|
CDA Dental Codes list
The standard CDA Dental Codes list is provided below and includes both a short description and full description. You can add to and edit the procedure codes in the Office Manager.
You can also print the Procedure Code List from Office Manager. (This printed list will include any changes you've made when adding to or editing the procedure codes.)
The standard CDA Dental Codes list below is grouped into the following categories:
· Misc.
|
Code |
Short Description |
Full Description |
|
01101 |
NP Prim |
Exam, Primary |
|
01102 |
NP Mixed |
Exam, Mixed |
|
01103 |
NP Perm |
Exam Permanent |
|
01201 |
Exam,ltd |
Exam, Ltd Oral |
|
01202 |
Recall |
Exam, Recall |
|
01203 |
Perio,lim |
Exam, Perio, Ltd |
|
01204 |
Exam,spec |
Exam, Specific |
|
01205 |
Exam,Emer |
Exam, Emergency |
|
01206 |
Analy,mix |
Analysis, Mixed Dent |
|
01301 |
Exam,Oral |
Exam, Sto, Dysfunc, Comp |
|
01302 |
Exam,Sto |
Exam, Sto, Dysfunc, Ltd |
|
01401 |
Exam,Gen |
Exam, Oral Path, Gen |
|
01402 |
Ex,Or,spe |
Exam, Oral Path, Spec |
|
01501 |
Ex,Perio |
Exam, Perio, Gen |
|
01502 |
Perio,spe |
Exam, Perio, Spec |
|
01601 |
Surg |
Exam, Surg Gen |
|
01602 |
Surg,spe |
Exam, Surg Spec |
|
01701 |
Pros,Gen |
Exam, Prostho Gen |
|
01702 |
Pros,std |
Exam, Prostho Spec |
|
01703 |
Pros,Reha |
Exam, Prostho Fixed Oral Rehab |
|
01801 |
Endo |
Exam, Endo Comp |
|
01802 |
Endo,spe |
Exam, Endo Spec |
|
01901 |
Ortho |
Exam, Ortho Gen |
|
01902 |
Ortho,spe |
Exam, Ortho Spec |
|
02101 |
X-Ray |
Comp Series Xrays |
|
02102 |
X-Ray-FMS |
Xrays FMS (min 16) |
|
02111 |
1 PA |
1 PA |
|
02112 |
X-Ray-2 |
2 PA |
|
02113 |
X-Ray-3 |
3 PA |
|
02114 |
X-Ray-4 |
4 PA |
|
02115 |
X-Ray-5 |
5 PA |
|
02116 |
X-Ray-6 |
6 PA |
|
02117 |
X-Ray-7 |
7 PA |
|
02118 |
X-Ray-8 |
8 PA |
|
02119 |
X-Ray-9 |
9 PA |
|
02120 |
X-Ray-10 |
10 PA |
|
02131 |
X-Ray,O,1 |
Radiographs, Occ 1 Film |
|
02132 |
X-Ray,O,2 |
Radiographs, Occ 2 Films |
|
02133 |
X-Ray,O,3 |
Radiographs, Occ 3 Films |
|
02134 |
X-Ray,O,4 |
Radiographs, Occ 4 Films |
|
02141 |
1BW,X-Ray |
1 B.W. X-Ray |
|
02142 |
2BW |
2 B.W. X-Ray |
|
02143 |
3BW,X-Ray |
3 B.W. X-Ray |
|
02144 |
4BW,X-Ray |
4 B.W. X-Ray |
|
02145 |
5BW,X-Ray |
5 B.W. X-Ray |
|
02146 |
6BW,X-Ray |
6 B.W. X-Ray |
|
02201 |
X-Ray,EO1 |
Radiographs, Extraoral-1 film |
|
02202 |
X-Ray,EO2 |
Radiographs, Extraoral-2 films |
|
02203 |
X-Ray,EO3 |
Radiographs, Extraoral-3 films |
|
02204 |
X-Ray,E04 |
Radiographs, Extraoral-4 films |
|
02209 |
X-Ray,Add |
Radiographs Add Film |
|
02301 |
An/Skull1 |
Anter/Skull & facial-1st film |
|
02302 |
An/Skull2 |
Anter/Skull & facial-2nd film |
|
02303 |
An/Skull3 |
Anter/Skull & facial-3rd film |
|
02304 |
Sinus |
Sinus X-Ray Series |
|
02309 |
Sinus,add |
Sinus X-Rays, Add Films |
|
02401 |
Sialo 1 |
Sialography XRay 1 Unit |
|
02402 |
Sialo 2 |
Sialography XRay 2 Units |
|
02409 |
Sialo add |
Sialography XRay Add |
|
02411 |
Rad,dye1 |
Radiopaque dyes-1 unit |
|
02412 |
Rad,dye2 |
Radiopaque dyes-2 units |
|
02419 |
Rad,add |
Radiopaque dyes-ea add |
|
02501 |
XRay,TMJ1 |
Radiograph, TMJ |
|
02502 |
XRay,TMJ2 |
Xray TMJ 2 Films |
|
02503 |
XRay,TMJ3 |
Xray TMJ 3 Films |
|
02504 |
XRay,TMJ4 |
Xray TMJ 4 Films |
|
02509 |
TMJ add |
Xray TMJ each add |
|
02511 |
Arth TMJ |
Arthrography of TMJ |
|
02521 |
IntAr1U |
Interpretation of^Arthrogram1u |
|
02529 |
IntAr+U |
Interpretation of^Arthrogram+u |
|
02601 |
XRay,Pan |
Panoramic |
|
02701 |
XR,Ceph1 |
Radiograph, Ceph, 1 film |
|
02702 |
XR,Ceph2 |
Radiograph, Ceph, 2 films |
|
02703 |
XR,Ceph3 |
Radiograph, Ceph, 3 films |
|
02704 |
XR,Ceph4 |
Radiograph, Ceph, 4 films |
|
02709 |
Ceph,add |
Radiograph, Ceph, add over 4 |
|
02751 |
Ceph,Tr1 |
Ceph, tracing-1 u time |
|
02752 |
Ceph,Tr2 |
Ceph, tracing-2 u time |
|
02759 |
Ceph,Tr>3 |
Ceph, tracing-u over 3 |
|
02801 |
XR,Inter1 |
X-Ray Interpretation-1 unit |
|
02802 |
XR,Inter2 |
X-Ray Interpretation-2 units |
|
02809 |
XR,Int,ad |
X-Ray Interpretation-add |
|
02911 |
XR,Dup1 |
X-Ray Duplicate 1 Film |
|
02912 |
XR,Dup2 |
X-Ray Duplicate 2 Films |
|
02913 |
XR,Dup3 |
X-Ray Duplicate 3 Films |
|
02914 |
XR,Dup4 |
X-Ray Duplicate 4 Films |
|
02915 |
XR,Dup5 |
X-Ray Duplicate 5 Films |
|
02916 |
XR,Dup6 |
X-Ray Duplicate 6 Films |
|
02917 |
XR,Dup7 |
X-Ray Duplicate 7 Films |
|
02918 |
XR,Dup8 |
X-Ray Duplicate 8 Films |
|
02919 |
XR,Dup,ad |
X-Ray Duplicate ea. add |
|
02921 |
XR,Ha&Wr |
Hand & Wrist X-Ray |
|
02931 |
XR,Tom1 |
Tomography X-Ray-1 film |
|
02932 |
XR,Tom2 |
Tomography X-Ray-2 films |
|
02933 |
XR,Tom3 |
Tomography X-Ray-3 films |
|
02934 |
XR,Tom4 |
Tomography X-Ray-4 films |
|
02939 |
XR,Tom,ad |
Tomography X-Ray each add |
|
02951 |
GuideMax |
Radiograph^Max- Guide |
|
02952 |
GuideMan |
Radiograph^Man - Guide |
|
03001 |
MaxSurgTp |
Maxillary Surgical Template |
|
03002 |
MandSurgT |
Mandibular Surgical Template |
|
04101 |
Microbio |
Microbiological Tests |
|
04201 |
Caries |
Caries Susceptibility Tests |
|
04311 |
Biop,Punc |
Biop Sft Oral^Punct |
|
04312 |
Biop-Soft |
Biop Sft Tissue Incision |
|
04313 |
Biop/Soft |
Biop Sft Tissue Aspiration |
|
04321 |
Biop-Hard |
Biop Hard Tissue Punct |
|
04322 |
Bio-Hard |
Biop Hard Tissue Incision |
|
04323 |
Biop,Hard |
Biop Hard Tissue Aspiration |
|
04401 |
Cytologic |
Cytological Smear Oral Cavity |
|
04402 |
VitStain |
Vital Staining of Oral Mucosal |
|
04501 |
Pulp 1 |
Pulp Vitality 1 unit |
|
04509 |
Pulp,add |
Pulp Vitality Ea. Add unit |
|
04601 |
Micro Rep |
Report by Oral^Microbiologist |
|
04602 |
Patho Rep |
Report by Oral Pathologist |
|
04603 |
Cyto Rep |
Report/Cytological by Pathol. |
|
04604 |
Lab Rep |
Reports Laboratory |
|
04711 |
Equil 1 |
Equil.Casts-Diagnostic-1u |
|
04712 |
Equil 2 |
Equil.Casts-Diagnostic-2u |
|
04713 |
Equil 3 |
Equil.Casts-Diagnostic-3u |
|
04714 |
Equil 4 |
Equil,Casts-Diagnostic-4u |
|
04719 |
Equil add |
Equal.Casts-Diagnostic-Add |
|
04721 |
Wax 1 |
Wax-up, Diagnostic-1 u |
|
04722 |
Wax 2 |
Wax-up, Diagnostic-2 u |
|
04723 |
Wax 3 |
Wax-up, Diagnostic-3 u |
|
04724 |
Wax 4 |
Wax-up, Diagnostic-4 u |
|
04729 |
Wax add |
Wax-up, Diagnostics-over 4 |
|
04731 |
Spl Cast1 |
Split cast-1 u |
|
04732 |
Spl Cast2 |
Split cast-2 u |
|
04733 |
Spl Cast3 |
Split cast-3 u |
|
04734 |
Spl Cast4 |
Split cast-4 u |
|
04739 |
S Cast ad |
Split cast-Over 4 u |
|
04741 |
Int Mod1 |
Inter Models (Ref)-1st u |
|
04749 |
In Mod,ad |
Inter Models (Ref)-add. u |
|
04801 |
Photo 1 |
Diagnostic, 1 Photo |
|
04802 |
Photo 2 |
Diagnostic, 2 photos |
|
04803 |
Photo 3 |
Diagnostic, 3 photos |
|
04809 |
Photo,add |
Diagnostic, Photos over 3 |
|
04911 |
Cast,un |
Casts, Diag, Unmounted |
|
04912 |
Cast,Dup |
Casts, Diag, Duplicate |
|
04921 |
CastDiagM |
Casts, Diagnostic, Mounted |
|
04922 |
Cast-FBT |
Casts, Diag, Mounted FaceBowTrn |
|
04923 |
Cast-FBOc |
Casts, Diag, Mounted FaceBow+Oc |
|
04924 |
Cast-AdAr |
Casts, Diag, Mounted AdjArticul |
|
04931 |
Cast,Orth |
Casts, Diag, Ortho |
|
04941 |
Cast,Misc |
Casts, Diag, Misc |
|
04942 |
3-D Recor |
3-D Recordings |
|
04943 |
IncisalG |
Custom Incisal Guide Table |
|
05101 |
TP 1 |
Treatment Planning-1 u |
|
05102 |
TP 2 |
Treatment Planning-2 u |
|
05103 |
TP 3 |
Treatment Planning-3 u |
|
05104 |
TP 4 |
Treatment Planning-4 u |
|
05109 |
TP 4+ |
Treatment Planning-over 4 u |
|
05201 |
Consul 1 |
Consult 1 u |
|
05202 |
Consul 2 |
Consult 2 u |
|
05209 |
Consul ad |
Consult Add unit |
|
11101 |
Polish1u |
Polish 1U |
|
11102 |
Polish2u |
Polishing 2U |
|
11107 |
1/2uPol |
1/2unit of Polish |
|
11111 |
Scale1u |
Scaling 1U |
|
11112 |
Scale2u |
Scaling 2U |
|
11113 |
Scale3u |
Scaling 3U |
|
11114 |
Scale4u |
Scaling 4U |
|
11115 |
Scale5u |
Scaling 5U |
|
11116 |
Scale6u |
Scaling 6U |
|
11117 |
1/2u Sc |
Scaling 1/2 unit |
|
11119 |
ScaleAu |
Scaling Add units |
|
12101 |
Fluor,top |
Fluoride, Topical |
|
12102 |
Fluor,slf |
Fluoride, Self Admin |
|
12601 |
Flou,Max |
Fluoride, Custom Appl, Max |
|
12602 |
Flou,Mand |
Fluoride, Custom Appl, Mand |
|
12701 |
Med Max |
Medication, Custom Appl/Max |
|
12702 |
Med Mand |
Medication, Custom Appl/Mand |
|
13101 |
Nutri 1 |
Nutrit Counsel 1u |
|
13102 |
Nutri 2 |
Nutrit Counsel 2u |
|
13103 |
Nutri 3 |
Nutrit Counsel 3u |
|
13104 |
Nutri 4 |
Nutrit Counsel 4u |
|
13109 |
Nutri add |
Nutrit Counsel add u |
|
13211 |
OHI |
OHI Inst 1 unit |
|
13212 |
OHI,Ind 2 |
OHI Inst 2 unit |
|
13213 |
OHI,Ind 3 |
OHI Inst 3 units |
|
13214 |
OHI,Ind 4 |
OHI Inst 4 units |
|
13217 |
OrHyIn1/2 |
Oral Hygiene Inst. - 1/2 unit |
|
13219 |
OHI,In ad |
OHI Inst Add unit |
|
13221 |
OHI,Grp 1 |
OHI Group Instr. 1 u |
|
13222 |
OHI,Grp 2 |
OHI Group Instr. 2 u |
|
13223 |
OHI,Grp 3 |
OHI Group Instr. 3 u |
|
13224 |
OHI,Grp 4 |
OHI Group Instr. 4 u |
|
13229 |
OHI,Gp ad |
OHI Group Instr. ea add.u |
|
13231 |
OHI,Re 1 |
OHI re-inst 1 u |
|
13232 |
OHI,Re 2 |
OHI re-inst 2 u |
|
13239 |
OHI,Re ad |
OHI re-inst add u |
|
13241 |
OHI,AV1 |
OHI Audio Visual 1 u |
|
13242 |
OHI,AV2 |
OHI Audio Visual 2 u |
|
13249 |
OHI,AV ad |
OHI Audio Visual Add. u |
|
13301 |
Refinis 1 |
See 16101 as of 2003 |
|
13302 |
Refinis 2 |
See 16102 as of 2003 |
|
13303 |
Finish 3 |
See 16103 as of 2003 |
|
13304 |
Finish 4 |
See 16104 as of 2003 |
|
13309 |
Finish ad |
See 16109 as of 2003 |
|
13401 |
Seal 1 |
Sealants-1st tooth |
|
13409 |
Seal add |
Sealants-add tooth |
|
13411 |
PrvRes1 |
Prev. Rest. Resin 1st Tooth |
|
13419 |
PrvAddt |
Prev. Rest. Resin Add Tooth |
|
13501 |
Grd,Pref |
See 14501 as of 2003 |
|
13502 |
Grd,Proc |
See 14502 as of 2003 |
|
13601 |
TopAppl1u |
Top Appl - Hard Tissue-AntiMic1 |
|
13602 |
TopAppl2u |
Top Appl - Hard Tissue-AntiMic2 |
|
13609 |
TopAppl2+ |
Top Appl -Hard Tissue-AntiMic2+ |
|
13701 |
Disk 1 |
See 16201 as of 2003 |
|
13702 |
Disk 2 |
See 16202 as of 2003 |
|
13703 |
Disk 3 |
See 16203 as of 2003 |
|
13709 |
Disk add |
See 16209 as of 2003 |
|
13801 |
Aesth 1 |
See 16301 as of 2003 |
|
13809 |
Aesth add |
See 16309 as of 2003 |
|
13901 |
Funct 1 |
See 16401 as of 2003 |
|
13909 |
Funct add |
See 16409 as of 2003 |
|
14101 |
Rem Max |
Appl Rem Oral Habits Max |
|
14102 |
Rem Mand |
Appl Rem Oral Habits Mand |
|
14103 |
Max+Man |
Appliances, Removbl Max & Man |
|
14201 |
Fix Max |
Appl Fixed Habits Max |
|
14202 |
Fix Mand |
Appl Fixed Habits Mand |
|
14301 |
Motiv |
Oral Habits/Motivation |
|
14311 |
Myofunc 1 |
Oral Habits/Myofunc 1u |
|
14312 |
Myofunc 2 |
Oral Habits/Myofunc 2u |
|
14319 |
Myofun ad |
Oral Habits/Myofunc Add |
|
14401 |
Appl 1 |
Appliances-1 U&L |
|
14402 |
Appl 2 |
Appliances-2 U&L |
|
14403 |
Appl 3 |
Appliances-3 U&L |
|
14409 |
Appl 3+ |
Appliances-u over 3+L |
|
14501 |
AppMthGrd |
Appl Protected Mouth Guard |
|
14502 |
MthGrdPro |
Appl Mth Grd Processes |
|
14611 |
Max Appl |
Perio Max Appl-include Brux/Imp |
|
14612 |
Mand Appl |
PerioMand Appl-include Brux/Imp |
|
14621 |
AppAdjRp1 |
Appl Adjustment/Repairs I Unit |
|
14622 |
AppAdjRP2 |
Appl Adjustment/Repairs 2 Units |
|
14623 |
AppAdjRp3 |
Appl Adjustment/Repairs 3 Units |
|
14629 |
AdjRpAdd |
Appl Adjustment/Repair Add Unit |
|
14631 |
AppRelDir |
Appliance Reline Direct |
|
14632 |
AppRelPro |
Appliance Reline Processed |
|
14711 |
TMJ Max |
TMJ Max DiagTheraputic incl Imp |
|
14712 |
TMJ Mand |
TMJ Mand DiagTheraputicIncl Imp |
|
14721 |
TMJMaxInt |
TMJ Max Intaoral Repositioning |
|
14722 |
TMJManInt |
TMJ MandIntaoral Repositioning |
|
14731 |
TMJMain1 |
TMJ PeriodicMaint,Adj,Rep 1unit |
|
14732 |
TMJMain2 |
TMJ PeriodicMaint,Adj,Rep 2unit |
|
14733 |
TMJMain3 |
TMJ PeriodicMaint,Adj,Rep 3unit |
|
14739 |
TMJMainAD |
