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CONTENTS FOREWORD................................................................................ iii DISCLAIMER .................................................................................... iv TERMINOLOGY ................................................................................ 1 INTRODUCTION TO CDT CODING ......................................55 Key points regarding CDT ............................................................... 55 Structure of the CDT Coding System .............................................. 55 Guidelines ........................................................................................ 56 Subsection Information .................................................................... 56 Unlisted Service or Procedure.......................................................... 57 Special Report .................................................................................. 57 Modifiers .......................................................................................... 57 How to use the CDT Coding System ............................................... 58 Color Coding and Conventions ........................................................ 59 CDT CODES ....................................................................................... 61 Classification of Materials ............................................................... 61 Diagnostic Procedures (D0100-D0999) ........................................... 61 Preventive Services (D1000-D1999) ............................................... 75 Restorative Procedures (D2000-D2999) .......................................... 79 Endodontics (D3000-D3999) ........................................................... 91 Periodontics (D4000-D4999) .......................................................... 99 Prosthodontics – Removable (D5000-D5899) ............................... 111 Implant Services (D6000-D6199) .................................................. 133 Prosthodontics – Fixed (D6200-D6999) ........................................ 143 Oral and Maxillofacial Surgery (D7000-D7999) ........................... 153 Orthodontics (D8000-D8999) ........................................................ 181 Adjunctive General Services (D9000-D9999) ............................... 187 DIAGNOSTIC CODING FOR DENTAL SERVICES ........... 195

ICD-9-CM ..................................................................................... 195 Key Points Regarding ICD-9-CM ........................................... 195 Format of ICD-9-CM .............................................................. 195

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ICD-9-CM Official Guidelines for Coding and Reporting ..... 199 ICD-9-CM Codes .................................................................... 209 ICD-10-CM .................................................................................. 225 Historical Perspective .............................................................. 225 Key Points Regarding ICD-10-CM ......................................... 225 Benefits of ICD-10-CM ........................................................... 226 Structure of ICD-10-CM Compared to ICD-9-CM ................. 226 Similarity of ICD-10-CM to ICD-9-CM ................................. 227 Differences Between ICD-10-CM and ICD-9-CM ................. 229 ICD-10-CM Impact ................................................................ 233 ICD-10-CM Codes Mapped from ICD-9-CM ......................... 235 SNODENT .................................................................................... 245 Historical Perspective .............................................................. 245 Key Points Regarding SNODENT .......................................... 245 Format of SNODENT ............................................................. 246 SNODENT Codes ................................................................... 247 EZCODES .................................................................................... 267 Historical Perspective .............................................................. 267 Key Points Regarding EZCodes .............................................. 267 Format of EZcodes .................................................................. 268 EZCodes Listing ...................................................................... 269

DENTAL CLAIM FORMS .......................................................289 The ADA Dental Insurance Claim Forms ...................................... 289 Dental Notation .............................................................................. 290 Dental Claim Form 2012 ............................................................... 291 Dental Claim Form Instructions ..................................................... 292 ALPHABETIC INDEX .................................................................. 301

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TERMINOLOGY Understanding the coding and compliance process requires a fundamental working knowledge of the words and acronyms used by medical professionals, government agencies and health insurance carriers to describe services, benefits and reimbursement policies. While many publications place the terminology section in an appendix at the back of the book, we feel that you should have an opportunity to review and learn the terminology before you encounter it within the text itself. Following is a comprehensive list of billing, coding, compliance, HIPAA and reimbursement words, terms and acronyms, including some that may not appear in the text of the book. Ablation: The removal or destruction of a body part or tissue or its function. Ablation may be performed by surgery, hormones, or drugs. Abrasion: Removal of tooth structure due to rubbing and scraping (e.g. incorrect brushing method). Abscess: A localized infection due to a collection of pus in the bone or soft tissue caused by severe decay, trauma or gum disease that may cause pain and swelling. Abstract: The collection of information from the medical record via hard copy or electronic instrument. Abutment: A tooth or implant used to support a prosthesis; the natural teeth (or implanted teeth) that hold a fixed or removable bridge in place. Actual charge: One of the factors determining a physician's payment for a service under Medicare; equivalent to the billed or submitted charge. See Customary, Prevailing and Reasonable. Acute: Refers to the condition that is the primary reason for the current encounter. ADA: American Dental Association Adhesive Dentistry: Contemporary term for dental restorations that involve "bonding" of composite, resin or porcelain fillings to natural teeth.

