" : "D7920",
"display" : "skin graft (identify defect covered, location and type of graft)"
},
{
"code" : "D7921",
"display" : "collection and application of autologous blood concentrate product"
},
{
"code" : "D7922",
"display" : "placement of intra-socket biological dressing to aid in hemostasis or clot stabilization, per site"
},
{
"code" : "D7940",
"display" : "osteoplasty - for orthognathic deformities"
},
{
"code" : "D7941",
"display" : "osteotomy - mandibular rami"
},
{
"code" : "D7943",
"display" : "osteotomy - mandibular rami with bone graft; includes obtaining the graft"
},
{
"code" : "D7944",
"display" : "osteotomy - segmented or subapical"
},
{
"code" : "D7945",
"display" : "osteotomy - body of mandible"
},
{
"code" : "D7946",
"display" : "LeFort I (maxilla - total)"
},
{
"code" : "D7947",
"display" : "LeFort I (maxilla - segmented)"
},
{
"code" : "D7948",
"display" : "LeFort II or LeFort III (osteoplasty of facial bones for midface hypoplasia or retrusion) - without bone graft"
},
{
"code" : "D7949",
"display" : "LeFort II or LeFort III - with bone graft"
},
{
"code" : "D7950",
"display" : "osseous, osteoperiosteal, or cartilage graft of the mandible or maxilla - autogenous or nonautogenous, by report"
},
{
"code" : "D7951",
"display" : "sinus augmentation with bone or bone substitutes via a lateral open approach"
},
{
"code" : "D7952",
"display" : "sinus augmentation via a vertical approach"
},
{
"code" : "D7953",
"display" : "bone replacement graft for ridge preservation - per site"
},
{
"code" : "D7955",
"display" : "repair of maxillofacial soft and/or hard tissue defect"
},
{
"code" : "D7961",
"display" : "buccal / labial frenectomy (frenulectomy)"
},
{
"code" : "D7962",
"display" : "lingual frenectomy (frenulectomy)"
},
{
"code" : "D7963",
"display" : "frenuloplasty"
},
{
"code" : "D7970",
"display" : "excision of hyperplastic tissue - per arch"
},
{
"code" : "D7971",
"display" : "excision of pericoronal gingiva"
},
{
"code" : "D7972",
"display" : "surgical reduction of fibrous tuberosity"
},
{
"code" : "D7979",
"display" : "non - surgical sialolithotomy"
},
{
"code" : "D7980",
"display" : "surgical sialolithotomy"
},
{
"code" : "D7981",
"display" : "excision of salivary gland, by report"
},
{
"code" : "D7982",
"display" : "sialodochoplasty"
},
{
"code" : "D7983",
"display" : "closure of salivary fistula"
},
{
"code" : "D7990",
"display" : "emergency tracheotomy"
},
{
"code" : "D7991",
"display" : "coronoidectomy"
},
{
"code" : "D7993",
"display" : "surgical placement of craniofacial implant - extra oral"
},
{
"code" : "D7994",
"display" : "surgical placement: zygomatic implant"
},
{
"code" : "D7995",
"display" : "synthetic graft - mandible or facial bones, by report"
},
{
"code" : "D7996",
"display" : "implant-mandible for augmentation purposes (excluding alveolar ridge), by report"
},
{
"code" : "D7997",
"display" : "appliance removal (not by dentist who placed appliance), includes removal of archbar"
},
{
"code" : "D7998",
"display" : "intraoral placement of a fixation device not in conjunction with a fracture"
}
]
},
{
"code" : "D7999",
"display" : "unspecified oral surgery procedure, by report"
}
]
},
{
"code" : "D8010-D8999",
"display" : "ORTHODONTICS",
"concept" : [
{
"code" : "D8010-D8040",
"display" : "LIMITED ORTHODONTIC TREATMENT",
"concept" : [
{
"code" : "D8010",
"display" : "limited orthodontic treatment of the primary dentition"
},
{
"code" : "D8020",
"display" : "limited orthodontic treatment of the transitional dentition"
},
{
"code" : "D8030",
"display" : "limited orthodontic treatment of the adolescent dentition"
},
{
"code" : "D8040",
"display" : "limited orthodontic treatment of the adult dentition"
}
]
},
{
"code" : "D8050-D8060",
"display" : "INTERCEPTIVE ORTHODONTIC TREATMENT",
"concept" : [
{
"code" : "D8050",
"display" : "interceptive orthodontic treatment of the primary dentition"
},
{
"code" : "D8060",
"display" : "interceptive orthodontic treatment of the transitional dentition"
}
]
},
{
"code" : "D8070-D8090",
"display" : "COMPREHENSIVE ORTHODONTIC TREATMENT",
"concept" : [
{