TMJ PeriodicMaint,Adj/Add Unit |
|
14741 |
TMJRelDir |
Appl TMJ Reline- Direct |
|
14742 |
TMJRelIND |
Appl TMJ Reline- Indirect |
|
14811 |
MyoFacMax |
App Myofacial Pain-Max |
|
14812 |
MyoFacMan |
App Myofacial Pain-Mand |
|
14821 |
Myof Adj1 |
App Myofacial Adjustment 1 Unit |
|
14822 |
Myof Adj2 |
App Myofacial Adjustment 2 Unit |
|
14823 |
Myof Adj3 |
App Myofacial Adjustment 3 Unit |
|
14829 |
MyofAdjAD |
App Myofacial Adjust-Addit unit |
|
15010 |
PrimPerCh |
Primary - Perm Change |
|
15101 |
SpMa uni |
Sp. Main. Fixed Unilateral |
|
15102 |
SpMaUniIA |
Sp Main Fixed Unilateral IntraA |
|
15103 |
SpMa bi |
Sp Main Fixed Bilateral |
|
15104 |
SpMaBtTee |
Sp Main Fixed Bilateral + teeth |
|
15105 |
SpMaBiTWr |
Sp Mn Fxd Bilat + Tubes/Wires |
|
15201 |
SpM Crn f |
Sp. Main. SS Crn. fixed |
|
15202 |
SM,Crn fa |
Sp. Main. SS Crn. fixed att. |
|
15301 |
SM,Cst f |
Sp. Main. Cast. fixed |
|
15302 |
SM,Cst fa |
Sp. Main. Cast. fixed w att. |
|
15401 |
SM,Acy |
Sp. Main. Acy. Bilat. Clasps. |
|
15402 |
SM Acr th |
Sp. Main. Acr, Bilat, Clp,w.th |
|
15403 |
SM Acr |
Sp. Main. No Clasps |
|
15501 |
SM acid |
Sp. Main. Acid Etched |
|
15601 |
SM Maint |
Sp. Main. Maintenance |
|
15602 |
SM add |
Sp. Main. add of clasp |
|
15603 |
SM repair |
Sp. Main. Repairs |
|
15604 |
SM rem |
Removal, Fixed Space Main 2nd D |
|
16101 |
FinRest 1 |
Finishing Restorations-1 Unit |
|
16102 |
FinRest 2 |
Finishing Restorations-2Unit |
|
16103 |
FinRest 3 |
Finishing Restorations-3Unit |
|
16104 |
FinRest 4 |
Finishing Restorations-4 Unit |
|
16109 |
FinResAdd |
Finishing Restorations Add unit |
|
16201 |
Disking 1 |
Disking of teeth, 1 unit |
|
16202 |
Disking 2 |
Disking of teeth, 2 unit |
|
16203 |
Disking 3 |
Disking of teeth, 3 unit |
|
16209 |
DiskingAd |
Disking of teeth, Addit units |
|
16301 |
RecAesth1 |
Recontouring Teeth/Aesthetic1u |
|
16309 |
RecAesthA |
Recont Teeth/Aesthetic Add Unit |
|
16401 |
RecFunc1 |
Recontouring Teeth/Functional1u |
|
16409 |
RecFuncAd |
Recont Teeth/Functional Add u |
|
16511 |
OccAdj 1u |
Occlusal Adjustment^1 unit |
|
16512 |
OccAdj 2u |
Occlusal Adjustment^2 unit |
|
16513 |
OccAdj 3u |
Occlusal Adjustment^3 unit |
|
16514 |
OccAdj 4u |
Occlusal Adjustment^4 unit |
|
16519 |
OccAdj Ad |
Occlusal Adjustment^Add units |
|
20111 |
Caries 1 |
Caries/Trauma/Pain-Rest/Gnv Att |
|
20119 |
Caries ad |
ZOE Caries/Pain Cont add tooth |
|
20121 |
Sed 1 |
Sed. Dressing/Trauma,Pain Cntrl |
|
20129 |
Sed add |
Sed. Dressing ea. add Tooth |
|
20131 |
Tra sm 1 |
Trauma Cont. Smooth 1st tooth |
|
20139 |
Tr sm add |
Trauma Cont. smooth add teeth |
|
21111 |
Am non pr |
Prim Am 1 Surf |
|
21112 |
Am,non pr |
Prim Am 2 Surf |
|
21113 |
Am non,pr |
Prim Am 3 Surf |
|
21114 |
Ama non p |
Prim Am 4 Surf |
|
21115 |
Am n prim |
Prim Am 5 Surf |
|
21121 |
Am bond |
Am Bond Prim 1 Surf |
|
21122 |
Amal bond |
Am Bond Prim 2 Surf |
|
21123 |
Ama bond |
Am Bond Prim 3 Surf |
|
21124 |
Am-bond |
Am Bond Prim 4 Surf |
|
21125 |
Amal-bond |
Am Bond Prim 5 Surf |
|
21211 |
Am non |
Am Perm 1 Surf Bi/Ant |
|
21212 |
Am n-bond |
Am Perm 2 Surf Bi/Ant |
|
21213 |
Am-n bond |
Am Perm 3 Surf Bi/Ant |
|
21214 |
Am-non |
Am Perm 4 Surf Bi/Ant |
|
21215 |
Ama-nbond |
Am Perm 5 Surf Bi/Ant |
|
21221 |
Am,nonbon |
Am Perm 1 Surf Mol |
|
21222 |
Amalg non |
Am Perm 2 Surf Mol |
|
21223 |
Am,n-bond |
Am Perm 3 Surf Mol |
|
21224 |
Am,non b |
Am Perm 4 Surf Mol |
|
21225 |
Am.n-bond |
Am Perm 5 Surf Mol |
|
21231 |
Am bond 1 |
Am Bond Perm 1 Su Bi/Ant |
|
21232 |
Am bond 2 |
Am Bond Perm 2 Su Bi/Ant |
|
21233 |
Am bond 3 |
Am Bond Perm 3 Su Bi/Ant |
|
21234 |
Am bond 4 |
Am Bond Perm 4 Su Bi/Ant |
|
21235 |
Am Bond 5 |
Am Bond Perm 5 Su Bi/Ant |
|
21241 |
Am Bond 6 |
Am Bond Perm 1 Su Mol |
|
21242 |
Am Bond 7 |
Am Bond Perm 2 Su Mol |
|
21243 |
Am Bond 8 |
Am Bond Perm 3 Su Mol |
|
21244 |
Am Bond 9 |
Am Bond Perm 4 Su Mol |
|
21245 |
Am Bond10 |
Am Bond Perm 5 Su Mol |
|
21301 |
Am Cores1 |
Am Core |
|
21302 |
Am Cores2 |
Am Core Bonded |
|
21401 |
Ret pin 1 |
Retentive Pin-1 |
|
21402 |
Ret pin 2 |
Retentive Pin-2 |
|
21403 |
Ret pin 3 |
Retentive Pin-3 |
|
21404 |
Ret pin 4 |
Retentive Pin-4 |
|
21405 |
Ret pin 5 |
Retentive Pin-5 |
|
21501 |
RestExPar |
Rest Tth Support exist Partial |
|
22201 |
M Rest |
S.S. Cr. Prim Ant |
|
22202 |
M Rest op |
S.S. Cr. Prim Ant/Open |
|
22211 |
M Rest po |
S.S. Cr. Prim Post |
|
22212 |
M Rest,op |
S.S. Cr. Prim Post/Open |
|
22301 |
MR ant |
S.S. Cr. Perm Ant |
|
22302 |
MR p ant |
S.S. Cr Perm Ant/Open |
|
22311 |
MR post |
S.S. Cr Perm Post |
|
22312 |
MRpost op |
S.S. Cr Perm Post/ Open |
|
22401 |
Pl,pri an |
Plastic Cr. Prim Ant |
|
22411 |
Pl,pri,po |
Plastic Cr. Prim Post |
|
22501 |
Pl,per an |
Plastic Cr. Perm Ant |
|
22511 |
Pl,per po |
Plastic Cr. Perm Post |
|
23101 |
Comp 1sur |
Comp Perm Ant 1 Su |
|
23102 |
Comp 2sur |
Comp Perm Ant 2 Su |
|
23103 |
Comp 3sur |
Comp Perm Ant 3 Su |
|
23104 |
Comp 4sur |
Comp Perm Ant 4 Su |
|
23105 |
Comp 5sur |
Comp Perm Ant 5 Su |
|
23111 |
Com ac 1 |
Comp perm ant. ac 1 sur |
|
23112 |
Com ac 2 |
Comp perm ant ac 2 Sur |
|
23113 |
Com ac 3 |
Comp perm ant ac 3 Sur |
|
23114 |
Com ac 4 |
Comp perm ant ac 4 Sur |
|
23115 |
Com ac 5 |
Comp perm ant ac 5 Sur |
|
23122 |
Veneer |
Chairside Veneer |
|
23123 |
Ven,diast |
Lab Fab Ven Diastema Clo |
|
23211 |
Com bi 1 |
Comp perm bi 1 Sur |
|
23212 |
Com bi 2 |
Comp perm bi 2 Sur |
|
23213 |
Com bi 3 |
Comp perm bi 3 Sur |
|
23214 |
Com bi 4 |
Comp perm bi 4 Sur |
|
23215 |
Com bi 5 |
Comp perm bi 5 Sur |
|
23221 |
Com mo 1 |
Comp prm mol 1 Sur |
|
23222 |
Com mo 2 |
Comp prm mol 2 Sur |
|
23223 |
Com mo 3 |
Comp prm mol 3 Sur |
|
23224 |
Com mo 4 |
Comp prm mol 4 Sur |
|
23225 |
Com mo 5 |
Comp prm mol 5 Sur |
|
23311 |
Com b ac1 |
Comp perm bi ac 1 Su |
|
23312 |
Com b ac2 |
Comp perm bi ac 2 Sur |
|
23313 |
Com b ac3 |
Comp perm bi ac 3 Sur |
|
23314 |
Com b ac4 |
Comp perm bi ac 4 Sur |
|
23315 |
Com b ac5 |
Comp perm bi ac 5 Sur |
|
23321 |
Com m ac1 |
Comp perm mol ac 1 Sur |
|
23322 |
Com m ac2 |
Comp perm mol ac 2 Sur |
|
23323 |
Com m ac3 |
Comp perm mol ac 3 Sur |
|
23324 |
Com m ac4 |
Comp perm mol ac 4 Sur |
|
23325 |
Com m ac5 |
Comp perm mol ac 5 Sur |
|
23401 |
C pr an 1 |
Comp Prim Ant 1 Sur |
|
23402 |
C pr an 2 |
Comp Prim Ant 2 Sur |
|
23403 |
C pr an 3 |
Comp Prim Ant 3 Sur |
|
23404 |
C pr an 4 |
Comp Prim Ant 4 Sur |
|
23405 |
C pr an 5 |
Comp Prim Ant 5 Sur |
|
23411 |
C p a ac1 |
Comp prim ant ac 1 Sur |
|
23412 |
C p a ac2 |
Comp prim ant ac 2 Sur |
|
23413 |
C p a ac3 |
Comp prim ant ac 3 Sur |
|
23414 |
C p a ac4 |
Comp prim ant ac 4 Sur |
|
23415 |
C p a ac5 |
Comp prim ant ac 5 Sur |
|
23501 |
C pr po 1 |
Comp prim post 1 Sur |
|
23502 |
C pr po 2 |
Comp prim post^2 Sur |
|
23503 |
C pr po 3 |
Comp prim post^3 Sur |
|
23504 |
C pr po 4 |
Comp prim post 4 Sur |
|
23505 |
C pr po 5 |
Comp prim post 5 Sur |
|
23511 |
C p/p ac1 |
Comp prim post ac 1 Su |
|
23512 |
C p/p ac2 |
Comp prim Post ac 2 Sur |
|
23513 |
C p/p ac3 |
Comp prim Post ac 3 Sur |
|
23514 |
C p/p ac4 |
Comp prim post ac 4 Sur |
|
23515 |
C p/p ac5 |
Comp prim post ac 5 Sur |
|
23601 |
Cor build |
Comp Core Crown |
|
23602 |
Cr Bld AE |
Comp Core Crown Acid Etch/Bond |
|
24101 |
Gold ant1 |
Gold foil Ant Class 1 |
|
24102 |
Gold ant3 |
Gold Foil Ant Class 111 |
|
24103 |
Gold ant5 |
Gold Foil Ant Class 5 |
|
24104 |
Gold ant4 |
Gold Foil Ant Class 4 |
|
24201 |
Gold po 1 |
Gold Foil Post Class 1 |
|
24202 |
Gold po 2 |
Gold Foil Post Class 2 |
|
24203 |
Gold po 5 |
Gold Foil Post Class 5 |
|
25111 |
Inlay m1 |
Inlay Metal 1 Sur |
|
25112 |
Inlay m2 |
Inlay Metal 2 Sur |
|
25113 |
Inlay m3 |
Inlay Metal 3 Sur |
|
25114 |
Inlay m3m |
Inlay Metal 3 Sur Modified |
|
25121 |
Inlay c1 |
Inlay Comp Proc 1 Sur |
|
25122 |
Inlay c2 |
Inlay Comp Proc 2 Sur |
|
25123 |
Inlay c3 |
Inlay Comp Proc 3 Sur |
|
25124 |
Inlay c3m |
Inlay Comp Proc 3 Sur Mod |
|
25131 |
Porc In 1 |
Inlay Porc 2 Sur |
|
25132 |
Porc In 2 |
Inlay Porc 2 Sur |
|
25133 |
Porc In 3 |
Inlay Porc 3 Sur |
|
25134 |
Porc In3m |
Inlay Porc 3 Sur Mod |
|
25141 |
In Porc 1 |
Inlay Porc ac 1 Sur |
|
25142 |
In Porc 2 |
Inlay Porc ac 2 Sur |
|
25143 |
In Porc 3 |
Inlay Porc ac 3 Sur |
|
25144 |
In Porc3m |
Inlay Porc ac 3 Sur mod |
|
25511 |
On Metal |
Onlay, Metal, per post tooth |
|
25521 |
On Comp |
Onlay, Comp, per post tooth |
|
25531 |
On Porc |
Onlay Porc ac^Per Tooth |
|
25601 |
Re Pin 1 |
Retentive Pin 1 (Proc) |
|
25602 |
Re Pin 2 |
Retentive Pin 2 (Proc) |
|
25603 |
Re Pin 3 |
Retentive Pin 3 (Proc) |
|
25604 |
Re Pin 4 |
Retentive Pin 4 (Proc) |
|
25605 |
Re Pin 5 |
Retentive Pin 5 (Proc) |
|
25711 |
Post sep1 |
Indirect P&C Sep Proc 1 sec |
|
25712 |
Post sep2 |
Indirect P&C Sep Proc 2 sec |
|
25713 |
Post sep3 |
Indirect P&C Sep Proc 3 sec |
|
25721 |
Post imp1 |
Indirect P&C Conc 1 sec |
|
25722 |
Post imp2 |
Indirect P&C Conc 2 sec |
|
25723 |
Post imp3 |
Indirect P&C Conc 3 sec |
|
25724 |
Post crn |
Indirect P&C Conc, Crown |
|
25731 |
Post pf1 |
Post Prefab 1 |
|
25732 |
Post pf2 |
Post Prefab 2 |
|
25733 |
Post pf3 |
Post Prefab 3 |
|
25741 |
1Post/cor |
1 Post/Cast Core |
|
25742 |
2Post cor |
2 Post/Cast Core |
|
25743 |
3Post cor |
3 Post/Cast Core |
|
25761 |
Post.impl |
Post per implant |
|
25771 |
P fab tem |
Post Fabricated Temp |
|
25781 |
Po remov1 |
Post removal-1 u |
|
25782 |
Po remov2 |
Post removal-2 u |
|
25783 |
Po remov3 |
Post removal-3 u |
|
25784 |
Po remov4 |
Post removal-4 u |
|
25789 |
Po re add |
Post removal-add u |
|
26101 |
PrefAbut |
Indirect,Ang/Transmuc,Abutment |
|
26102 |
CusLabAbu |
Indirect,CustomLab,Abutment |
|
26103 |
DirectAbu |
Direct Abutment |
|
27111 |
Crn pl |
Cr Plastic Processed |
|
27112 |
Crn pl co |
Cr Plastic Processed Complicate |
|
27113 |
Crn pl in |
Cr Plastic Trans indirect comp |
|
27114 |
Crn met |
Cr Plastic Metal Proc |
|
27121 |
Crn pl di |
Cr Plastic Direct Chairside |
|
27125 |
Crn pl Im |
Cr Plastic Direct Implant Supp. |
|
27131 |
Cr,CompMB |
Cr.,Acry.,Compos,Compom,^MetBa |
|
27135 |
Cr,Implan |
Cr.,Acry.,Compos,Compom,^MetB |
|
27136 |
Cr,MB Imp |
Cr.,Acry.,Compos,Compom,MB Impl |
|
27201 |
CrnPorCJ |
Cr Porc Jacket |
|
27202 |
CrnPorCC |
Cr Porc Jacket Comp |
|
27205 |
CrPorcImp |
Crown, Porc/Cer-Implant Supp+L |
|
27206 |
CrCerPost |
Crown, Porc/CerwithCast CerPost |
|
27211 |
Crn fused |
Cr Porc Fused Metal |
|
27212 |
Crn Cer |
Cr Porc Fused Metal Comp |
|
27213 |
Crn screw |
Cr Porc to Metal att Implant |
|
27215 |
Crn Impl |
Cr Porc Fused Metal Implant |
|
27216 |
Cr/Post |
Cr Porc Fused Metal ,Cast Post |
|
27221 |
Crwn3/4 |
Crowns Porc/Cerm/Polymer 3/4 |
|
27222 |
3/4Compl |
Crwn Porc/Cerm/Polymer 3/4 Comp |
|
27301 |
Crn full |
Cr Full Cast |
|
27302 |
CrnFul co |
Cr Full Cast Comp |
|
27305 |
CrImplant |
Cr Full Cast Implant |
|
27306 |
Cr,Post |
Cr,Full Cast with Post |
|
27311 |
Crn 3/4 |
Cr Metal 3/4 Part Veneer |
|
27312 |
Crn3/4Com |
Cr Metal 3/4 Part Veneer |
|
27313 |
CrnM3/4 |
Cr Met 3/4 Part Ven T Color Cor |
|
27401 |
Crn made |
1 Cr to existing Pat Den Clasp |
|
27409 |
Crn add |
Ea Add Cr To Existing Par Den |
|
27501 |
Cop sep |
Copings,metal/plas sep proc |
|
27502 |
CopAddntl |
Copings,metal/plas each addtn'l |
|
27503 |
ImprwCrn |
Coping, Mtl/Plstc, Conc w Imp |
|
27504 |
ImpAddCr |
Coping, Mtl/Pls,Imp for Add Crn |
|
27511 |
CopSep |
Coping Metal/Acrylic Sep Proc |
|
27521 |
CopImpr |
Coping Metal/Acrylic with ImpCr |
|
27601 |
VenComp |
Veneer Plastic ac et |
|
27602 |
Ven porc |
Veneer Porc ac et |
|
27711 |
Rep in/on |
Repairs, Inlays,Onlay, Plas Dir |
