Diagnostic:
D0120Periodic exam: Periodic oral examination-established patient
D0140 Limited oral exam: Problem focused
D0150 Comprehensive oral exam: Extensive examination, new or established patient
D0160Detailed and extensive oral evaluation: Problem focused, by report
D0170 Re-evaluation-limited, problem focused: Established patient, re-evaluation, not a post-op visit
D0171 Re-evaluation-post operative office visit: A recheck after a procedure to evaluate healing
D0460Pulp vitality tests: Pulp testing
D0470 Diagnostic casts: Impressions and pouring up of plaster casts of teeth / dental arch
D9110Emergency treatment: Palliative (emergency)pain relief – minor procedure
D9430Office visit: Case follow-up/observation examination (during regular scheduled hours)
X-Rays:
D0210 Intraoral complete series of radiographic images: X rays of all teeth and the whole mouth
D0220Intraoral periapical-first image: Detects changes/pathology @ root tip
D0230Intraoral periapical-additional image(s)
D0270Bitewing-single image: Detects changes/decay between teeth
D0272 Bitewing-two images
D0273 Bitewings-three images
D0274 Bitewings-four images
D0277 Vertical Bitewings: 7-8 bitewing images taken in the portrait orientation
D0330 Panoramic radiographic image: A 2-dimentional image of the whole mouth and teeth
D0364 Cone beam CT capture and interpretation limited view: Less than one whole jaw
D0365 Cone beam CT capture and interpretation limited view: Full lower jaw (mandible)
D0366 Cone beam CT capture and interpretation limited view: Full upper jaw(maxilla)
Interpretation and Report by a Practitioner Not Associated with the Capture: (D0380-D0391)
D0380 Cone beam CT interpretation limited view: Less than one whole jaw
D0381 Cone beam CT interpretation limited view: Full lower jaw (mandible)
D0382 Cone beam CT interpretation limited view: Full upper jaw (maxilla)
D0391 Interpretation of a diagnostic image by a practitioner
Tests and Examinations
D0460 Pulp vitality tests: Tests to determine which tooth (or teeth) are normal or diseased/need RCT or EXT
D0476 Special stains for microorganisms: Gram stains to determine the type of bacteria are present
Preventative
D1110 Prophylaxis-adult: Routine teeth cleaning/polish
D1120 Prophylaxis-child: Routine teeth cleaning/polish
D1206 Topical application of fluoride-varnish: A “paint-on” sticky fluoride application
D1208 Topical application of fluoride-excluding varnish: Gel fluoride application via trays
D1351 Sealant application-per tooth: A flowable acrylic that seals pits and fissures on teeth
D1353 Sealant repair-per tooth: Repair of a previous sealant that has worn or has debonded
Non-Surgical Endodontics:
D3120Pulp cap (indirect): Removal of decay/site medication to heal pulp
D3220 Therapeutic pulpotomy: Emergency pulp chamber tissue removal for toothache relief
D3221Gross pulpal debridement: Removal of complete pulpal tissue for toothache relief
D3230 Pulpal therapy (resorbable filling) anterior primary teeth: A root canal on a baby front tooth
D3240 Pulpal therapy (resorbable filling) posterior primary teeth: A root canal on a baby back tooth
D3310Root canal-anterior: Root canal: front tooth
D3320 Root canal-bicuspid: Root canal: middle tooth
D3330 Root canal-molar: Root canal: back tooth
D3331Treatment of root canal obstruction: Removal of a separated instrument, finding a Ca+ canal
D3332 Incomplete root canal therapy: Inoperable or fractured tooth, root canal procedure not completed
D3333 Internal root repair: Repair of perforation defects
D3346Retreatment-anterior: To re-do a failing root canal: front tooth
D3347Retreatment-bicuspid: To re-do a failing root canal: middle tooth
D3348Retreatment-molar: To re-do a failing root canal: back tooth
D3351 Apexification-initial:To close/complete root tip development: Visit #1
D3552 Apexification-interim: Multiple visits/dressing change: Visit #2+
D3553 Apexification-final: Completion of root apex closure: Final visit