"code" : "D8070",
"display" : "comprehensive orthodontic treatment of the transitional dentition"
},
{
"code" : "D8080",
"display" : "comprehensive orthodontic treatment of the adolescent dentition"
},
{
"code" : "D8090",
"display" : "comprehensive orthodontic treatment of the adult dentition"
}
]
},
{
"code" : "D8210-D8220",
"display" : "MINOR TREATMENT TO CONTROL HARMFUL HABITS",
"concept" : [
{
"code" : "D8210",
"display" : "removable appliance therapy"
},
{
"code" : "D8220",
"display" : "fixed appliance therapy"
}
]
},
{
"code" : "D8660-D8999",
"display" : "OTHER ORTHODONTIC SERVICES",
"concept" : [
{
"code" : "D8660",
"display" : "pre-orthodontic treatment examination to monitor growth and development"
},
{
"code" : "D8670",
"display" : "periodic orthodontic treatment visit"
},
{
"code" : "D8680",
"display" : "orthodontic retention (removal of appliances, construction and placement of retainer(s))"
},
{
"code" : "D8681",
"display" : "removable orthodontic retainer adjustment"
},
{
"code" : "D8690",
"display" : "orthodontic treatment (alternative billing to a contract fee)"
},
{
"code" : "D8695",
"display" : "removal of fixed orthodontic appliances for reasons other than completion of treatment"
},
{
"code" : "D8696",
"display" : "repair of orthodontic appliance - maxillary"
},
{
"code" : "D8697",
"display" : "repair of orthodontic appliance - mandibular"
},
{
"code" : "D8698",
"display" : "re-cement or re-bond fixed retainer - maxillary"
},
{
"code" : "D8699",
"display" : "re-cement or re-bond fixed retainer - mandibular"
},
{
"code" : "D8701",
"display" : "repair of fixed retainer, includes reattachment - maxillary"
},
{
"code" : "D8702",
"display" : "repair of fixed retainer, includes reattachment - mandibular"
},
{
"code" : "D8703",
"display" : "replacement of lost or broken retainer - maxillary"
},
{
"code" : "D8704",
"display" : "replacement of lost or broken retainer - mandibular"
},
{
"code" : "D8999",
"display" : "unspecified orthodontic procedure, by report"
}
]
}
]
},
{
"code" : "D9110-D9999",
"display" : "ADJUNCTIVE GENERAL SERVICES",
"concept" : [
{
"code" : "D9110-D9130",
"display" : "UNCLASSIFIED TREATMENT",
"concept" : [
{
"code" : "D9110",
"display" : "palliative (emergency) treatment of dental pain - minor procedure"
},
{
"code" : "D9120",
"display" : "fixed partial denture sectioning"
},
{
"code" : "D9130",
"display" : "temporomandibular joint dysfunction - non-invasive physical therapies"
}
]
},
{
"code" : "D9210-D9248",
"display" : "ANESTHESIA",
"concept" : [
{
"code" : "D9210",
"display" : "local anesthesia not in conjunction with operative or surgical procedures"
},
{
"code" : "D9211",
"display" : "regional block anesthesia"
},
{
"code" : "D9212",
"display" : "trigeminal division block anesthesia"
},
{
"code" : "D9215",
"display" : "local anesthesia in conjunction with operative or surgical procedures"
},
{
"code" : "D9219",
"display" : "evaluation for moderate sedation, deep sedation or general anesthesia"
},
{
"code" : "D9222",
"display" : "deep sedation/general anesthesia - first 15 minutes"
},
{
"code" : "D9223",
"display" : "deep sedation/general anesthesia - each subsequent 15 minute increment"
},
{
"code" : "D9230",
"display" : "inhalation of nitrous oxide/analgesia, anxiolysis"
},
{
"code" : "D9239",
"display" : "intravenous moderate (conscious) sedation/analgesia- first 15 minutes"
},
{
"code" : "D9243",
"display" : "intravenous moderate (conscious) sedation/analgesia - each subsequent 15 minute increment"
},
{
"code" : "D9248",
"display" : "non-intravenous conscious sedation"
}
]
},
{
"code" : "D9310-D9311",
"display" : "PROFESSIONAL CONSULTATION",
"concept" : [
{
"code" : "D9310",
"display" : "consultation - diagnostic service provided by dentist or physician other than requesting dentist or physician"
},
{
"code" : "D9311",
"display" : "consultation with a medical health care professional"
}
]
},
{
"code" : "D9410-D9450",
"display" : "PROFESSIONAL VISITS",
"concept" : [
{
"code" : "D9410",
"display" : "house/extended care facility call"
},
{
"code" : "D9420",
"display" : "hospital or ambulatory surgical center call"