|
27721 |
RepPorCer |
Repair,por/cer direct |
|
27801 |
ReCrn 1 |
Recontour, exist cr 1 u |
|
27809 |
ReCrn add |
Recontour,cr^ea add u |
|
28101 |
O/Dent |
Rest Proc. O/Dent-nat. tooth |
|
28102 |
att o/den |
Pref. Attch/Overdenture |
|
28103 |
attODNT |
Pref. Attch/OverdentureNatural* |
|
28105 |
attODIMP |
Pref. Attch/OverdentureImplant* |
|
28211 |
Coping |
Ind.Coping Crn, no attch |
|
28212 |
Cop w/att |
Ind.Coping Crn, Cast w/attach |
|
28215 |
OvrIndrct |
Overdentures,Indrct Implant +L |
|
28216 |
OvrInPost |
Overdentures,Indrct Met.Post +L |
|
28221 |
OvCpAtt |
Overdent,CopingCr Metal withAtt |
|
28225 |
OvrCpng |
Overdent, Coping Crwns Implant |
|
28226 |
Overdent, |
Overdent,Coping CrwnsPost Att. |
|
29101 |
Recem1 |
Recement-1 unit |
|
29102 |
Recem2 |
Recement-2 units |
|
29103 |
Recem3 |
Recement-3 units |
|
29104 |
Recem4 |
Recement-4 units |
|
29109 |
Recem ad |
Recement-add unit |
|
29301 |
Rem 1 |
Removal in/On/Cr/Ven-1 u |
|
29302 |
Rem 2 |
Removal In/On/Cr/Ven -2 u |
|
29303 |
Rem 3 |
Removal In/On/Cr/Ven-3 u |
|
29304 |
Rem 4 |
Removal In/On/Cr/Ven-4 u |
|
29309 |
Rem add |
Removal In/On/Cr/Ven add u |
|
29401 |
Sta Porc1 |
Staining,porc-1 u |
|
29402 |
Sta Porc2 |
Staining,porc-2 u |
|
29403 |
Sta Porc3 |
Staining,porc-3 u |
|
29404 |
Sta Porc4 |
Staining,porc-4 u |
|
29409 |
St Po add |
Staining,porc- Add U |
|
32221 |
Pul an/bi |
Pulpotomy Perm Ant/Bi |
|
32222 |
Pul Mol |
Pulpotomy Perm Molar |
|
32231 |
PulVitSep |
Pulpotomy Prim |
|
32232 |
PulVitRes |
Pulpotomy Prim with Rest |
|
32311 |
1 Canal |
Pulpectomy, Perm/Ret Prim 1 Can |
|
32312 |
2 Canal |
Pulpectomy, Perm/Ret Prim 2 Can |
|
32313 |
3 Canal |
Pulpectomy, Perm/Ret Prim 3 Can |
|
32314 |
4 Canal |
Pulpectomy, Perm/Ret Prim 4 Can |
|
32321 |
Pulpec pr |
Pulpectomy, Prim Ant |
|
32322 |
Pulpec Po |
Pulpectomy, Prim Post |
|
33111 |
Can Prim |
One canal Perm/Ret Prim |
|
33112 |
Can PrDif |
One Canal Perm/Ret Prim Diff |
|
33113 |
Can Exc |
One Canal Perm/Ret Prim Exc An |
|
33114 |
Can Cal |
One Canal Perm/Ret Prim Cal Ca |
|
33115 |
Can Retre |
1 Canal Retreatment of Prev. Tr |
|
33121 |
2Can |
2 Canal Perm/Ret Prim |
|
33122 |
2Can Dif |
2 Canal Perm/Ret Prim Diff |
|
33123 |
2Can Exc |
2 Canal Perm/Ret Prim Exc An |
|
33124 |
2Can Cal |
2 Canal Perm/Ret Prim Cal Ca |
|
33125 |
2Can Retr |
2 Canal Perm/Ret Prim Retrea |
|
33131 |
3Can |
3 Canal Perm/Ret Prim |
|
33132 |
3Can Dif |
3 Canal Perm/Ret Prim Diff |
|
33133 |
3Can Exc |
3 Canal Perm/Ret Prim Exc Ana |
|
33134 |
3Can Cal |
3 Canal Perm/Ret Prim Cal Can |
|
33135 |
3Can Retr |
3 Canal Perm/Ret Prim Retreat |
|
33141 |
4Can |
4+ Canal Perm/Ret Prim |
|
33142 |
4Can Dif |
4+ Canal Perm/Ret Prim Diff |
|
33143 |
4Can Exc |
4+ Canal Perm/Ret Prim Exc Ana |
|
33144 |
4Can Cal |
4+ Canal Perm/Ret Prim Cal Can |
|
33145 |
4Can Retr |
4+ Canal Perm/Ret Prim Retreat |
|
33601 |
Apex 1 |
Apexification, 1 Canal |
|
33602 |
Apex 2 |
Apexification, 2 canals |
|
33603 |
Apex 3 |
Apexification, 3 canals |
|
33604 |
Apex 4 |
Apexification, 4 canal/more |
|
33611 |
Reinser1 |
Re-Insert Dent. Media, 1 canal |
|
33612 |
Reinser2 |
Re-Insert Dent. Media, 2 can |
|
33613 |
Reinser3 |
Re-Insert Dent. Media, 3 can |
|
33614 |
Reinser4 |
Re-Insert Dent Media, 4 Can |
|
34111 |
Apic 1 |
Apical Cur, Max Ant, 1Rt |
|
34112 |
Apic 2 |
Max Ant,Apical Cur. 2 Rt |
|
34121 |
Apico1 |
Max Bicsp Apicoectomy^1 Rt |
|
34122 |
Apico2 |
Max Bicsp Apicoectomy 2 Rt |
|
34123 |
Apico3 |
Max Bicsp Apicoectomy 3 Rt |
|
34131 |
Ap MaxMo1 |
Apic/Apical Max.Molar.1 Rt |
|
34132 |
Ap MaxMo2 |
Apic/Apical Max.Molar.2 Rt |
|
34133 |
Ap MaxMo3 |
Apic/Apical Max.Molar 3 Rt |
|
34141 |
Ap ManAn1 |
Apico/Apical Mand.Ant. 1 Rt |
|
34142 |
Ap ManAn2 |
Apico/Apical Mand.Ant. 2 Rt |
|
34151 |
Ap ManBi1 |
Apico/Apical Mand.Bic 1 Rt |
|
34152 |
Ap ManBi2 |
Apico/Apical Mand.Bic 2 Rt |
|
34153 |
Ap ManBi3 |
Apico/Apical Mand.Bic 3 Rt |
|
34161 |
Ap ManMo1 |
Apico/Apical Mand.Mol 1 Rt |
|
34162 |
Ap ManMo2 |
Apico/Apical Mand.Mol 2 Rt |
|
34163 |
Ap ManMo3 |
Apico/Apical Mand.Mol 3 Rt |
|
34211 |
Retro 1 |
Max Ant Retrofilling 1 can |
|
34212 |
Retro 2 |
Max Ant Retrofilling 2 Can |
|
34221 |
Retr com1 |
Max Bicp Retrofill 1 Can |
|
34222 |
Retr com2 |
Max Bicp Retrofill 2 Can |
|
34223 |
Retr Com3 |
Max Bicp Retrofill 3 Can |
|
34224 |
Retr Com4 |
Max Bicp Retrofill 4 or more |
|
34231 |
RetrMxMo1 |
Retrofil Max.Molar 1 Can |
|
34232 |
RetrMxMo2 |
Retrofil Max.Molar 2 Can |
|
34233 |
RetrMxMo3 |
Retrofil Max.Molar 3 Can |
|
34234 |
RetrMxMo4 |
Retrofil Max.Molar 4 Can |
|
34241 |
RetrMaAn1 |
Retrofil Mand.Ant. 1 Can |
|
34242 |
RetrMaAn2 |
Retrofil Mand.Ant. 2 Can |
|
34251 |
RetrMaBi1 |
Retrofil Mand.Bi 1 Can |
|
34252 |
RetrMaBi2 |
Retrofil Mand.Bi 2 Can |
|
34253 |
RetrMaBi3 |
Retrofil Mand.Bi 3 Can |
|
34254 |
RetrMaBi4 |
Retrofil Mand.Bi 4 Can |
|
34261 |
RetrMaMo1 |
Retrofil Mand.Mol. 1 Can |
|
34262 |
RetrMaMo2 |
Retrofil Mand.Mol. 2 Can |
|
34263 |
RetrMaMo3 |
Retrofil Mand.Mol. 3 Can |
|
34264 |
RetrMaMo4 |
Retrofil Mand.Mol. 4 Can |
|
34311 |
RetApMxA1 |
Retreat Apic Curettage Mx Ant 1 |
|
34312 |
RetApMxA2 |
Retreat Apic Curettage Mx Ant 2 |
|
34321 |
RetApMxB1 |
Retreat Apic Curettage Mx Bi 1 |
|
34322 |
RetApMxB2 |
Retreat Apic Curettage Mx Bi 2 |
|
34323 |
RetApMxB3 |
Retreat Apic Curettage Mx Bi 3 |
|
34331 |
RetApMxM1 |
Retreat Apic Curettage Mx Mlr1 |
|
34332 |
RetApMxM2 |
Retreat Apic Curettage Mx Mlr2 |
|
34333 |
retApMxM3 |
Retreat Apic Curettage Mx Mlr3 |
|
34341 |
RetApMnA1 |
Retreat Apic Curettage ManAnt 1 |
|
34342 |
RetApMnA2 |
Retreat Apic Curettage ManAnt2 |
|
34351 |
RetApMnB1 |
Retreat Apic Curettage ManBi 1 |
|
34352 |
RetApMnB2 |
Retreat Apic Curettage ManBi 2 |
|
34353 |
RetApMnB3 |
Retreat Apic Curettage ManBi 3 |
|
34361 |
RetApMnM1 |
Retreat Apic Curettage ManMol 1 |
|
34362 |
RetApMnM2 |
Retreat Apic Curettage ManMol 2 |
|
34363 |
RetApMnM3 |
Retreat Apic Curettage ManMol 3 |
|
34411 |
Ampu 1 |
Amput 1 Rt |
|
34412 |
Ampu 2 |
Amput 2 Rt |
|
34421 |
Hem Ma Bi |
Hemisection Max Bi |
|
34422 |
Hem Ma Mo |
Hemisection Max Mol |
|
34423 |
Hem Mn Mo |
Hemisection Mand Mol |
|
34431 |
Decomp 1 |
Decompression-First visit |
|
34432 |
Decom add |
Decompression-Each add visit |
|
34441 |
Surg En 1 |
Max Ant, Surg Endo Explor 1 rt |
|
34442 |
Sug En 2 |
Max Bics, Surg Endo Explor 2 Rt |
|
34443 |
Surg En 3 |
Max MlrSurg Endo Explor 3 Rt |
|
34444 |
SurEn m/a |
Surgery Endo Explor Mand/Ant |
|
34445 |
SurEn Dif |
Surgery Endo Mand Bicspd |
|
34446 |
SurEn m/m |
Surgery Endo Explor Mand.Mol. |
|
34451 |
RemAp 1 |
Removal/Apical Fill 1 Rt |
|
34452 |
RemAp 2 |
Removal/Apical Fill 2 Rt |
|
34453 |
RemAp 3 |
Removal/Apical Fill 3 Rt |
|
34461 |
Imp Dir 1 |
Imp.Intracoronal Direct 1 Rt |
|
34462 |
Imp Dir 2 |
Imp.Intracoronal Direct 2 Rt |
|
34471 |
Imp Obq 1 |
Imp.Intracoronal Oblique 1 Rt |
|
34511 |
RepNonSur |
Pulp Chamber Rep.Non Surg |
|
34521 |
Rep Ant |
Pulp Chamber Rep.Surg.Ant |
|
34522 |
Rep Post |
Pulp Chamber Rep.Surg.Bic |
|
34523 |
Rep Mol |
Pulp Chamber Rep.Surg.Mol |
|
34601 |
Enlarge1 |
Enlargement of Canal-1 u |
|
34602 |
Enlarge 2 |
Enlargement Pulp Ch-2 u |
|
39101 |
Iso Endo |
Isolation of Endo Tooth |
|
39201 |
Op an/bi |
O&D Ant/Bic |
|
39202 |
Op Mol |
O&D Mol |
|
39211 |
Art an&bi |
O&D Thro Art Cr. Ant/Bic |
|
39212 |
Art Mol |
O&D Thro Atr Cr. Mol |
|
39311 |
Bleach 1 |
Bleach Non-Vit Tooth 1 U |
|
39312 |
Bleach 2 |
Bleach Non Vit Tooth 2 U |
|
39313 |
Bleach 3 |
Bleach Non Vit Tooth 3 U |
|
39319 |
Bleach ad |
Bleach Non Vit Tooth Add U |
|
39411 |
Exp/ant |
Explore Acc/Anterior |
|
39412 |
Exp/bicus |
Explore Acc/Bicuspid |
|
39413 |
ExAcc/Mol |
Explore Acc /Molar |
|
41101 |
DisplaDr1 |
Displacement Dressing 1 u |
|
41102 |
DisplDr2 |
Displacement Dressing 2 u |
|
41103 |
DisplDr3 |
Displacement Dressing 3 u |
|
41104 |
DisplDr4 |
Displacement Dressing 4 u |
|
41109 |
DisplDrAd |
Displacement Dressing Add u |
|
41211 |
OrlMnMD1 |
Oral Man, Muc Dis^1unit |
|
41212 |
OrlMnMD2 |
Oral Man, Muc Dis 2unit |
|
41213 |
OrlMnMD3 |
Oral Man, Muc Dis 3unit |
|
41214 |
OrlMnMD4 |
Oral Man, Muc Dis 4 unit |
|
41219 |
OrlMnMDa |
Oral Man, Muc Dis au |
|
41221 |
Disorder1 |
Nervous/Muscular Disorders 1U |
|
41222 |
Disorder2 |
Nervous/Muscular Disorders 2U |
|
41223 |
Disorder3 |
Nervous/Muscular Disorders 3U |
|
41224 |
Disorder4 |
Nervous/Muscular Disorders 4U |
|
41229 |
Disorder+ |
Nervous/Muscular Disorders +U |
|
41231 |
OrlMnSD1 |
Oral Man, Sys Dis 1unit |
|
41232 |
OrlMnSD2 |
Oral Man, Sys Dis 2unit |
|
41233 |
OrlMnSD3 |
Oral Man, Sys Dis 3 unit |
|
41234 |
OrlMnSD4 |
Oral Man, Sys Dis 4 unit |
|
41239 |
OrlMnSda |
Oral Man, Sys Dis Add unit |
|
41301 |
Desens 1 |
Desensitize 1u |
|
41302 |
Desens 2 |
Desensitize 2u |
|
41309 |
Desens ad |
Desensitize add Units |
|
42111 |
GinCur |
Surg Curettage-Root Plane/sext |
|
42201 |
GinPlast |
Gingivoplasty, per sext |
|
42311 |
GinVec |
Gingivectomy, per sext |
|
42321 |
Gin w/cur |
Gingivectomy w curettage |
|
42331 |
Gin Fiber |
Gingival Fiber Incision |
|
42339 |
GinFibAdd |
Gingival Fiber Incision add |
|
42411 |
Fl Osteo |
Flap Approach w/Osteo, 1st sext |
|
42421 |
Fl Cur |
Flap Approach w/Cur.per sext |
|
42431 |
Fl Oss |
Flap Approach w/Osseous Defect |
|
42441 |
Fl Expl |
Flap Approach, Expl. per site |
|
42511 |
Grft ped |
Grafts, S. Tiss.Pedicle, 1 site |
|
42512 |
PerioSurg |
Perio Surg. Soft Tiss.Stimulat. |
|
42521 |
Grft free |
Grafts Free S. Tiss. Ped/1 site |
|
42522 |
GrftPerSt |
Grafts S.Tissue Perio Stimulat. |
|
42531 |
Oss Autog |
Grafts Free Sof Tiss Per Site |
|
42541 |
Oss All |
Osseous, Allograft 1 site +E |
|
42551 |
GrftFreCn |
Grafts/Free Connective Tissue |
|
42561 |
Grft Con |
Grafts Connective (Ridge Aug.) |
|
42571 |
Grft Pedi |
Grafts/Pedicle for Root Cover. |
|
42581 |
GrftGinO |
Grafts Gingival Onlay Per Site |
|
42611 |
GrftOssAu |
Grafts Osseous Autograft |
|
42621 |
Gr Oss Al |
Grafts/Osseous Allograft Per Si |
|
42711 |
Tis Regen |
Guided Tiss Reh Per Site |
|
42811 |
Wg w/Cur |
Proximal Wedge with Curettage |
|
42819 |
Wg/Fl Cur |
Distal Wedge/Flap Curret&Ost |
|
42821 |
Post surg |
Post Surg Perio Treat 1 u |
|
42822 |
PostSurg2 |
Post Surg Perio Treat 2 u |
|
42823 |
PostSurg3 |
Post Surg Perio Treat 3 u |
|
42829 |
PostSgAdd |
Post Surg Perio Treat, Add u |
|
42831 |
PeriAbsc1 |
Perio Abscess 1 u |
|
42832 |
PeriAbsc2 |
Perio Abscess 2 u |
|
42833 |
PeriAbsc3 |
Perio Abscess 3 u |
|
42834 |
PeriAbsc4 |
Perio Abscess 4 u |
|
42839 |
PeriAbsAd |
Perio Abscess add u |
|
43111 |
Splinting |
Splinting, int. coronal 1jnt. |
|
43221 |
Spl/Ena j |
Perio Splint/Enamel per joint |
|
43231 |
Spl/Wire |
Perio Splint/Wire Lig Per Sext |
|
43241 |
Wire Lig |
Perio/Wire Ligation/Acrl 1 jnt. |
|
43261 |
Spl/Ortho |
Perio Splint/Ortho Band Splint |
|
43271 |
RemSpl 1 |
Rem Fixed Perio Splint 1 unit |
|
43281 |
Remov spl |
Removal pero splint 1u |
|
43289 |
RemSplAd |
Rem perio Splint add u |
|
43311 |
Occ Adj 1 |
See 16511 as of 2003 |
|
43312 |
Occ Adj 2 |
See 16512 as of 2003 |
|
43313 |
Occ Adj 3 |
See 16513 as of 2003 |
|
43314 |
Occ Adj 4 |
See 16514 as of 2003 |
|
43319 |
OccAdjAdd |
See 16519 as of 2003 |
|
43421 |
Rt Plan 1 |
Rt Planing 1 u |
|
43422 |
Rt Plan 2 |
Rt Planing 2 u |
|
43423 |
Rt Plan 3 |
Rt Planing 3 u |
|
43424 |
Rt Plan 4 |
Rt Planing 4 u |
|
43425 |
Rt Plan 5 |
Rt Planing 5 u |
|
43426 |
Rt Plan 6 |
Rt Planing 6 u |
|
43427 |
RP 1/2u |
Root Planing - 1/2 unit |
|
43429 |
Rt PlanAd |
Rt Planing ea. u |
|
43511 |
Antimic 1 |
Antimicrobial/Topical 1 u |
|
43519 |
Antimi ad |