D3351 Calcification/repair: To induce bone growth to seal root surfaces (i.e. perforations, resorption)
D3355 Pulpal regeneration: Procedures to induce regrowth of pulpal tissue in an immature tooth
D3356 Pulpal regeneration-interim visit: Change of medication
D3357 Pulpal regeneration-completion of treatment: Removal of canal medication and filling of the canal
Endodontic Surgery:
D3410 Apicoectomy-anterior: Root tip surgery: front tooth
D3421 Apicoectomy-bicuspid: Root tip surgery: middle tooth
D3425 Apicoectomy-molar: Root tip surgery: back tooth
D3426Apicoectomy-additional root: Root tip surgery: extra roots
D3428 Bone graft in conjunction with periapical surgery: Placement of biologics to aid in healing
D3429 Bone graft in conjunction with periapical surgery: Each additional tooth in the same site
D3430 Retrograde filling: A surgically placed root-end filling
D3431 Biologic materials to aid in bone and soft tissue healing
D3432 Guided tissue regeneration: Placement of a resorbable barrier to aid in root surgery
D3450 Root amputation: Removal of one root of a tooth
D3470 Intentional reimplantation: Removing/treating/replacing a tooth into its own socket
D3910Surgical procedure for the isolation of a tooth: Procedures to help attach a rubber dam
D3920Hemisection: Sectioning/removal of half of two rooted tooth
D4249 Crown lengthening: Procedures to enhance/expose root for restorative enhancement
D0501 Histopathologic Exam: Sampling and microscopic examination of oral disease
D7111 Extraction of a primary tooth: Removal of the remnants of a “baby” tooth
D7140 Extraction of a permanent tooth: Forceps removal of an “adult” tooth
D7210 Extraction of a permanent tooth: Removal of an adult tooth requiring flap, bone removal
D7270 Reimplantation/splint: Replacing/stabilizing a knocked-out tooth
D7272 Tooth transplantation: Extraction and moving/implanting the tooth to a different site in the mouth
D7285 Biopsy-hard tissue: Sampling and microscopic examination of bone or tooth structure
D7286Biopsy-soft tissue: Sampling and microscopic examination of surgical soft tissue
D7288 Brush biopsy: Sampling of oral soft tissue using a brush for microscopic examination
D7430Cystectomy (<1.25cm): Removal ofa small cyst
D7431 Cystectomy (>1.25cm): Removal of a large cyst
D7510 Incision and drainage: Lancing a swollen area to relieve infection
D7270 Reimplantation/splint: Replacing/stabilizing a knocked-out tooth
Restorative:
D2140 to 61Amalgam: Placement of a metal, compactablefilling, 1 to 4 surfaces.
D2330 to 94Composite: Placement/bonding of a plastic tooth colored filling, 1 to 4 surfaces
D2920 Re-cement crown: Reglue a single crown totooth
D2952 Cast gold post/core: A casted single unit post/core to attach a crown to a root
D2954Prefabricated post/core: A standard post/core to attach a crown to a root
D2955 Post removal: Using ultrasonics and operating microscope to remove a post
D2970Temporary crown: To make a temporary crown or “cap”
D2980 Crown repair: To repair a crown necessitated by restorative material failure
D3950 Post space preparation: Removal of a root canal filling for a post
D6930 Re-cement bridge: Reglue multiple, attached crowns to teeth
D9120 Sectioning of a fixed bridge: Cutting apart and removing part of a bridge
Drugs:
D9610 Therapeutic drug: By injection, single administration, one medication
D9612 Therapeutic drugs: By injection, two or more administrations, different medications
Other:
D3960 Internal bleaching initial/subsequent visits: To lighten a single, dark tooth
D3999Unspecified: Misc., by report
D5410 Adjustment of a complete denture-maxillary (“upper”)
D5411 Adjustment of a complete denture-mandibular (“lower”)
D5421 Adjustment of a partial denture-maxillary (“upper”)
D5422 Adjustment of a partial denture-mandibular (“lower”)
D9910Desensitizer application: Medication to decrease thermal pain
D9943 Occlusal guard adjustment: Adjustment of a night guard or bruxing splint
D9951 Occlusal adjustment: Selective bite adjustment