},
{
"code" : "D9430",
"display" : "office visit for observation (during regularly scheduled hours) - no other services performed"
},
{
"code" : "D9440",
"display" : "office visit - after regularly scheduled hours"
},
{
"code" : "D9450",
"display" : "case presentation, detailed and extensive treatment planning"
}
]
},
{
"code" : "D9610-D9630",
"display" : "DRUGS",
"concept" : [
{
"code" : "D9610",
"display" : "therapeutic parenteral drug, single administration"
},
{
"code" : "D9612",
"display" : "therapeutic parenteral drugs, two or more administrations, different medications"
},
{
"code" : "D9613",
"display" : "infiltration of sustained release therapeutic drug - single or multiple sites"
},
{
"code" : "D9630",
"display" : "drugs or medicaments dispensed in the office for home use"
}
]
},
{
"code" : "D9910-D9975",
"display" : "MISCELLANEOUS SERVICES",
"concept" : [
{
"code" : "D9910",
"display" : "application of desensitizing medicament"
},
{
"code" : "D9911",
"display" : "application of desensitizing resin for cervical and/or root surface, per tooth"
},
{
"code" : "D9920",
"display" : "behavior management, by report"
},
{
"code" : "D9930",
"display" : "treatment of complications (post-surgical) - unusual circumstances, by report"
},
{
"code" : "D9932",
"display" : "cleaning and inspection of removable complete denture, maxillary"
},
{
"code" : "D9933",
"display" : "cleaning and inspection of removable complete denture, mandibular"
},
{
"code" : "D9934",
"display" : "cleaning and inspection of removable partial denture, maxillary"
},
{
"code" : "D9935",
"display" : "cleaning and inspection of removable partial denture, mandibular"
},
{
"code" : "D9941",
"display" : "fabrication of athletic mouthguard"
},
{
"code" : "D9942",
"display" : "repair and/or reline of occlusal guard"
},
{
"code" : "D9943",
"display" : "occlusal guard adjustment"
},
{
"code" : "D9944",
"display" : "occlusal guard - hard appliance, full arch"
},
{
"code" : "D9945",
"display" : "occlusal guard - soft appliance, full arch"
},
{
"code" : "D9946",
"display" : "occlusal guard - hard appliance, partial arch"
},
{
"code" : "D9950",
"display" : "occlusion analysis - mounted case"
},
{
"code" : "D9951",
"display" : "occlusal adjustment - limited"
},
{
"code" : "D9952",
"display" : "occlusal adjustment - complete"
},
{
"code" : "D9970",
"display" : "enamel microabrasion"
},
{
"code" : "D9971",
"display" : "odontoplasty - per tooth"
},
{
"code" : "D9972",
"display" : "external bleaching - per arch - performed in office"
},
{
"code" : "D9973",
"display" : "external bleaching - per tooth"
},
{
"code" : "D9974",
"display" : "internal bleaching - per tooth"
},
{
"code" : "D9975",
"display" : "external bleaching for home application, per arch; includes materials and fabrication of custom trays"
}
]
},
{
"code" : "D9961-D9997",
"display" : "NON-CLINICAL PROCEDURES",
"concept" : [
{
"code" : "D9961",
"display" : "duplicate/copy patient's records"
},
{
"code" : "D9985",
"display" : "sales tax"
},
{
"code" : "D9986",
"display" : "missed appointment"
},
{
"code" : "D9987",
"display" : "cancelled appointment"
},
{
"code" : "D9990",
"display" : "certified translation or sign-language services - per visit"
},
{
"code" : "D9991",
"display" : "dental case management - addressing appointment compliance barriers"
},
{
"code" : "D9992",
"display" : "dental case management - care coordination"
},
{
"code" : "D9993",
"display" : "dental case management - motivational interviewing"
},
{
"code" : "D9994",
"display" : "dental case management - patient education to improve oral health literacy"
},
{
"code" : "D9995",
"display" : "teledentistry - synchronous; real-time encounter"
},
{
"code" : "D9996",
"display" : "teledentistry - asynchronous; information stored and forwarded to dentist for subsequent review"
},
{
"code" : "D9997",
"display" : "dental case management - patients with special health care needs"
}
]
},
{
"code" : "D9999",
"display" : "unspecified adjunctive procedure, by report"
}
]
}
]
}
],
"text" : {
}
}
XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.