Antimicrobial/Topical add u |
|
43521 |
Chemo1u |
Chemo and or A/M Agents 1u |
|
43529 |
Chemo+u |
Chemo and or A/M Agents +u |
|
43611 |
App Max |
See 14611 as of 2003 |
|
43612 |
App Mand |
See 14612 as of 2003 |
|
43621 |
AppAdj 1 |
See 14621 as of 2003 |
|
43622 |
ApAdj 2 |
See 14622 as of 2003 |
|
43623 |
AppAdj 3 |
See 14623 as of 2003 |
|
43629 |
AppAdj ad |
See 14629 as of 2003 |
|
43631 |
AppDirRel |
See 14631 as of 2003 |
|
43632 |
AppRep |
See 14632 as of 2003 |
|
43711 |
TMJ D Mx |
See 14711 as of 2003 |
|
43712 |
TMJ D Ma |
See 14712 as of 2003 |
|
43721 |
In/Or Max |
See 14721 as of 2003 |
|
43722 |
In/Or Man |
See 14722 as of 2003 |
|
43731 |
TMJ Adj 1 |
See 14731 as of 2003 |
|
43732 |
TMJ Adj 2 |
See 14732 as of 2003 |
|
43733 |
Adj 3 |
See 14733 as of 2003 |
|
43739 |
Adj add |
See 14739 as of 2003 |
|
43741 |
TMJ ReDir |
See 14741 as of 2003 |
|
43742 |
TMJReProc |
See 14742 as of 2003 |
|
43801 |
Myofac Mx |
See 14811 as of 2003 |
|
43802 |
Myofac Ma |
See 14812 as of 2003 |
|
43811 |
Myfac 1 |
See 14821 as of 2003 |
|
43812 |
Myfac 2 |
See 14822 as of 2003 |
|
43813 |
Myfac 3 |
See 14823 as of 2003 |
|
43819 |
Myfac add |
See 14829 as of 2003 |
|
49101 |
Re-eval 1 |
Perio Re-evaluation 1u |
|
49102 |
Re-eval 2 |
Perio Re-evaluation 2u |
|
49109 |
Re-eval+ |
Perio Re-evaluation add u |
|
49211 |
Irrig 1 |
Perio Irrigation/Subging 1u |
|
49219 |
Irrig add |
Perio Irrig/Subging add u |
|
51101 |
Dent Max |
Dent Comp Max |
|
51102 |
Dent Mand |
Dent Comp Man |
|
51104 |
Dent Line |
Dent Comp Resil Liners |
|
51201 |
Equi Max |
Dent Comp Equil Max/Complex |
|
51202 |
Equi Mand |
Dent Comp Equil Man/Complex |
|
51204 |
Eq Liners |
Dent Equil Liners |
|
51213 |
DentM/M |
Dent,part,Acr,clsp(imm)-Max+Man |
|
51301 |
Imed Max |
Dent Surgical Imed Max |
|
51302 |
Imed Mand |
Dent Surgical Imed Man |
|
51401 |
Mx Eq Im |
Dent Imed Equil Max/Complex |
|
51402 |
Ma Eq Im |
Dent Imed Equil Man/Complex |
|
51501 |
Gnath Max |
Dent Gnath Max |
|
51502 |
Gnath Man |
Dent Gnath Man |
|
51601 |
Trans Max |
Dent Tran Max |
|
51602 |
Trans Man |
Dent Tran Man |
|
51701 |
O/Dent Mx |
Comp Over Dent Max |
|
51702 |
O/Dent Ma |
Comp Over Dent Man |
|
51711 |
O/D Eq Mx |
Comp Over Dent Equil Max |
|
51712 |
O/D Eq Ma |
Comp Over Dent Equil Man |
|
51721 |
MaxDentIm |
Max Dent,O/DSupp.Implant* |
|
51722 |
ManDenIm |
Mand Dent,O/DSupp.Implant* |
|
51731 |
MaxDent |
Max/MandDent, O/D Supp.Implant* |
|
51732 |
ManDent |
ManDent O/DSupp Comb Nat/Imp |
|
51801 |
O/D Im Mx |
Comp Over Dent Imed Max |
|
51802 |
O/D Im Ma |
Comp Over Dent Imed Man |
|
51811 |
MaxDentTC |
Max Dent,O/DSupp.Teeth+TC* |
|
51812 |
ManDenTC |
Mand Dent,O/DSupp.Teeth+TC* |
|
51911 |
Dnt C Mx |
Comp Dent Att to Imp Max |
|
51912 |
Dnt C Ma |
Comp Dent Att to Imp Man |
|
51921 |
Dnt RemMx |
Dent Rem Att Imp Max |
|
51922 |
Dnt RemMa |
Dent Rem Att Imp Man |
|
51931 |
MaxTissB |
Max Dent,O/D, Tissue Borne |
|
51932 |
ManTissB |
Man Dent,O/D, Tissue Borne |
|
51951 |
MaxImpRet |
Max Dent,O/DImp,RetBar |
|
51952 |
MandImpRt |
Mand. Dent,O/DImp,RetBar |
|
51961 |
MaxRetCo |
Max Dent, O/D Imp, RetBar Comb |
|
51962 |
ManRetCo |
Man Dent, O/D Imp, RetBar Comb |
|
52101 |
Acr Max |
Dent Part Acry Max |
|
52102 |
Acr Mand |
Dent Part Acry Man |
|
52111 |
Immed Max |
Dent Part Acry Max Tran |
|
52112 |
Immed Man |
Dent Part Acry Man Tran |
|
52201 |
Cusil Max |
Dent Part Acry Res Max |
|
52202 |
Cusil Man |
Dent Part Acry Res Man |
|
52211 |
Resil Max |
Dent Part Acry Res Max Imed |
|
52212 |
Resil Man |
Dent Part Acry Res Man Imed |
|
52301 |
Clsp Max |
Dent,part,acry,clsp-Max |
|
52302 |
Clsp Mand |
Dent,part,acry,clsp-Mand |
|
52311 |
Clp Im Mx |
Dent,part,acry,clsp(imm)-Max |
|
52312 |
Clp Im Ma |
Dent,part,acry,clas(imm)-Mand |
|
52401 |
Bar Max |
Dent,part,acr,bar, Max |
|
52402 |
Bar Mand |
Dent,part,acr,bar, Mand |
|
52411 |
Im Bar Mx |
Dent,part,acr,bar(imm)-Max |
|
52412 |
Im Bar Ma |
Dent,part,acr,bar(imm)-Mand |
|
52501 |
Clasp Max |
Dent,part,Acr Clsp Max |
|
52502 |
Clasp Man |
Dent,part,Acr Clsp Mand |
|
52511 |
Im Cl Max |
Dent,part,Acr,clsp(imm)-Max |
|
52512 |
Im Cl Man |
Dent,part,Acr,clsp(imm)-Mand |
|
52513 |
ImCl M/M |
Dent,part,Acr,clsp(imm)Max/Mand |
|
52711 |
MaxO/DC |
Max Dent,O/D Clasps/Rests |
|
52712 |
MandO/DC |
Mand Dent,O/D Clasps/Rests |
|
52721 |
MaxParImp |
MaxPartO/D,Impl with cla/rest |
|
52722 |
MandParIm |
MandPartO/D,Impl with cla/rest |
|
52731 |
MaxPartCo |
MaxPartial, O/D Imp Supp Comb |
|
52732 |
ManPartCo |
ManPartial, O/D Imp Supp Comb |
|
52811 |
MaxO/DP |
MaxO/D Partial Cast* |
|
52812 |
ManO/DP |
Mand O/D Partial Cast* |
|
52821 |
MaxO/DIm |
Max.Imm.Part,O/DImplClasp/Rest |
|
52831 |
MaxPartIm |
MaxPar.Imm.O/D Imp, Supp Combo |
|
52832 |
ManPartIm |
MandPar.Imm.O/D Imp, Supp Combo |
|
52911 |
MaxPaCl |
Max Part O/D Arcy Clasp/Rests |
|
52912 |
ManPaCl |
Mand Part O/D Arcy Clasp/Rests |
|
52921 |
MaxParIA |
Max.Imm.Part,O/DImplAttachments |
|
52922 |
ManParIA |
Man.Imm.Part,O/Dimpl^Attachmen |
|
52931 |
MaxParCom |
Max,Part O/D secured to Combo |
|
52932 |
ManParCom |
Man,Part O/D secured to Combo |
|
52941 |
MaxO/DR |
Max Partial O/Dwith Ret.Natural |
|
52942 |
ManO/DR |
MandPartial O/Dwith Ret.Natural |
|
52951 |
MxO/DIBar |
Max.Imm.Part,O/DImplClasps/Bar |
|
52952 |
MdO/DIBar |
Mand.Imm.Part,O/DImplClasps/Bar |
|
52961 |
MaxPartRe |
Max.Imm Part, O/DImplClasps/Bar |
|
52962 |
ManPartRe |
Man.Imm Part, O/DImplClasps/Bar |
|
53101 |
Free Max |
Cast Par Dent Free Max |
|
53102 |
Free Mand |
Cast Par Dent Free Mand |
|
53104 |
Alt Imprs |
Altered Cast Impress W Dent |
|
53111 |
Fr end Mx |
Cast Par dent Free Max Imed |
|
53112 |
Fr Im Ma |
Cast Par dent Free Max Imed |
|
53121 |
Fre endMx |
Par Dent Free Swing Max |
|
53122 |
Fre endMa |
Par Dent Free Swing Man |
|
53131 |
Fr Eq Max |
Par Dent Free Equil Max |
|
53132 |
Fr Eq Ma |
Pat Dent Free Equil Man |
|
53201 |
Bor Max |
Dent,Part Th Borne max |
|
53202 |
Bor Mand |
Dent,Part Th Borne Mand |
|
53205 |
Bor Unila |
Dent,Part Th Borne-unilateral |
|
53211 |
Im Bor Mx |
Imm Dent Part Toothborn Max |
|
53212 |
Im Bor Ma |
Imm Dent Part Toothborn Mand |
|
53215 |
ImBorUni |
Immed Dent Toothborn Unilat |
|
53221 |
Bor Eq Ma |
Part/Dnt.T.Borne Max. Equilib |
|
53222 |
Bor Ma Eq |
Part/Dnt.T.Borne Mand Equilib |
|
53401 |
Precis pt |
Cast Par Den Prec att Max |
|
53402 |
Prec Man |
Cast Par Den Prec Att Mand |
|
53404 |
AltImp |
AlteredCast Impr.for aboveCode |
|
53501 |
Semi Max |
Cast Par Den Semi Prec Att Max |
|
53502 |
Semi Man |
Cast Par Den Semi Prec Att Mand |
|
53504 |
ImpAlt |
AlteredCast Impr.for aboveCode |
|
53611 |
Stress Mx |
Dent,stress break-Max |
|
53612 |
Stress 1h |
Dent,stress (1 hinge) |
|
53613 |
Stress 2h |
Dent,stress (2 hing) |
|
53614 |
CastImp |
AlteredCast Impr.for aboveCode |
|
53621 |
Stress Am |
Dent,stress Mand (Res) |
|
53622 |
Ma St 1h |
Dent,stress-Mand(1hinge) |
|
53623 |
Ma St 2h |
Dent,stress-Mand(2hinge) |
|
53624 |
AltCast |
AlteredCast Impr.for aboveCode |
|
53701 |
Max O/D |
Dent,part,cast,over,Max |
|
53702 |
Man O/D |
Dent,part,cast,over, Man |
|
53704 |
Rem Imprs |
Dent,part,remov, cast imp |
|
53711 |
Im Rem Mx |
Dent,part,remov(im)-Max |
|
53712 |
Im Rem Ma |
Dent,part,remov(im)-Mand |
|
53714 |
ImprCast |
AlteredCast Impr.for aboveCode |
|
53721 |
MxO/DImpl |
MaxPartialO/DImplants |
|
53722 |
MdO/Dimpl |
MandPartialO/DImplants |
|
53724 |
O/D Imp |
Impression req. for above codes |
|
53731 |
MxO/DComb |
Max,Part O/D Supp Nat/Implants |
|
53732 |
MnO/DComb |
Man,Part O/D Supp Nat/Implants |
|
53734 |
ImpComb |
Impressions for above codes |
|
53811 |
MaxPO/DTC |
Max.Part Imm.Over Dent TC |
|
53812 |
ManPO/DTC |
Mand.Part Imm.Over Dent TC |
|
53814 |
AltCast. |
Altered Cast with above Codes |
|
53821 |
MxParO/D |
Max.Part.O/Dwith Implants |
|
53822 |
MnParO/D |
Mand.Part.O/Dwith Implants |
|
53824 |
With Impr |
Imp required for above codes |
|
53831 |
MxO/DCom |
MaxPart, O/D Imm. Supp.Combo |
|
53832 |
MnO/DCom |
ManPart, O/D Imm. Supp.Combo |
|
53834 |
Imp.Combo |
Impressions for Prev. Codes |
|
53911 |
MaxAtt |
Max.Partial Cast O/D Indep.Att |
|
53912 |
ManAtt |
Mand.Partial Cast O/D Indep.Att |
|
53914 |
With Imp |
Imp required for above codes |
|
53921 |
MxPrO/DIA |
Max.Part.O/DImpwithAttachments |
|
53922 |
MdPrO/DIA |
Mand.Part.O/DImpwithAttachments |
|
53924 |
Imp Req |
Impressions for Prev. Codes |
|
53931 |
MaxO/DIA |
Max Part O/D W Independ. Attach |
|
53932 |
ManO/DIA |
Man Part O/D W Independ. Attach |
|
53934 |
Imp |
Imp required for above codes |
|
53941 |
MaxPO/DRe |
Max.Partial OverDent.Retention |
|
53942 |
Mand.Part |
Mand.Partial OverDent.Retention |
|
53951 |
MaxO/DIB |
Max.Part.O/DImplantsBar |
|
53952 |
MandO/DIB |
Mand.Part.O/DImplantsBar |
|
53954 |
Req.Imp |
Imp required for above codes |
|
53961 |
MaxO/DCom |
Max,Part/O/D Ret Bar Combo T |
|
53962 |
ManO/DCom |
Man,Part/O/D Ret Bar Combo T |
|
53964 |
Impr Req |
Imp required for above codes |
|
54201 |
Adj 1 |
Dent,adj^1 unit |
|
54202 |
Adj 2 |
Dent,adj^2 units |
|
54209 |
Adjs add |
Dent,adj^add units |
|
54301 |
Equil Max |
Dent,Occ Equil Max |
|
54302 |
Equil Man |
Dent,Occ Equil Mand. |
|
54401 |
Com Eq Mx |
Cmp. Dnt. Adj. Occ. Equ. Max |
|
54402 |
Com Eq Ma |
Cmp. Dnt. Adj Occ. Equ. Mand |
|
54501 |
Pt Eq Max |
Prt.Dnt. Adj. Occ. Equil.Max. |
|
54502 |
Pt Eq Man |
Prt.Dnt.Adj. Occ. Equil. Mand |
|
55101 |
No Imp Mx |
Dent,Comp,Rep. No Imp. Max |
|
55102 |
NoImpMn |
Dent,Comp. Rep. No Imp man |
|
55201 |
Imp Max |
Dent,repair,comp,impres-Max |
|
55202 |
Imp Mand |
Dent,repair,comp,impres-Mand |
|
55301 |
Pt Max |
Dent,repair,part-Max |
|
55302 |
Pt Mand |
Dent,repair,part-Mand |
|
55401 |
Pt Imp Mx |
Dent,repair,part,impres-Max |
|
55402 |
Pt Imp Ma |
Dent,repair,part,impress-Mand |
|
55501 |
Dt Pro 1 |
Dent,prophy 1u |
|
55509 |
Dt Pr add |
Dent,prophy-ea add u |
|
55601 |
Rebuild 1 |
Dent,rebuild,Acr-1u |
|
55609 |
Rebuil ad |
Dent,rebuild,Acr-ea add u |
|
55701 |
Stain 1 |
Dent,custom stain base-1 u |
|
55709 |
Stain add |
Dent,custom stain base-add u |
|
56111 |
Co Dup Mx |
Dent,dup,complete-Max |
|
56112 |
Co Dup Ma |
Dent,dup,complete-Mand |
|
56121 |
Pt Dup Mx |
Dent,dup,partial-Max |
|
56122 |
Pt Dup Ma |
Dent,dup,partial-Mand |
|
56211 |
Co Re Max |
Dent,reline,comp-Max |
|
56212 |
Co Re Man |
Dent,reline,complete-Mand |
|
56221 |
Pt Re Max |
Dent,reline,dir,part-Max |
|
56222 |
Pt Re Man |
Dent,reline,dir,part-Mand |
|
56231 |
CoRePr Mx |
Dent,reline process,comp-Max |
|
56232 |
CoRePr Ma |
Dent,reline process,comp-Mand |
|
56241 |
PtRePr Mx |
Dent,reline process,part-Max |
|
56242 |
PtRePr Ma |
Dent,reline,process,part-Mand |
|
56251 |
CoReIm Mx |
Comp,Dent,Reline Proc. Max |
|
56252 |
CoReIm Ma |
Comp,Dent,Rel Proc. Imp. Mand |
|
56261 |
PtReIm Mx |
Part,Dent Rel Proc Imp. Max |
|
56262 |
PtReIm Ma |
Part,Dent. Rel Proc Imp. Mand |
|
56311 |
CoReba Mx |
Dent,rebase,comp-Max |
|
56312 |
CoReba Ma |
Dent,rebase,comp-Mand |
|
56321 |
PtReba Mx |
Dent,rebase,part-Max |
|
56322 |
PtReba Ma |
Dent,rebase,part-Mand |
|
56331 |
CoRbIm Mx |
Comp.Dent.Rebase Imp. Max |
|
56332 |
CoRbIm Ma |
Cmp.Dnt. Rebase Proc Imp Mand |
|
56341 |
PtRbIm Mx |
Prt.Dnt.Rebase Proc. Imp. Max |
|
56342 |
PtRbIm Ma |
Prt.Dnt.Rebase Proc.Imp.Mand |
|
56411 |
PtRemk Mx |
Dent,remake,part-Max |
|
56412 |
PtRemk Ma |
Dent,remake,part-Man |
|
56511 |
CoTis Mx |
Dent,tiss,comp-Max |
|
56512 |
CoTis Man |
Dent,tiss,comp-Mand |
|
56521 |
PtTis Mx |
Dent,tiss Cond,part-Max |
|
56522 |
PtTis Man |
Dent,tiss Cond,part-Mand |
|
56531 |
MaxRebase |
MaxDenture RebaseTherapeutic TC |