CDT PLUS! includes an extensivelist of coding, billing and dentalterms.

TERMINOLOGY

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Adverse: Any response to a drug that is noxious and unintended and occurs with proper dosage. Aftercare: An encounter for something planned in advance, for example, cast removal. Air Abrasion: Removal of tooth structure by blasting a tooth with air and abrasive, a relatively new technology that may avoid the need for anesthetic. Allergy: Unfavorable systemic response to a foreign substance or drug. Allograft: A transplant process wherein a tissue or organ is taken from one individual (donor) and placed into another (recipient) Alphabetic index: The portion of ICD-9-CM that lists definitions and code sets in alphabetic order. Also referred to as Volume 2. Alveolar Bone: The jaw bone that anchors the roots of teeth. Alveoloplasty: A surgical procedure used to reshape supporting bone structures in preparation of a complete or partial denture. Amalgam: A metal alloy, typically composed of mercury, silver, tin and copper, used in dental restorations. Amalgam: A silver colored filling made of a mixture of silver, tin, mercury and some other trace elements such as copper. Analgesia: A state of pain relief or an agent that lessens pain. Anesthesia: Loss of sensation or feeling; induced artificially with drugs to permit painful procedures such as surgery. Numbing a tooth is an example of local anesthesia; general anesthesia produces partial or complete unconsciousness. Anesthetic: A class of drugs that eliminates or reduces pain. See local anesthetic. ANSI: American National Standards Institute

CDT codes and descriptions copyright American Dental Association 55

INTRODUCTION TO CDT CODING

CDT is an acronym for Current Dental Terminology. Current Dental Terminology (CDT) is a listing of codes and descriptions used to report dental services performed by dentists, oral surgeons and ancillary professionals. The purpose of the CDT coding system is to provide a uniform language that accurately describes dental services and to provide an effective means for reliable nationwide communication among dentists and health insurance companies. CDT codes and terminology serve a variety of important functions in the field of medical nomenclature for the reporting of physician procedures and services under government and private health insurance programs. CDT is also used for administrative management purposes such as claims processing and for the development of guidelines for medical care review. KEY POINTS REGARDING CDT • CDT codes describe dental procedures, services, and supplies. • CDT codes are five-digit alphanumeric codes. • CDT codes are accepted or required by all third-party payers. • CDT codes are self-definitive. With the exception of codes that

contain the term as unspecified or other in the description, each code has only one meaning.

• CDT codes are revised by the American Dental Association every year. The new edition becomes effective January 1st of the year following publication. Each annual edition includes new and changed codes and supplemental material. It is important to purchase a copy of each new edition of the CDT book.

• Accurate CDT coding puts you in control of the reimbursement process and reduces your audit liability.

STRUCTURE OF THE CDT CODING SYSTEM The CDT coding system is a systematic method for coding procedures and services performed by physicians and other health care professionals.

Comprehensive introduction to theCDT coding system explains thedesign, components and functionof the coding system.