|
56532 |
ManRebase |
ManDenture RebaseTherapeutic TC |
|
56541 |
MxTisConI |
O/D Tiss.Cond with Implant-Max |
|
56542 |
MdTisCoI |
O/D Tiss.Cond with Implant-Mand |
|
56551 |
MaxO/DTC |
Max Part.O/D Natural Teeth TC |
|
56552 |
ManO/DTC |
Mand Part.O/D Natural Teeth TC |
|
56561 |
PartTCImp |
Part O/D Tiss.Cond Implant-Max |
|
56562 |
ParTCImp |
Part O/D Tiss.Cond Implant-Mand |
|
56601 |
Resil Lin |
Dent,Resilient Liner |
|
56602 |
Reset |
Dent,Resetting of teeth |
|
56603 |
Occlusal |
Dent,Cast Occlusal Surfaces |
|
57101 |
Fa Pr Orb |
Prosth,facial-Orbital |
|
57102 |
Pr Fa Nos |
Prosth,facial-Nose |
|
57103 |
Fa Pr Ear |
Prosth,facial-Ear |
|
57104 |
Fa Pr Pat |
Prosth,facial-Patch |
|
57105 |
Fa Pr Com |
Prosth,Facial-Complex |
|
57106 |
FaMuImCo |
Prosth,Facial Moul Impres, Comp |
|
57107 |
FaMuImSec |
Prosth,Facial Moul Impres, Sect |
|
57108 |
Occu Cnfm |
Ocular Conformer Prosthesis |
|
57109 |
Ocu Pros |
Ocular Prosthesis |
|
57201 |
Obt Clft |
Prosth, Obtur,Cleft Palate |
|
57202 |
Obt Pal |
Prosth, Obtur, Palatal |
|
57203 |
Obt Po Mx |
Prosth, Obtur, Post-Max |
|
57204 |
Temp Pal |
Prosth, Obtur,Temp Palatal |
|
57205 |
Obt Resil |
Prosth, Obtur, Resilient |
|
57206 |
Holl Bulb |
Prosth, Hollow bulb |
|
57207 |
Obt Infla |
Prosth, Obtur,Inflatable |
|
57208 |
Obt Modif |
Obturator Prosth,Mod |
|
57209 |
Speech Ai |
Speech Aid Prosthesis |
|
57301 |
Velar Bul |
Prosth,Max-Velar Bulb |
|
57302 |
VelLiftBu |
Prosth, Max,Velar Lift Button |
|
57303 |
Spir Spri |
Prosth, Max,Spiral Spring |
|
57304 |
Ret Mag |
Prosth, Max,Retent, Magnetic |
|
57305 |
Gd Plane |
Prosth, Max, Guide Plane |
|
57306 |
Im Silias |
Prosth, Max, Implant,Silastic |
|
57307 |
Ma Mesh |
Prosth, Max, Mand.Mesh |
|
57308 |
Sk Plate |
Prosth, Max, Skull Plate |
|
57309 |
TMJ Jnt |
Prosth, Max, TMJ Joint |
|
57311 |
Feed App |
Prosth,Max, Feeding Appl. |
|
57321 |
Ling Pros |
Lingual Prosthesis |
|
57341 |
Pr Flange |
Mand,Resect,Prost w/Flange |
|
57342 |
Pr No Fla |
Mand,Resect, Prost, No Flange |
|
57351 |
Maxil Fix |
Prosth, Maxillofacial,Fixed |
|
57361 |
Pal Aug |
Palatal Aug. Prosthesis |
|
57371 |
Pal Li Mo |
Palatal Lift Prosth., Modifica. |
|
57372 |
Max Gin |
Maxillofacial Gingival Prosth |
|
57401 |
TMJ Exer |
TMJ Jnt Exerciser Therapy |
|
57402 |
TMJ Splin |
TMJ Jnt Splint Perm Cast |
|
57501 |
Spl Stout |
Prosth,splint-Stout |
|
57502 |
Spl Cs Cp |
Prosth,splint-Cast Capped |
|
57503 |
Spl Gun |
Prosth,splint-Gunning |
|
57504 |
Spl Lab |
Prosth, Bar Splint,Labial&Ling |
|
57505 |
Spl Rhino |
Prosth, Splint Rhinoplast |
|
57506 |
Spl Adj |
Prosth,Splnt Cast, Adjustable |
|
57507 |
Spl Templ |
Prosth,Splint Template |
|
57508 |
Comm Spl |
Prosth,Commissure Splint |
|
57601 |
St Rid Ex |
Prosth,stent-Ridge Exten |
|
57602 |
St Palata |
Prosth,stent-Palatal |
|
57603 |
St Skin G |
Prosth,stent-Skin Grafts |
|
57604 |
Mucou Gr |
Prosth,Mucous Memb Grafts |
|
57651 |
Rad Vehi |
Prosth,Radiat Vehicle Carr |
|
57652 |
RaShldEx |
Prosth,Radia Protect Shld,ext |
|
57653 |
RaShldIn |
Prosth,Radiat Shield, Intra |
|
57654 |
Rad Cone |
Radiation Cone Locator |
|
57661 |
Decom Loc |
Decompression Stent, Local |
|
57662 |
Decom St |
Decompression Stent |
|
57701 |
Ortho Ext |
Orthopedic Prosth, Extraoral |
|
57702 |
Ortho Int |
Orthopedic Prosth, Intraoral |
|
This category is not used. |
||
|
62101 |
Pontic Cs |
Pontics, Cast |
|
62102 |
Pont Sep |
Pontics, Mtl, Sep.Jacket Pont |
|
62103 |
Prefab Fa |
Pontics, Prefab. Facing |
|
62104 |
Reten Bar |
Pontic, Cast Retentive Bar |
|
62105 |
PntctoImp |
Pontic, Cast Ret Bar Att to Imp |
|
62501 |
Porc Fuse |
Pontics, Porc Fused to Metal |
|
62502 |
Porc Alum |
Pontics, Porc Aluminous |
|
62701 |
Com Metal |
Pontics, Acrylic Plast Comp |
|
62702 |
CoPrIndir |
Pontics, Comp. Pro. Indirect |
|
62703 |
Dir Acid |
Pontics, Direct Acid Etched |
|
62801 |
Nat Tooth |
Pontics, Natural Tooth |
|
63001 |
Rec Ret 1 |
Recontour,Retainer 1u |
|
63009 |
RecRet ad |
Recont retainer add u |
|
64101 |
Facebow |
Master Cast Facebow Mounting |
|
64102 |
Gnath |
Master Cast Gnathological |
|
64121 |
MC1u |
MasterCastTech,Arb.Term.Hinge1u |
|
64129 |
MC+u |
MasterCastTech,Arb.Term.Hinge+u |
|
64131 |
Centric1u |
MasterCast,Centric Reg.Record1u |
|
64139 |
Centric+ |
MasterCast,Centric Reg.Record+u |
|
64141 |
3DRecord |
MasterCast,3Dim.Record1u |
|
64149 |
3DRecord+ |
MasterCast,3Dim.Record+u |
|
64201 |
Hngebow |
Master Cast Hinge Bow transfer |
|
64202 |
SplitCst2 |
Master cast Split Cast^2 u |
|
64203 |
SplitCst3 |
Master cast Split Cast^3u |
|
64204 |
SplitCst4 |
Master cast Split Cast^4u |
|
64209 |
SpltCst4+ |
Master cast Split Cast 4+u |
|
64221 |
ArbF/B1u |
Master Cast Arb.Facebow Trans1u |
|
64229 |
ArbF/B+u |
Master Cast Arb.Facebow Trans+u |
|
64231 |
KinFB1 |
Master Cast-Kinesmatic Facebow1 |
|
64239 |
KinFB+ |
Master Cast-Kinesmatic Facebow+ |
|
64301 |
Gnath1u |
Master Cast-Gnathologi Waxup1u |
|
64309 |
GnathWax+ |
Master Cast-Gnathologi Waxup+u |
|
66111 |
Rep BkFa1 |
Replace Brkn Att facings 1u |
|
66112 |
Rep BkFa2 |
Replace Brkn Att facings 2u |
|
66113 |
Rep BkFa3 |
Replace Brkn Att facings 3u |
|
66114 |
Rep BkFa4 |
Replace Brkn Att facings 4u |
|
66119 |
RepBkFaAd |
Replace Broken facing add u |
|
66211 |
Br Rem 1 |
Remov, bridge-1 u |
|
66212 |
Br Rem 2 |
Remov, bridge-2 u |
|
66213 |
Re Fx Br3 |
Remov,fixed bridge-3 u |
|
66214 |
Re FxBr4 |
Remov,fixed bridge-4u |
|
66219 |
ReFxBr ad |
Remov,fixed bridge Add. u |
|
66221 |
Remove1 |
Removal Bridge-to be replaced1u |
|
66222 |
Remove2 |
Removal Bridge-to be replaced2u |
|
66223 |
Remove3 |
Removal Bridge-to be replaced3u |
|
66224 |
Remove4 |
Removal Bridge-to be replaced4u |
|
66229 |
Remove4+ |
Removal Bridge-to be replaced4+ |
|
66301 |
Br Rep 1 |
Bridge, Repairs^1 unit + L |
|
66302 |
Br Rep 2 |
Bridge, Repair 2 units + L |
|
66303 |
Br Rep 3 |
Bridge, Repairs^3 units + L |
|
66304 |
BRRep4 |
Bridge, Repairs 4 units + L |
|
66309 |
Recem add |
Recementation Add. Units |
|
66711 |
Rep Dir 1 |
Bridge Repair Comp. Dir 1 th |
|
66719 |
Rep DirAd |
Bridge Repair Comp. Dir add th |
|
66721 |
Sol Indx1 |
Repair Solder Indexing 1 un +L |
|
66729 |
SoIndx Ad |
Repair Solder Indexing Add Un. |
|
66731 |
Frac Pon1 |
Repair Fractured Pontic 1pont+L |
|
66739 |
FraPon ad |
Repr Fractured Pontic add pt +L |
|
67101 |
Ret Acr |
Bridge Ret. Acr. Proc + L |
|
67102 |
Ret PlasM |
Bridge Ret. Plas,Proc. to Met+L |
|
67111 |
Retainer |
Retainer,Acrylic,Indirect |
|
67112 |
RetComp |
Retainer,Acrylic,Indirect Compl |
|
67113 |
RetProv |
Retainer,Acrylic,Indirect Prov |
|
67115 |
RetImp |
Retainer, Acrylic/Comp Imp Supp |
|
67121 |
Ret Dir 1 |
Bridge Retainer Direct 1 tooth |
|
67125 |
RetPro |
Ret, Acrylic/Comp Imp Supp,Prov |
|
67129 |
RetDir ad |
Bridge Retainer Dir. add tooth |
|
67131 |
Ret Ind 1 |
Bridge Retainer Indir. 1 th +L |
|
67135 |
RetIndImp |
Bridge Retainer Indir.Implant |
|
67139 |
RetInd ad |
Bridge Retainer Indir add th +L |
|
67141 |
Indir Im1 |
Brdg,Ret. Indir.Att Imp. 1 th+L |
|
67149 |
IndImp ad |
Br.Ret.Indir Att to Imp. add +L |
|
67160 |
Ret2Bond |
Retainer/2 Surf Inlay Bonded |
|
67161 |
Ret2Inlay |
Retainer/2 Surf Inlay Indirect |
|
67170 |
Ret3Bond |
Retainer/3 Surf Inlay Bonded |
|
67171 |
Ret3Inlay |
Retainer/3 Surf Inlay Indirect |
|
67180 |
OnlayBond |
Retainer/Onlay Bonded |
|
67181 |
RetOnlay |
Retainer/Onlay Indirect |
|
67201 |
Ret Porc |
Bridge Ret. Porc/Cer. +L |
|
67202 |
RetPorcVe |
Bridge, Ret, Porc/Cer Veneer+L |
|
67205 |
BrRetImp |
Bridge Ret. Porc/Cer. Implant |
|
67211 |
RetPorcFu |
Bridge Ret. Porc/Cer. Mtl +L |
|
67212 |
RetPorFuS |
Br.Ret.Porc.Fused to Met.St.+L |
|
67215 |
BrRetPFM |
Bridge Ret. PFM Implant |
|
67221 |
Ret Imp 1 |
Br.Ret. Porc Att to Imp 1 th+L |
|
67229 |
RetImp ad |
Br.Ret. Porc Att to Imp,ad.th+L |
|
67231 |
Ret2 In |
Retainer Porc/Cer 2 Surf Inlay |
|
67241 |
Ret3 In |
Retainer Porc/Cer 3 Surf Inlay |
|
67251 |
RetOnlBnd |
Retainer Porc/Cer Onlay Bonded |
|
67301 |
Ret Metal |
Ret. Metal Full Cast^+ L |
|
67302 |
RetMetStr |
Br.Ret.Cast Met. Stress + L |
|
67305 |
RetMtlFul |
Ret. Metal Full Cast Implant |
|
67311 |
Ret 3/4 |
Retainers, Metal 3/4 Cast + L |
|
67312 |
Ret3/4Str |
Ret. Metal 3/4 Cast Stres Brk+L |
|
67321 |
Ret Inla2 |
Retain, Metal Inlay, 2 surf.+L |
|
67322 |
RetInla3+ |
Retain, Metal Inlay, 3+ surf+L |
|
67331 |
RetOn Int |
Retain, Metal,Onlay Int.Reten+L |
|
67341 |
RetOn Ext |
Br Ret Met Onlay Ext Reten +L |
|
67351 |
RetPrefab |
Retainer Prefab/Custom Attach+L |
|
67355 |
FMRetImp |
Retainer, Metal Mesostr Implant |
|
67359 |
Prefab ad |
Retainer Prefab/Custom-Add'nl+L |
|
67501 |
AbutUndPt |
Abut.Prep.Under Exist Part + L |
|
67502 |
Telesc Cr |
Telescoping Crown Unit + L |
|
67503 |
Imp Bar |
Br. Implant. Ret. Bar + L |
|
69101 |
Fx Pros |
Fixed Prosth/Porc Replace + L |
|
69201 |
Splint |
Splinting per tooth + L |
|
69301 |
Cst Pin 1 |
Cast Ret, Pins. 1 pin+rest+L |
|
69302 |
Cst Pin 2 |
Cast Ret, Pins 2 pins+rest +L |
|
69303 |
Cst Pin 3 |
Cast Ret, Pins 3 pins+rest+L |
|
69304 |
Cst Pin 4 |
Cast Ret, Pins 4 pins+rest+L |
|
69305 |
Cst Pin 5 |
Cast Ret, Pins 5 pins+rest+L |
|
69701 |
PrCov Abu |
Br.Prov. Cover abut. th.+L |
|
69702 |
PrCov Pon |
Br.Prov.Cover. pontic + L |
|
69811 |
Fra Im Mx |
Br.Frame.Att.to End.Imp Max+L |
|
69812 |
Fra Im Ma |
Br. Frame Att. End.Imp. Mand+L |
|
69821 |
FixFrm Im |
Fixed framework(implant) + L |
|
69822 |
Fram PFM |
Implant.Mand.Fixed Framewk PFM |
|
69831 |
RemScr 1 |
Remov,implant screw-1 unit |
|
69839 |
RemScrAd |
Remov,imp screw-each add unit |
|
69841 |
Reinsert1 |
Screw reinsert-1 unit + L |
|
69849 |
Reins add |
Reinsert implnt screw-add unt+L |
|
71101 |
RemEru1 |
Removal Erup. Th.Uncomp 1 tooth |
|
71109 |
RemEru ad |
Removal Erupt. Th.Uncomp add th |
|
71201 |
EruptSurg |
Removal Erupt. Th Surg. |
|
71209 |
EruCompAd |
Removal Erup Th Comp Add |
|
71210 |
FixBrg ST |
Fixed Bridge Ret-Single Tooth |
|
71211 |
SecTth |
Sectioning of Tth for Removal |
|
71219 |
SectAdd |
Sectioning for Removal/Addtnl T |
|
72111 |
Rem ST Im |
Removal, impact, soft tissue |
|
72119 |
RemSTImAd |
Removal, Soft Tissue Imp Add |
|
72211 |
Pt Bon Im |
Removal, Part Bone Imp. |
|
72219 |
PtBo ImAd |
Removal, Part Bone Imp Add |
|
72221 |
Co Bon Im |
Removal, Comp. Bone Imp. |
|
72229 |
CoBo ImAd |
Removal, Comp Bone Imp Add |
|
72231 |
Imp Diff |
Remov,impact,diff-1 tooth |
|
72239 |
ImpDif ad |
Remov,impact,diff, add th |
|
72311 |
Rt Erpt 1 |
Res.Root Erupt 1 th |
|
72319 |
Rt ErptAd |
Removal Res. Root Erupt.add |
|
72321 |
SoftCov1 |
Rem. Res.Root Soft Cov add th |
|
72329 |
SoftCovAd |
Rem. Res.Root Soft cov add th |
|
72331 |
Bon Cov 1 |
Rem. Res.Root Bone Cov 1 tooth |
|
72339 |
BonCov ad |
Rem. Res.Root Bone Cov.add th |
|
72411 |
Rdge1st |
Simple Ridge Preservation |
|
72419 |
RdgeAddtn |
Simple Ridge^Preservation-Addt |
|
72511 |
Exp th |
Surg expos of tooth uncomp |
|
72519 |
Expos add |
Surg Exp Pf Th Uncomp Add |
|
72521 |
Exp Hard |
Surg Exp Tooth Hard Tis Cov |
|
72529 |
ExpHrd ad |
Surg Exp Th Hard Tis Cov Add |
|
72531 |
Unerupt 1 |
Unerupted Tooth/Surg. 1 tooth |
|
72539 |
Unerpt ad |
Unerupted Surg. Exp. Add.teeth |
|
72541 |
Sg Soft |
Surg expos,soft tiss |
|
72551 |
Sg Hard |
Surg expos,hard tiss |
|
72611 |
Trns Erpt |
Transpl,erupt-1 tooth |
|
72619 |
TrnsErpAd |
Transpl,erupt- add tooth |
|
72621 |
TrnsUnerp |
Transpl,unerupt-1 Tooth |
|
72629 |
TrUnerpAd |
Transpl,unerupt-add tooth |
|
72631 |
Sur Repos |
Surgical Repositioning |
|
72639 |
SurRep ad |
Surgical Reposition-add teeth |
|
72711 |
Enuc,un-1 |
Enuclea,unerupt-1 tooth |
|
72719 |
Enuc,un-a |
Enuclea,unerupt-add tooth, same |
|
73111 |
Alveo 1 |
Alveoplasty w. Ext. 1 sext. |
|
73121 |
Alveo 1st |
Alveoplasty, 1st sext. |
|
73141 |
Mylohyoid |
Mylohyoid Ridge Remodeling |
|
73142 |
Gen Tuber |
Genial Tubercles Remodelling |
|
73151 |
Nasal Spi |
Nasal Spine, Excision |
|
73152 |
Torus Pal |
Torus Paltinus Excision |
|
73153 |
TorManUni |
Torus Mand, Uni, Excision |
|
73154 |
TorManBi |
Torus Mand, Bilat, Excision |
|
73161 |
RemExo |
Remov,bone-exosto-per quadrant |
|
73171 |
BonRedUni |
Bone-Unilateral, Reduction |
|
73172 |
BonRedBi |
Bone-Bilateral, Reduction |
|
73181 |
AugBonUni |
Aug/Bone Unilateral |
|
73182 |
AugBonBi |
Aug/Bone Bilateral |
|
73183 |
AugBoMa |
Aug/Bone Mand. Ridge |
|
73184 |
AugBi Man |
Aug/Bilateral Mand. |
|
73211 |
Gin & Sto |
Ging/Plasty &/or Stoma |
|
73221 |
Gin Conj |
Ging/Plasty Conj Th Rem |
|
73222 |
VestHyper |
Exc Vest Hyperplasia per/sex |
|
73223 |
ShavHyper |
Surg Shaving Pap., Hyperplasia |
|
73224 |
Periocor |
Exc, Pericoronal Gingiva per th |
|
73231 |
Hyper Tis |
Rem.Hyperplas. Tiss. first sext |
|
73241 |
MucoExces |
Remov,mucosa,excess-per sextant |
|
73301 |
Full Arch |
Full Arch Lower. of Mouth Floor |
|
73302 |
Pt Arch |
Partial Arch, Lower Mouth Floor |
|
73303 |
ReinsMylo |
Reinsert, Mylohyoid Muscle |
|
73411 |
VstSubMuc |
Vest/Plasty,sub-mucous-per sex |
|
73421 |
Sulc Deep |
Sulcus deepening per sextant |
|
73431 |
Vestibulo |
Vestibul, per sextant |
|
73441 |
Vst Labia |
Vestibul, Labial Flap |
|
73451 |
VstSkGft |
Vestibul, skin graft |
|
73461 |
VstMucGft |
Vestibul, mucosal graft |
|
73511 |
RecAutoBo |
Reconstruction/Autogenous Bone |
|
73521 |
ReconAlve |
Reconstruction/Alveolar Ridge |
|
73611 |
ExtMucous |
Extension/Mucous Folds |
|
73621 |
ExtMucGrf |
Extension/Mucous Folds/Graft |
|
73631 |
ExMucGrfs |
Extension/Mucous Folds/Grafts |
|
74111 |
Tum 1cm |
Surg.Exc. Tumor 1cm&under |
|
74112 |
Tum 1-2cm |
Surg.Exc. Tumor 1-2 cm |
|
74113 |
Tum 2-3cm |
Surg.Exc. Tumor 2-3 cm |
|
74114 |
Tum 3-4cm |
Surg.Exc. Tumor 3-4 cm |
|
74115 |
Tum 4-6cm |
Surg Ex Tumor 4-6 cm |
|
74116 |
Tum 6-9cm |
Surg Ex Tumor 6-9 cm |
|
74117 |
Tum9-15cm |
Surg Ex Tumor 9-15 cm |
|
74118 |
Tum 15+cm |
Surg Ex Tumor 15 cm & over |
|
74121 |
TumBo 1 |
Surg Ex Tumor Bone Tiss 1 cm |
|
74122 |
TumBo1-2 |
Surg Ex Tumor Bone Tiss 1-2cm |
|
74123 |
TumBo2-3 |
Surg Ex Tumor Bone Tiss 2-3cm |
|
74124 |
TumBo3-4 |
Surg Ex Tumor Bone Tiss 3-4cm |
|
74125 |
TumBo4-6 |
Surg Ex Tumor Bone Tiss 4-6cm |
|
74126 |
TumBo6-9 |
Surg Ex Tumor Bone Tiss 6-9cm |
|
74127 |
TumBo9-15 |
Surg Ex Tumor Bone Tiss 9-15cm |
|
74128 |
TumBo 15+ |
Surg Ex Tumor Bone Tiss 15 & up |
|
74211 |
Malig 1 |
Tumor,malig-1 Cm And Under |
|
74212 |
Malig 1-2 |
Tumor,malig,-1-2 Cm |
|
74213 |
Malig 2-3 |
Tumor,malig, 2-3 Cm |
|
74214 |
Malig 3-4 |
Tumor,malig, 3-4 Cm |
|
74215 |
Malig 4-6 |
Tumor,malig, 4-6 Cm |
|
74216 |
Malig 6-9 |
Tumor,malig, 6-9 Cm |
|
74217 |
Malig9-15 |
Tumor,malig, 9-15 Cm |
|
74218 |
Malig 15+ |
Tumor,malig, 15 Cm & Over |
|
74221 |
MalBo 1 |
Tumor,malig,bone-1 Cm And Under |
|
74222 |
MalBo 1-2 |
Tumor,malig,bone-1-2 Cm |
|
74223 |
MalBo 2-3 |
Tumor,malig,bone-2-3 Cm |
|
74224 |
MalBo 3-4 |
Tumor,malig,bone-3-4 Cm |
|
74225 |
MalBo 4-6 |
Tumor,malig,bone-4-6 Cm |
|
74226 |
MalBo 6-9 |
Tumor,malig,bone-6-9 Cm |
|
74227 |
MalBo9-15 |
Tumor,malig,bone-9-15 Cm |
|
74228 |
MalBo 15 |
Tumor,malig,bone-15 Cm |
|
74301 |
Cheilo Pt |
Cheiloplasty, Partial |
|
74302 |
CheiloTot |
Cheiloplasty, Total |
|
74401 |
Grft Jaw |
Grafts,bone,jaw-per sextant |
|
74511 |
ImpProsth |
Implantation of Prosthesis |
|
74512 |
RemProsth |
Removal of Prosthesis |
|
74521 |
AugChin |
Augmentation, of the Chin |
|
74611 |
Cyst 1cm |
Cyst/Gran-1 Cm & Under |
|
74612 |
Cyst 1-2 |
Surg Ex, Cyst/Gran-1-2 Cm |
|
74613 |
Cyst 2-3 |
Surg Ex, Cyst/Gran-2-3 Cm |
|
74614 |
Cyst 3-4 |
Surg Ex, Cyst/Gran-3-4 Cm |
|
74615 |
Cyst 4-6 |
Surg Ex, Cyst/Gran-4-6 Cm |
|
74616 |
Cyst 6-9 |
Surg Ex, Cyst/Gran-6-9 Cm |
|
74617 |
Cyst 9-15 |
Surg Ex, Cyst/Gran-9-15 Cm |
|
74618 |
Cyst 15+ |
Surg Ex,Cyst/Gran-15Cm And Over |
|
74621 |
CyMarsup |
Cyst, Marsupialization |
|
74631 |
ExCys 1cm |
Cyst,excision-1 Cm And Under |
|
74632 |
ExCys 1-2 |
Cyst,excision-1-2 Cm |
|
74633 |
ExCys 2-3 |
Cyst,excision-2-3 Cm |
|
74634 |
ExCys 3-4 |
Cyst,excision-3-4 Cm |
|
74635 |
ExCys 4-6 |
Cyst,excision-4-6 Cm |
|
74636 |
ExCys 6-9 |
Cyst,excision-6-9 Cm |
|
74637 |
ExCys9-15 |
Cyst,excision-9-15 Cm |
|
74638 |
ExCys 15+ |
Cyst,excision-15 Cm And Over |
|
75111 |
DrSurgExp |
Exc. & Drain Surg. Explor. |
|
75112 |
DrAbscess |
Exc. & Drain Abscess |
|
75113 |
IntraAbDr |
Intraoral Abscess/with Drain |
|
75121 |
DrHard |
Exc. & Drain Hard Tiss |
|
75122 |
Expl Hard |
Surg. Explor., Hard Tis |
|
75123 |
Hd O&D |
Hard Tiss O & D Major Ana Area |
|
75211 |
AbSuper |
Extra, Abscess, Superficial |
|
75212 |
AbscDeep |
Extra, Abscess, Deep |
|
75221 |
ExpHard |
Extra, Surg Explor, Hard Tiss |
|
75301 |
ForBodies |
Surf Inc of Foreign Bodies Sub |
|
75302 |
ReacForei |
Remov, React, Foreign Bodies |
|
75303 |
NeedleMus |
Remov, Needle, Musculo-skeleta |
|
75401 |
Sequestre |
Intraoral Sequestrectomy |
|
75402 |
Sauceriza |
Saucerization |
|
75403 |
Osteomyel |
Osteomyelitis, Non Surgical |
|
75411 |
ExSequ 3 |
Extra,Seques-3 Cm |
|
75412 |
ExSeq 3-4 |
Extra,Seques-3-4 Cm |
|
75413 |
ExSequ4-6 |
Extra,seques-4-6 Cm |
|
75414 |
ExSequ6-9 |
Extra,seques-6-9 Cm |
|
75415 |
ExSequ 9+ |
Extra seques-9 Cm And Over |
|
75511 |
Mand 3 |
Mandibulectomy-3 Cm Or Less |
|
75512 |
Mand 3-4 |
Mandibulectomy-3-4 Cm |
|
75513 |
Mand 4-6 |
Mandibulectomy-4-6 Cm |
|
75514 |
Mand 6-9 |
Mandibulectomy-6-9 Cm |
|
75515 |
Mand 9-12 |
Mandibulectomy-9-12 Cm |
|
75516 |
Mand12-15 |
Mandibulectomy-12-15 Cm |
|
75517 |
Mand 15+ |
Mandibulectomy-15 Cm And Over |
|
75518 |
Tot Mand |
Totoal Mandibulectomy |
|
75611 |
Maxil 3 |
Maxillectomy-3 Cm Or Less |
|
75612 |
Maxil 3-4 |
Maxillectomy-3-4 Cm Or Less |
|
75613 |
Maxil 4-6 |
Maxillectomy-4-6 Cm |
|
75614 |
Maxil 6-9 |
Maxillectomy-6-9 Cm |
|
75615 |
Max 9-12 |
Maxillectomy-9- 12 Cm |
|
75616 |
Max 12-15 |
Maxillectomy-12-15 Cm |
|
75617 |
Maxil 15+ |
Maxillectomy-15 Cm And Over |
|
75618 |
Tot Maxil |
Total Maxillectomy |
|
76111 |
Dent Wire |
Wiring of Dent or Arch Bar |
|
76112 |
AcrProsth |
Acr. Prosth or Cap Splint |
|
76113 |
Circumzyg |
Circumzygomatic Wiring, Unilat. |
|
76114 |
Perialveo |
Periaveolar, Tranpalatal Wiring |
|
76115 |
PeriosSpl |
Periosseous Splint, Pericran. |
|
76116 |
Intermaxi |
Splint Intermaxillary Fixation |
|
76121 |
Nas Spine |
Nasal Spine Wiring |
|
76122 |
Piri Aper |
Piriform Apertures Suspension |
|
76123 |
Front Sus |
Frontal Suspension |
|
76124 |
Orb RimBi |
Orbital Rim Suspension, Bilat. |
|
76125 |
Head Fr |
Head Frame Suspension |
|
76131 |
Circuma 1 |
Circummandib-Wiring, one |
|
76132 |
Circuma 2 |
Circummandib-Wiring, two |
|
76133 |
Circuma 3 |
Circumm-Wiring, three or over |
|
76141 |
RemSplWir |
Removal of Splint Wire |
|
76142 |
RemArchSp |
Removal of Arch Splint |
|
76143 |
Rem Inter |
Removal Interosseous Lig. |
|
76144 |
RemPerOse |
Removal of Peri Oseous Rod |
|
76145 |
RemPrMax |
Rem. Prosth. Attached to Maxila |
|
76146 |
RemWirOst |
Removal Wire Plate, Osteosynth. |
|
76201 |
Mand Clos |
Reduction, Mandibular, Closed |
|
76202 |
Man Op 1 |
Reduct., Mandib., Open, Single |
|
76203 |
Man Op 2 |
Reduct., Mandib., Open, Double |
|
76204 |
ManOpMult |
Reduct., Mandib., Open, Multi. |
|
76301 |
Max Close |
Reduct., Maxillary, Closed |
|
76302 |
Max Op 1 |
Reduct., Maxil., Open, Single |
|
76303 |
Max Op 2 |
Reduct., Maxil., Open, Double |
|
76304 |
MaxOpMult |
Reduct., Maxil., Open, Multiple |
|
76305 |
CompFract |
Reduct., Comp. Fracture |
|
76401 |
RedMaxClo |
Reduct., Maxillary, Closed |
|
76402 |
Max Op Un |
Reduct., Maxil., Open, Unilat. |
|
76403 |
Max Op Bi |
Reduct., Maxil., Open, Bilat. |
|
76501 |
NOrbClUni |
Naso-Orbital Red, Closed Unilat |
|
76502 |
NOrbClBi |
Naso-Orbital Red, Closed Bilat |
|
76503 |
NOrbOpEx |
Naso-Orbital, Open, External |
|
76504 |
NOrbOpSin |
Naso-Orbital, Open, Sinusal |
|
76505 |
NOrbInSub |
Naso-Orbital Insert Subperio. |
|
76506 |
ExOrbBlow |
Explor., Orbit. Blowout |
|
76507 |
ExOrbBloR |
Explor., Orbit. Blow., Reconstr |
|
76601 |
MalarClo |
Reduct., Malar Bone, Closed |
|
76602 |
Malar Op |
Reduct., Malar Bone, Open, |
|
76603 |
MalarOste |
Reduct., Malar Bone, Osteosyn. |
|
76604 |
Malar Sin |
Reduct., Malar Bone, Sinus |
|
76605 |
MalarFrac |
Red, Malar Bone, Simple Fract |
|
76701 |
Zygo Intr |
Red, Zygomatic Arch, Intraoral |
|
76702 |
Zygo Temp |
Red, Zygomatic Arch, Temporal |
|
76703 |
ZygMxDisl |
Red, Zygomatic-Max. Dislocat. |
|
76704 |
ZygMxOp |
Red, Zygomatico-Max. Open |
|
76801 |
Crani Dys |
Reduct., Craniofacial, Dysjunc |
|
76802 |
CranDysOp |
Reduct., Craniofacial, Open |
|
76911 |
FrAlve3cm |
Fract,alveo.Teetg Rem. 3 Cm |
|
76912 |
FracAl3-6 |
Fract,alveo-3-6 Cm |
|
76913 |
FracAlv6+ |
Fract,alveo-6 Cm And Over |
|
76921 |
Alv Clo 3 |
Reduct,alveo,close-3 Cm Or Less |
|
76922 |
AlvClo3-6 |
Reduct,alveo,close-3-6 Cm |
|
76923 |
AlvClo6-9 |
Reduct,alveo,close-6-9 Cm |
|
76924 |
AlvClo9 |
Reduct,alveo,close-9 Cm |
|
76931 |
AlveOp 3 |
Reduct,alveo,open-3Cm |
|
76932 |
AlvOp 3-6 |
Reduct,alveo,open-3-6 Cm |
|
76933 |
AlvOp 6-9 |
Reduct,alveo,open,teeth-6-9 Cm |
|
76934 |
AlvOp9+ |
Red,alveo,open,teeth-9Cm+ |
|
76941 |
ReplAvul1 |
Replant Avulsed Th 1 tooth |
|
76949 |
ReplAvuAd |
Replant Avulsed Th.-add th |
|
76951 |
RepoTr 1 |
Repos,trauma Dis. th. -1 unit |
|
76952 |
RepoTr 2 |
Repos,trauma Dis Th. -2 units |
|
76959 |
RepoTr Ad |
Repos,traumaDis.Th add unit |
|
76961 |
Lacera 2 |
Repair,Laceration 2Cm Or Less |
|
76962 |
Lacer 2-4 |
Repair,Laceration 2-4 Cm |
|
76963 |
Lacer 4-6 |
Repair,Laceration 4-6 Cm |
|
76964 |
Lacer 6-9 |
Repair,Laceration 6-9 Cm |
|
76965 |
Lacer9-12 |
Repair,Laceration 9-12 Cm |
|
76966 |
Lace12-16 |
Repair,Laceration12-16 Cm |
|
76967 |
Lace16-20 |
Repair,Laceration 16-20 Cm |
|
76968 |
Lace20-25 |
Repair,Laceration 20-25 Cm |
|
76969 |
Lacer 25+ |
Repair,Laceration 25 Cm& Over |
|
76971 |
LacThru2 |
Repair,Lacer,thru-2 Cm Or Less |
|
76972 |
LaThru2-4 |
Repair,Lacer,thru-2-4 Cm |
|
76973 |
LaThru4-6 |
Repair,Lacer,thru-4-6 Cm |
|
76974 |
LaThru6-9 |
Repair,Lacer,thru-6-9 Cm |
|
76975 |
LaThr9-12 |
Repair,Lacer,thru-9-12 Cm |
|
76976 |
LaTh12-16 |
Repair,Lacer,thru-12-16 Cm |
|
76977 |
LaTh16-20 |
Repair,Lacer,thru-16-20 Cm |
|
76978 |
LaTh20-25 |
Repair,Lacer,thru-20-25 Cm |
|
76979 |
LaThru25+ |
Repair,Lacer,thru-25 Cm & Over |
|
76981 |
LaComp2 |
Repair,Lacer,comp-2 Cm Or Less |
|
76982 |
LaComp2-4 |
Repair,Lacer,comp-2-4 Cm |
|
76983 |
LaComp4-6 |
Repair,Lacer,comp-4-6 Cm |
|
76984 |
LaComp6-9 |
Repair,Lacer,comp-6-9 Cm |
|
76985 |
LaCom9-12 |
Repair,Lacer,comp-9-12 Cm |
|
76986 |
LaCo12-16 |
Repair,Lacer,comp-12-16 Cm |
|
76987 |
LaCo16-20 |
Repair,Lacer,comp-16-20 Cm |
|
76988 |
LaCo20-25 |
Repair,Lacer,comp-20-25 Cm |
|
76989 |
LaComp25+ |
Repair,Lacer,comp-25 Cm & Over |
|
77101 |
OstSubClo |
Osteotomy, Subcondylar, Closed |
|
77102 |
OstSubOp |
Osteotomy, Subcondylar, Open |
|
77103 |
OstRamExt |
Osteotomy,Ramus, Mand, Extra |
|
77104 |
OstRamInt |
Osteo, Ramus,Mand, Intra |
|
77105 |
Ost BodMa |
Osteotomy Body of the Mandible |
|
77106 |
OstCorono |
Osteotomy, Coronoidectomy |
|
77107 |
OstCondyl |
Osteotomy, Condylar Neck |
|
77108 |
OstSagitt |
Osteotomy, Sagittal Split |
|
77201 |
OstObliqu |
Osteotomy, Oblique w/Bone Graft |
|
77202 |
Ost Inv L |
Osteotomy, Inverted "L" |
|
77203 |
Osteo C |
Osteotomy, "C" |
|
77301 |
OstForte1 |
Osteotomy, Maxilla, LeForte I |
|
77302 |
OstForte2 |
Osteotomy, Maxilla, LeForte II |
|
77303 |
OstForte3 |
Osteotomy, Maxilla, LeForte III |
|
77304 |
Osteo 2 |
Osteotomy,Maxilla, Two Segments |
|
77305 |
Osteo 3 |
Osteotomy,Maxill,Three segments |
|
77306 |
Osteo 4 |
Osteotomy, Maxill,Four Segments |
|
77307 |
Ost Cran |
Osteotomy,Maxilla, Cranial Flap |
|
77308 |
CloFistAl |
Closure, Cleft Fistula(alveo) |
|
77309 |
CloFistPa |
Closure, Cleft Fistula(palatal) |
|
77311 |
Pharyngop |
Pharyngoplasty |
|
77312 |
Submucous |
Submucous Resection |
|
77411 |
OstSegAnt |
Osteotomy, Segmental, Anterior |
|
77412 |
OstSegPos |
Osteotomy, Segmental, Posterior |
|
77413 |
OstMidSpl |
Osteotomy, Midpal. Split, Anter |
|
77414 |
OstMidCom |
Osteotomy, Midpal. Split, Comp. |
|
77421 |
OstAnEmin |
Osteotomy Seg.Ant.Trans.Emin. |
|
77422 |
OstAnt |
Osteo, Seg., Ant., No Transfer |
|
77423 |
OstSegPo |
Osteotomy, Segmental, Posterior |
|
77424 |
OstLowBMa |
Osteotomy, Lower Border, Mand. |
|
77425 |
OstDenMa |
Osteo/Total Dento-Alveo, Mand |
|
77431 |
OstIntBon |
Osteo/Interpositional use bone |
|
77432 |
OstIntAll |
Osteo/Interposition Alloplast |
|
77433 |
OstIntCar |
Osteo/Interposition Cartilage |
|
77441 |
OstOnlBon |
Osteo/Onlay graft- Bone |
|
77442 |
OstOnlAll |
Osteo/Onlay graft/Alloplast |
|
77443 |
OstOnlCar |
Osteo/Onlay graft-Cartilage |
|
77501 |
GenSlid |
Genio, Sliding, Reduction |
|
77502 |
GenRedVer |
Genio, Reduction Verticle |
|
77503 |
GenAugGrf |
Genio, Augmentation w/ Graft |
|
77504 |
MyoSupra |
Myotomy, Suprahyoid |
|
77601 |
Corticot |
Corticotomy |
|
77602 |
InterSept |
Interdental Septotomy |
|
77603 |
ExpPal |
Surg. Expansion of the Palate |
|
77701 |
PalatorAn |
Palator, Anterior |
|
77702 |
PalatorPo |
Palator, Posterior |
|
77703 |
PalatorTo |
Palator, Total |
|
77704 |
PalaBoGr |
Palator, W/ Bone Graft |
|
77705 |
PalaAnt |
Palator, Graft, Ant. Ridge |
|
77801 |
FrenUpLab |
Frenectomy, Upper Labial |
|
77802 |
FrenLowLa |
Frenectomy, Lower Labial |
|
77803 |
FrenLowLi |
Frenectomy, Low. Ling. |
|
77804 |
FrenL/LGe |
Fren, L/Ling. Myo of Genio |
|
77805 |
FrenUpZ |
Frenoplasty, Upper "Z" |
|
77806 |
FrenLowZ |
Frenoplasty, Lower "Z" |
|
77901 |
GlosPtAnW |
Glossectomy, Partial, Ant.Wedge |
|
77902 |
GlosPtOrP |
Glossectomy, Part,Ortho Purpose |
|
77903 |
GlosFulPA |
Glossectomy, Full Postero-Anter |
|
77911 |
PriUniLip |
Primary Unilat. Cleft Lip, Rep |
|
77912 |
SecUniLip |
Secondary, Uni. Cleft Lip Repa. |
|
77913 |
PriBiLip |
Primary Bilateral Cleft Lip Rep |
|
77914 |
SecBiLip |
Secondary Bilat Cleft Lip Rep |
|
77915 |
ReconLip |
Reconstruct, Lip, w/Lip Switch |
|
77916 |
ComLip |
Complex Reconstruct, Cleft Lip |
|
77917 |
CloAlvClf |
Closure Alveolar Cleft |
|
77921 |
OrNaFiPrC |
Oral Nasal Fistula Prim. Close |
|
77922 |
SecClPal |
Sec Close, Palatal Flap |
|
77923 |
SecClPhar |
Sec Close, Pharyngeal Fl. |
|
77924 |
SecClTong |
Sec Close, Tongue Flap |
|
77925 |
SecClBucc |
Sec Close, Buccal, Flap |
|
77931 |
RigIntFix |
Rigid Internal Fixation |
|
77932 |
InFixBone |
Rigid Internal Fix., Bone |
|
77933 |
InFixAllo |
Rigid Internal Fix., Alloplast |
|
77934 |
InFixCart |
Rigid Internal Fix., Cartilage |
|
78101 |
TMJDisOp |
TMJ, Dislocation, Open Reduct. |
|
78102 |
TMJDiClUn |
TMJ, Dislocat., Closed, Uncomp. |
|
78103 |
TMJCl G/A |
TMJ, Closed Reduction Under G/A |
|
78104 |
TMJ Lux |
TMJ, Lux Reduc., No Anesthesia |
|
78105 |
TMJLuxAne |
TMJ, Lux Reduction, Anesthisia |
|
78106 |
TMJManiAn |
TMJ, Manipulate, Anesthesia |
|
78107 |
TMJ Fix |
TMJ, Fixation |
|
78201 |
Condylopl |
Condyloplasty |
|
78202 |
Condyloto |
Condylotomy |
|
78203 |
Condylect |
Condylectomy |
|
78204 |
Eminoplas |
Eminoplasty |
|
78205 |
Recon Gle |
Re-contour of Glenoid Fossa |
|
78206 |
Menisecto |
Menisectomy |
|
78207 |
Plic Meni |
Plication of Meniscus |
|
78208 |
Rep Menis |
Repair of Meniscus |
|
78209 |
Repl Meni |
Replacement of Meniscus |
|
78301 |
TMJ Fossa |
TMJ, Fossa Replacement |
|
78302 |
TMJCondRp |
TMJ, Condylar Replacement |
|
78303 |
TMJGapArt |
TMJ,Gap Arthroplasty/Ankylosis |
|
78401 |
TMJArthEx |
TMJ-Arthroscopic Examination |
|
78402 |
TMJBiopsy |
TMJ-Biopsy |
|
78403 |
TMJRemLoo |
TMJ-Removal of Loose Bodies |
|
78404 |
TMJLavage |
TMJ-Lavage |
|
78405 |
TMJLysAdh |
TMJ-Lysis of Adhesions |
|
78406 |
TMJ Synov |
TMJ-Synovectomy |
|
78407 |
TMJCondyp |
TMJ-Condyloplasty |
|
78408 |
TMJEminop |
TMJ-Eminoplasty |
|
78409 |
RecoGleno |
TMJ-Re-contour of Glenoid Fossa |
|
78411 |
TMJMenise |
TMJ-Menisectomy |
|
78412 |
PlicaMeni |
TMJ-Plication of Meniscus |
|
78413 |
RepMenisc |
TMJ-Repair of Meniscus |
|
78501 |
TMJArth 1 |
TMJ,Arthrocentesis-1 unit |
|
78502 |
TMJArth 2 |
TMJ,Arthrocentesis-2 units |
|
78509 |
TMJArthAd |
TMJ,Arthrocentesis- add units |
|
78601 |
AntInflam |
TMJ-Inject w/ Anti-Inflam Drg |
|
78602 |
Sclerosin |
TMJ-Inject w/ Sclerosing Agent |
|
78701 |
TMJSplMx |
TMJ-Appliance Splint, Maxil |
|
78702 |
TMJSplMan |
TMJ-Appliance Splint, Mand |
|
78801 |
PerArthPr |
TMJ-Arthrographic Procedure |
|
78802 |
InterpArt |
Arthrogram Interpretation |
|
79101 |
Sal Gl di |
Salivary Gland, Dilation of Duc |
|
79102 |
Sal Polyt |
Salivary Duct, Insert polytube |
|
79103 |
Sal Sialo |
Salivary Duct, Sialodochoplast |
|
79104 |
Sal Recon |
Salivary Duct, Reconstruction |
|
79111 |
Sialo 1/3 |
Sialolithotomy,^1/3 Canal |
|
79112 |
SialPo2/3 |
Sialolithotomy, Post. 2/3 Canal |
|
79113 |
Sial Ext |
Sialolithotomy, External Appro |
|
79121 |
Sal Gl Su |
Salivary Gland Excision Submax |
|
79122 |
Exc Subli |
Excision of Sublingual Gland |
|
79123 |
Exc Mucoc |
Excision of Mucocele |
|
79124 |
Exc Ranul |
Excision of Ranula |
|
79125 |
Marsup Ra |
Marsupialization of Ranula |
|
79131 |
Sal RemPa |
Salivary Gland, Remov, Partoid |
|
79132 |
SalRemPtR |
Saliv. Remov., Partoid, rad |
|
79211 |
TrigemDes |
Trimeginal Nerve for Destruct |
|
79212 |
Trig Avul |
Trimeginal, Avulsion/Periphery |
|
79213 |
TrigTotAv |
Trimeginal, Total Avuls., Bran. |
|
79214 |
Trig Alco |
Trigeminal, Alcoholization |
|
79215 |
Trig Infi |
Trigeminal, Infiltration Br |
|
79216 |
Trig Intr |
Trigeminal, Interoperative |
|
79217 |
Trig Sft |
Trigeminal, Excision Soft Tiss |
|
79218 |
Trig Bo |
Trigeminal, Excis Nerve in Bone |
|
79221 |
Ment Trns |
Mental Nerve, Transportation of |
|
79222 |
Men Decom |
Mental Nerve, Decompression |
|
79231 |
Infer Avu |
Inferior Dental Nerve, Avulsion |
|
79232 |
Inf Decom |
Inferior Dental Nerve, Decomp. |
|
79241 |
InjRepPr |
Injured Nerve Repair, Primary |
|
79242 |
InjRepSec |
Injured Nerve Repair, Secondary |
|
79243 |
InjRep 4w |
Injured Nerve, Repair over 4wks |
|
79244 |
Neur Trns |
Neural Transposition & Decomp. |
|
79245 |
Imp Elect |
Electrode Implant., Peripheral |
|
79246 |
Tum Neuro |
Excision of Tumor or Neuroma |
|
79247 |
Grft & E |
Nerve Repair w/ Graft + E |
|
79248 |
Nrv Grft |
Harvesting of Nerve Graft |
|
79251 |
Epin Trig |
Epineural Suture, Trigeminal |
|
79252 |
Fascic Tr |
Fascicular Suture, Trigeminal |
|
79253 |
Cond Imp3 |
Conduit Implant Repair, 0-3 cm |
|
79254 |
Imp Rep3+ |
Conduit Implant Repair, 3 cm+ |
|
79255 |
Fibrin Ad |
Fibrin adhesive, per nerve |
|
79256 |
Laser Coa |
Laser coagulation, per nerve |
|
79258 |
LasCoaMic |
Laser Coagulation (using micro) |
|
79311 |
Antr Reco |
Antral Surgical Recovery |
|
79312 |
Ant ImClo |
Antral Surg, Imm Closure |
|
79313 |
Ant Delay |
Antral Surg, Delayed Recovery |
|
79314 |
Ant Nasal |
Antral Surg, Nasal Antrostomy |
|
79321 |
Ant Lavag |
Antral Surg Lavage, Oral App |
|
79322 |
AntLavNas |
Antral Surg Lavage, Nasal |
|
79331 |
AntBucc |
Antral Surg w/Buccal Flap |
|
79332 |
OrAnFisGo |
Fistula Close, Gold Plate + L |
|
79333 |
AnPalFl |
Antral Surgery wPalatal Flap |
|
79341 |
OrAnFisCl |
Oro-Antral Fiss Closure |
|
79342 |
OrAntFisG |
Oro-Antral Fist Close/Gold Pl |
|
79343 |
OrAnFisPa |
Oro-Antral Fist Close, Pal Fl |
|
79401 |
Pr Hem Co |
Primary Hemorrhage, Control |
|
79402 |
Sec Hem |
Secondary Hemorrhage, Control |
|
79403 |
Hem Comp |
Hemorr. Control/Compression |
|
79404 |
Hem Sut |
Hemorrhage Cont/Sutures |
|
79511 |
Hv In Bo |
Harvesting Intra.Tiss.Bone |
|
79512 |
Hv IntCar |
Harvest Intraoral Tiss. Cartilg |
|
79513 |
HvIntSk |
Harvest Intraoral Tiss. Skin |
|
79514 |
HvIntMuc |
Harvest Intraoral Tiss. Mucosa |
|
79515 |
HvIntFasc |
Harvest Intraoral Tiss. Fascia |
|
79516 |
HvIntMusc |
Harvest Intraoral Tiss. Muscle |
|
79517 |
HvIntDerm |
Harvest Intraoral Tiss. Dermis |
|
79521 |
HvExBo |
Harvest Extraoral Tiss Bone |
|
79522 |
HvExCart |
Harvest Extraoral Tiss Cartilge |
|
79523 |
HvExCosto |
Harvest Extraoral Costochondrl |
|
79524 |
HvExSk |
Harvest Extraoral Tiss Skin |
|
79525 |
HvExMuc |
Harvest Extraoral Tiss Mucosa |
|
79526 |
HvExFasc |
Harvest Extraoral Tiss Fascia |
|
79527 |
HvExMus |
Harvest Extraoral Tiss Muscle |
|
79528 |
HvExDerm |
Harvest Extraoral Tiss Dermis |
|
79529 |
HvExNerve |
Harvest Extraoral Tiss Nerve |
|
79531 |
Vasc |
Vascularized tiss, flap Free |
|
79532 |
Vas Flap |
Vascularized tiss, lap Attached |
|
79601 |
MinPostSu |
Minor Post Surg. Care |
|
79602 |
MinPoSur2 |
Minor Post Surg Care(alt dent) |
|
79603 |
MajPosSur |
Major Post Surgical Care |
|
79604 |
MajPoSur2 |
Major Post Surgical Care by oth |
|
79605 |
Alveoitis |
Treat Alveolitis, no anesthesia |
|
79606 |
Alveo ana |
Treat. Alveolitis, w/anesthesia |
|
79701 |
EmerTrach |
Emergency, Tracheotomy |
|
79702 |
EmCri-Thy |
Emergency, Crico-Thyroidotomy |
|
79801 |
MuscDysf |
Treat, Muscular Dysfunctions |
|
79802 |
Myotomy |
Myotomy |
|
79911 |
ImpBlMax |
Implants Blade Maxillary |
|
79912 |
ImBlMand |
Implants Blade Mandib |
|
79921 |
ImMucMx |
Implants mucosal-Max |
|
79922 |
ImMucMan |
Implants mucosal Insert Mand |
|
79931 |
ImScTriMx |
Implant Screw & Tripoidal Max. |
|
79932 |
ImScTriMa |
Implant Screw & Tripoidal Mand |
|
79941 |
ImSubpeMx |
Implants-Subperio-Maxillary |
|
79942 |
ImSubpeMa |
Implants,Subperio-Mandibular |
|
79951 |
Imp1stMax |
Implant First Stage (Max) |
|
79952 |
ImEnd 1Ma |
Endosseous-1st stage,Mand |
|
79953 |
Im2ndMx |
Implant Second Stage (Max) |
|
79954 |
ImEnd2Man |
Endosseous-2nd stage,Mand |
|
79991 |
Im Rem |
Remov^implant, Uncomp |
|
79992 |
ImRemComp |
Remov^implant, Complicated |
|
80601 |
Orth Obs |
Orthodontic, Observation |
|
80602 |
OrthObAdj |
Ortho Observation & Adjust. |
|
80631 |
ReaApp 1 |
Repair to Appl. 1 unit |
|
80632 |
RepAp 2 |
Repair to Appl. 2 units |
|
80639 |
RepAp add |
Repair to Appl add unit |
|
80641 |
Alt Ap 1 |
Alteration to Appl. 1 unit |
|
80642 |
Alt Ap 2 |
Alteration to Appl. two unit |
|
80649 |
Alt Ap ad |
Alteration to Appl. add unit |
|
80651 |
Recemen 1 |
Recement Appl. 1 unit |
|
80659 |
Receme ad |
Recement Appl. add unit |
|
80661 |
ApSep 1 |
Appl.Seperation 1 unit |
|
80669 |
ApSep add |
Appl.Seperation add unit |
|
80671 |
R Fix Ap1 |
Rem Fixed Appl. 1 unit |
|
80679 |
RFixAp ad |
Rem Fixed Appl add unit |
|
81111 |
AppMaxUni |
App.Maxil. Unilateral |
|
81112 |
ApManUni |
App.Mandib. Unilateral |
|
81113 |
ApMxBi |
App.Rem Maxil. Bilateral |
|
81114 |
ApManBi |
App.Rem Mandib. Bilateral |
|
81121 |
ApCr-B Mx |
Appl.Rem. Cr-Bite Cor. max.sim |
|
81122 |
ApCr-BMa |
Appl.Rem. Cr-Bite Cor mand.sim |
|
81131 |
ApArchMx |
Appl.Rem. Arch Exp max.simp. |
|
81132 |
ApArchMa |
Appl.Rem.Arch Exp. mand.simp. |
|
81141 |
ApDiClMx |
Appl.Rem.Dias.Clos.max.sim. |
|
81142 |
ApDiClMa |
Appl.Rem.Dias.Clos.mand.simp. |
|
81151 |
ApAnAlMx |
Appl.Rem.Ant.Align.max.simp. |
|
81152 |
ApAnAlMan |
Appl.Rem.Ant.Align.mand.comp. |
|
81211 |
FxAp Max |
Fix.Appl.Sp.Reg.max |
|
81212 |
FxAp Mand |
Fix.ApplSp.Reg.mand |
|
81221 |
FxApUniMx |
Fix.Appl.Sp.Reg.Unilat.max |
|
81222 |
FxApUniMa |
Fix.Appl.Sp.Reg. Unilat.mand. |
|
81231 |
Cr-BiAnMx |
Fix.Appl.Cr-Bite Ant. max |
|
81232 |
Cr-BiAnMa |
Fix.Appl.Cr-Bite Ant. mand |
|
81241 |
Cr-BiPoMx |
Fix.Appl.Cr-Bite Cor Post.max |
|
81242 |
Cr-BiPoMa |
Fix.Appl.Cr-Bite Cr.Post.mand. |
|
81243 |
Cr-BiPo2M |
Fix.Appl.Cr-Bite Cr.Post 2Mol |
|
81251 |
ArExpMx |
Fix.Appl.Arch Exp.max. |
|
81252 |
ArExpMand |
Fix.Appl.Arch Exp.mand. |
|
81253 |
ArExpRapi |
Fix.Appl.Arch Exp.rapid |
|
81261 |
DiClMxSi |
Fix.Appl.Dias.Clos.max.simp. |
|
81262 |
DiClMaSi |
Fix.Appl.Dias.Clos. mand.simp |
|
81271 |
AncAlMxSi |
Fix.Appl.Anc.Align max.simp |
|
81272 |
IncAlMaSi |
Fix.Appl.Inc.Align mand.simp |
|
81281 |
ApFx Lig |
Fix.Appl.Ligatures |
|
81291 |
ApMxImpac |
Appliance, Maxil., Impact |
|
81292 |
Erpt Impa |
Fix.Appl.Erupt of Impacted |
|
81293 |
ApMxErpt |
Appliance, Maxil, Erupted |
|
81294 |
ApMaErpt |
Appliance, Mandib., Erupted |
|
83101 |
RetRevMx |
Retention, Appl. Rev. max |
|
83102 |
RetRemMa |
Retention Appl. Rem mand |
|
83103 |
RetPositi |
Retention Positioner |
|
83201 |
RetFxMx |
Retention Appl. Fixed. max. |
|
83202 |
RetFxApMa |
Retention Fixed Appl.mand. |
|
84101 |
Cls 1 Mal |
Perm Dent. Class I Malocclus |
|
84201 |
Cls 2 Mal |
Perm Dent Class II Malocclus |
|
84301 |
Cls 3 Mal |
Perm Dent Class III Malocclus |
|
84401 |
MalNoBand |
Malocclus, no complete banding |
|
85101 |
Mal Mix1 |
Malocclusion Mixed Dent, Cl 1 |
|
85201 |
MalMixCl2 |
Malocclusion Mixed Dent. Cl 2 |
|
85301 |
MaxMixCl3 |
Malocclusion Mixed Dent. Cl 3 |
|
88101 |
MalocMix1 |
Malocc.Mixed Dent Cl 1 |
|
88201 |
MalocMix2 |
Malocc.Mixed Dent. Rem.Cl 2 |
|
88301 |
MalocMix3 |
Malocc. Mixed Dent. Rem. Cl 3 |
|
89501 |
Ex Infant |
Expans., Infant w/ Cleft Palate |
|
89502 |
Ext Cl Pa |
Extraoral Ret. w/ Cleft Pal. |
|
89503 |
St1 IniEx |
Stage I- Initial Expansion |
|
89504 |
St2 AnAli |
Stage II- Anterior Alignment |
|
89505 |
St3 FinAl |
Stage III Final Alignment |
|
89506 |
St3 No1&2 |
Stage III- No Stage I or II |
|
91111 |
PallMinor |
Palliative Treat Minor Proced |
|
91112 |
PallMin2 |
Palliative Treat Minor Proc 2u |
|
91113 |
PalMin 3 |
Palliative Treat Minor Proc 3u |
|
91119 |
PalMinAdd |
Palliative Tr Minor Proc add |
|
91121 |
Emer Un 1 |
Emergency Servi Unspec 1Unit |
|
91122 |
EmerU 2 |
Emergency Service Unspec 2 |
|
91123 |
Emer U 3 |
Emergency Service Unspec 3u |
|
91129 |
Emer U ad |
Emergency Service Unspec add |
|
91211 |
Unusual 1 |
Unusual Time/Responsibility 1U |
|
91212 |
Unusual 2 |
Unusual Time/Responsibility 2U |
|
91213 |
Unusual 3 |
Unusual Time/Responsibility 3u |
|
91219 |
UnusualAd |
Unusual Time/Responsibility Ad |
|
91221 |
2nd Surg |
Second Surgeon |
|
91222 |
2nd Sur 2 |
Second Surgeon 2units |
|
91223 |
2nd Sur 3 |
Second Surgeon 3 units |
|
91224 |
2nd Sur 4 |
Second Surgeon 4 units |
|
91225 |
2nd Sur 5 |
Second Surgeon 5 units |
|
91226 |
2nd Sur 6 |
Second Surgeon 6 units |
|
91227 |
2nd Sur 7 |
Second Surgeon 7 units |
|
91228 |
2nd Sur 8 |
Second Surgeon 8 units |
|
91229 |
2ndSurAdd |
Second Surgeon additional |
|
91231 |
Mng Exc 1 |
Manage Exceptional Pt 1 unit |
|
91232 |
Mng Exc 2 |
Manage Exceptional Pt^2 units |
|
91233 |
Mng Exc 3 |
Manage Exceptional Pt^3 units |
|
91234 |
Mng Exc 4 |
Manage Exceptional Pt^4 units |
|
91239 |
Mng Ex ad |
Manage Exceptional Pt add unit |
|
92101 |
Reg Bl An |
Regional Block Anesthesia |
|
92102 |
TrigDivBl |
Trigeminal Division Block |
|
92212 |
GenAnes2 |
General Anesthesia 2 units |
|
92213 |
GenAnes3 |
General Anesthesia 3 units |
|
92214 |
GenAnes4 |
General Anesthesia 4 units |
|
92215 |
GenAnes5 |
General Anesthesia 5 units |
|
92216 |
GenAnaes6 |
General Anesthesia 6 units |
|
92217 |
GenAnes7 |
General Anesthesia 7 units |
|
92218 |
GenAnes8 |
General Anesthesia 8 units |
|
92219 |
GenAnesAd |
General Anesthesia add units |
|
92222 |
Anesth 2 |
Anesthetist 2 units |
|
92223 |
Anesth 3 |
Anesthetist 3 units |
|
92224 |
Anesth 4 |
Anesthetist 4 units |
|
92225 |
Anesth 5 |
Anesthetist 5 units |
|
92226 |
Anesth 6 |
Anesthetist 6 units |
|
92227 |
Anesth 7 |
Anesthetist 7 units |
|
92228 |
Anesth 8 |
Anesthetist 8 units |
|
92229 |
Anesth ad |
Anesthetist each addit unit |
|
92302 |
DeepSed2 |
Deep Sedation 2U |
|
92303 |
DeepSed3 |
Deep Sedation 3U |
|
92304 |
DeepSed4 |
Deep Sedation 4U |
|
92305 |
DeepSed5 |
Deep Sedation 5U |
|
92306 |
DeepSed6 |
Deep Sedation 6U |
|
92307 |
DeepSed7 |
Deep Sedation 7U |
|
92308 |
DeepSed8 |
Deep Sedation 8U |
|
92309 |
DeepSedAu |
Deep Sedation Add Units |
|
92322 |
Fac2u |
Provision of Facilities 2u |
|
92323 |
Fac3u |
Provision of Facilities 3u |
|
92324 |
Fac4u |
Provision of Facilities 4u |
|
92325 |
Fac5u |
Provision of Facilities 5u |
|
92326 |
Fac6u |
Provision of Facilities 6u |
|
92327 |
Fac7u |
Provision of Facilities 7u |
|
92328 |
Fac8u |
Provision of Facilities 8u |
|
92329 |
Fac+u |
Provision of Facilities +u |
|
92411 |
NitOx1u |
Nitrous Oxide 1U |
|
92412 |
NitOx2u |
Nitrous Oxide 2U |
|
92413 |
NitOx3u |
Nitrous Oxide 3U |
|
92414 |
NitOx4u |
Nitrous Oxide 4U |
|
92415 |
NitOx5u |
Nitrous Oxide 5U |
|
92416 |
NitOx6u |
Nitrous Oxide 6U |
|
92417 |
NitOx7u |
Nitrous Oxide 7U |
|
92418 |
NitOx8u |
Nitrous Oxide 8U |
|
92419 |
NitOxAu |
Nitrous Oxide Add U |
|
92431 |
IntrSed1u |
Intravenous Sedation 1U |
|
92432 |
IntrSed2u |
Intravenous Sedation 2U |
|
92433 |
IntrSed3u |
Intravenous Sedation 3U |
|
92434 |
IntrSed4u |
Intravenous Sedation 4U |
|
92435 |
IntrSed5u |
Intravenous Sedation 5U |
|
92436 |
IntrSed6u |
Intravenous Sedation 6U |
|
92437 |
IntrSed7u |
Intravenous Sedation 7U |
|
92438 |
IntrSed8u |
Intravenous Sedation 8U |
|
92439 |
IntrSedAu |
Intravenous Sedation Add Units |
|
92441 |
ConsSed1u |
Parenteral Conscious Sedation1u |
|
92442 |
ConsSed2u |
Parenteral Conscious Sedation2u |
|
92443 |
ConsSed3u |
Parenteral Conscious Sedation3u |
|
92444 |
ConsSed4u |
Parenteral Conscious Sedation4u |
|
92445 |
ConsSed5u |
Parenteral Conscious Sedation5u |
|
92446 |
ConsSed6u |
Parenteral Conscious Sedation6u |
|
92447 |
ConsSed7u |
Parenteral Conscious Sedation7u |
|
92448 |
ConsSed8u |
Parenteral Conscious Sedation8u |
|
92449 |
ConsSed+u |
Parenteral Conscious Sedation+u |
|
92461 |
OralSed |
Oral Sedative Drugs |
|
92511 |
Hypno1u |
Hypnosis 1U |
|
92512 |
Hypno2u |
Hypnosis 2U |
|
92513 |
Hypno3u |
Hypnosis 3U |
|
92514 |
Hypno4u |
Hypnosis 4U |
|
92519 |
HypnoAu |
Hypnosis Add Units |
|
92521 |
Acup1u |
Acupuncture 1U |
|
92522 |
Acup2u |
Acupuncture 2U |
|
92523 |
Acup3u |
Acupuncture 3U |
|
92524 |
Acup4u |
Acupuncture 4U |
|
92529 |
AcupAu |
Acupuncture Add Units |
|
92531 |
EleAne1u |
Electronic Anesthesia 1U |
|
92532 |
EleAne2u |
Electronic Anesthesia 2U |
|
92533 |
EleAne3u |
Electronic Anesthesia 3U |
|
92534 |
EleAne4u |
Electronic Anesthesia 4U |
|
92539 |
EleAneAu |
Electronic Anesthesia Add U |
|
93111 |
ProCons 1 |
Professional Consultation |
|
93112 |
ProCons 2 |
Professional Consultation 2 uni |
|
93119 |
Consul2+ |
Consultation over 2 units |
|
93121 |
Reports |
Reports/telephone or written |
|
93122 |
Report FS |
Reports-written Factual Summary |
|
93123 |
ReportDP |
Reports-Written Detail Prognosi |
|
93129 |
Reports2+ |
Reports over 2 units of time |
|
93131 |
ConsAut |
Consult/part during Autopsy |
|
93132 |
ConsAut2 |
Consul/Part during Autopsy 2u |
|
93139 |
ConAut2+ |
Consult/Part Autopsy over 2 uni |
|
93303 |
Prepaid F |
Completing Prepaid Claim Forms |
|
93311 |
Unrsn 1 |
Unreasonable time spent 1 unit |
|
93312 |
Unrsn 2 |
Unreasonable time spent 2 units |
|
93319 |
Unrsn 2+ |
Unreasonable Time Spent +2 unit |
|
93321 |
Preauth 1 |
Time for sending Preauths 1 uni |
|
93322 |
Preauth 2 |
Time spent for Preauths 2 unit |
|
93329 |
Preau add |
Time Spent for Preauths add uni |
|
94101 |
HouseCall |
House Call, Non Emergency |
|
94102 |
Hous Emer |
House Call, Emergency |
|
94301 |
Office Un |
Office Visits, Unscheduled |
|
94302 |
OffcAfHrs |
Office Visit, After Hours |
|
94303 |
Missed ap |
Missed Appointment |
|
94304 |
MissOutHr |
Missed Appt Outside Reg Hrs. |
|
94305 |
TravelEx |
Travelling Expenses |
|
94411 |
PrepWitn |
Prep as Expert Witness 1 unit |
|
94412 |
PrepWitn2 |
Prep as Expert Witness 2 units |
|
94413 |
PrepWitn3 |
Prep as Expert Witness 3 units |
|
94414 |
PrepWitn4 |
Prep as Expert Witness 4 units |
|
94419 |
PrWitn ad |
Prep as Expert Witness add un |
|
94421 |
CourtWit1 |
Court Appear Expert Wit 1 unit |
|
94422 |
CourtWit2 |
Court Appear Expert Wit 2 unit |
|
95101 |
ID Crimin |
ID-Assist in Criminal Cases |
|
95102 |
Civil Dis |
Full/Pt time Civil Disaster |
|
95103 |
Proff vis |
Profess. Visits out of Office |
|
95104 |
Odontolog |
Written Odontology Report |
|
95105 |
PostMorte |
Post Mortem Examination |
|
95106 |
Oral Dise |
Manage., Oral Disease |
|
95201 |
ID Disk |
ID Disk System/Acid etch bond |
|
96101 |
EmerPresc |
Prescription, Emergency |
|
96102 |
EmerDispe |
Emergency Dispense, Drug |
|
96103 |
NonEmerPr |
Prescription, Non Emergency |
|
96201 |
IntMuscDr |
Intramuscular Drug Inject. |
|
96202 |
IntraveDr |
Intravenous Drug Inject. |
|
96203 |
IntLesion |
Intralesional Delivery |
|
97111 |
Bleach1 |
Bleaching in office 1 unit |
|
97112 |
Bleach^2 |
Bleaching in Office 2 units |
|
97113 |
Bleach^3 |
Bleaching in Office 3 units |
|
97119 |
BleachAdd |
Bleaching in office add unit |
|
97121 |
BleVitMx |
Bleaching Vital (home) Max |
|
97122 |
BleVitMan |
Bleaching Vital (home) Mand |
|
97131 |
MicAbr 1 |
Micro-Abrasion 1 unit |
|
97132 |
MicAbr 2 |
Micro-Abrasion 2 units |
|
97133 |
MicAbr 3 |
Micro-Abrasion 3 units |
|
97134 |
MicAbr 4 |
Micro-Abrasion 4 units |
|
97139 |
MicAbrAdd |
Micro-Abrasion additional units |
|
98101 |
StSmoke1u |
Tobacco-Use CessationServices1u |
|
98102 |
StSmoke2u |
Tobacco-Use CessationServices2u |
|
98109 |
StSmoke+u |
Tobacco-Use CessationServices+u |
|
99111 |
LabCom |
"+ L" Commercial Lab Proced |
|
99333 |
LabInHs |
"+ L" In-Office Lab Procedures |
|
99555 |
LabExp |
"+ E" Additional Expense |
|
150000 |
DriftingM |
Drifting - Mesial |
|
150001 |
DriftingD |
Drifting - Distal |
|
150002 |
ImpactedD |
Impacted - Distal |
|
150003 |
ImpactedM |
Impacted Mesial |
|
150004 |
Bleeding |
Bleeding |
|
150005 |
Abrasion |
Abrasion |
|
150006 |
PerioAbs |
Periodontal abscess |
|
150007 |
Calculus |
Calculus |
|
150008 |
Plaque |
Plaque |
|
150009 |
WatchTh |
Watch Tooth |
|
150011 |
TMJ |
TMJ |
|
150012 |
Recession |
Recession |
|
150013 |
Hypersens |
Hypersensitivity |
|
151000 |
MissTh>yr |
Missing Tooth, more than a year |
|
151001 |
MissingTh |
Missing Tooth |
|
151002 |
PLosPr>yr |
Prem. loss, pri tooth, > a year |
|
151003 |
PLosPr |
Prem. loss, primary tooth |
|
151004 |
DeepCarie |
Deep dentinal/cemental caries |
|
151005 |
Caries/d |
Caries/decay |
|
151006 |
IncCaries |
Incipient caries |
|
151007 |
RecCaries |
Recurring caries/surface restor |
|
151008 |
ResPMargI |
Restoration,poor marg.integrity |
|
151009 |
FracRest |
Fractured restoration |
|
151010 |
FracThNRs |
Fractured th, needs restoration |
|
151011 |
NonfuncTh |
Non-functional tooth |
|
151012 |
OpenCntM |
Open contact - Mesial |
|
151013 |
OpenCntD |
Open contact - Distal |
|
151014 |
Unerupted |
Unerupted tooth |
|
151015 |
PrpclAbs |
Periapical abscess |
Current Dental Terminology (CDT) Copyright (c) Canadian Dental Association (CDA). All rights reserved.