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56 Report Unspecified Nonspecific • New code � Revised text

Each procedure or service is identified with a five-digit numeric code. The use of CDT codes simplifies the reporting of services. With this coding and recording system, the procedure or service rendered by the dental professional is accurately identified. The CDT coding system is divided into several sections. Within each section are subsections with anatomic, procedural, condition, or descriptor subheadings. The sections of the CDT coding system are: Diagnostic Procedures D0100-D0999 Preventive Services D1000-D1999 Restorative Services D2000-D2999 Endodontics D3000-D3999 Periodontics D4000-D4999 Prosthodontics – Removable D5000-D5899 Maxillofacial Prosthetics D5900-D5999 Implant Services D6000-D6199 Prosthodontics - Fixed D6200-D6999 Oral and Maxillofacial Surgery D7000-D7999 Orthodontics D8000-D8999 Adjunctive General Services D9000-D9999 GUIDELINES In addition to the information presented in the INTRODUCTION, several other items unique to this section are defined or identified here: SUBSECTION INFORMATION Some of the listed subheadings or subsections have special needs or instructions unique to that section. Where these are indicated, special “notes” will be presented preceding or following the listings. Those subsections within the DENTAL PROCEDURES section that have “notes” are as follows: Root canal therapy D3310-D3350 Surgical services D4210-D4274 Complete dentures D5110-D5140 Partial dentures D5211-D5281 Extraoral prostheses D5911-D5921

INTRODUCTION TO CODING

CDT codes and descriptions copyright American Dental 57

Prosthodontics, fixed D6200-D6999 Oral surgery D7000-D7999 Complicated suturing D7911-D7912 Professional consultation D9310 UNLISTED SERVICE OR PROCEDURE A service or procedure may be provided that is not listed in the current edition of the CDT coding system. When reporting such a service, the appropriate “unlisted procedure” code may be used to indicate the service, identifying it by “special report” as defined below. The “unlisted procedures” and accompanying codes for DENTAL PROCEDURES are as follows: D0502 Other oral pathology procedures, by report D0999 Unspecified diagnostic procedure, by report D2999 Unspecified restorative procedure, by report D3999 Unspecified endodontic procedure, by report D4999 Unspecified periodontal procedure, by report D5899 Unspecified removable prosthodontic procedure, by report D5999 Unspecified maxillofacial prosthesis, by report D6199 Unspecified implant procedure, by report D6999 Unspecified, fixed prosthodontic procedure, by report D7899 Unspecified TMD therapy; by report D7999 Unspecified oral surgery procedure, by report D8999 Unspecified orthodontic procedure, by report D9999 Unspecified adjunctive procedure, by report SPECIAL REPORT A service, material or supply that is rarely provided, unusual, variable or new may require a special report in determining medical appropriateness for reimbursement purposes. Pertinent information should include an adequate definition or description of the nature, extent, and need for the service, material or supply. MODIFIERS FOR MEDICAL CROSS-OVER CLAIMS Listed services may be modified under certain circumstances. When appropriate, the modifying circumstance is identified by adding a

CDT PLUS! 2014


modifier to the basic procedure code. CPT and HCPCS National Level II modifiers may be used with CPT and HCPCS National Level II procedure codes. Modifiers commonly used with DENTAL PROCEDURES are as follows: -CC Procedure code change (use “CC” when the procedure code

submitted was changed either for administrative reasons or because an incorrect code was filed)

-DA Oral health assessment by a licensed health professional other than

a dentist -ET Emergency services (dental procedures performed in emergency

situations should show the modifier -ET) -LT Left side (used to identify procedures performed on the left side of

the body) -RT Right side (used to identify procedures performed on the right side

of the body) -TC Technical component. Under certain circumstances, a charge may

be made for the technical component alone. Under these circumstances, the technical component charge is identified by adding the modifier -TC to the usual procedure number. Technical component charges are institutional charges and not billed separately by physicians. However, portable x-ray suppliers only bill for technical component and should utilize modifier -TC. The charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles.

HOW TO USE THE CDT CODING SYSTEM A dental professional using CDT for coding selects the name and associated code of the procedure or service that most accurately identifies and describes the service(s) performed. The professional selects names and codes for additional services or procedures and, when necessary, selects and adds modifiers for additional or reduced services or for extenuating circumstances. Any services or procedures coded in this manner are also documented in the patient’s medical record.

INTRODUCTION TO CODING


It is important to recognize that the listing of a service or procedure and its code number in a specific section of the CDT coding system does not restrict its use to a specific specialty group. Any procedure or service in any section of the CDT coding system may be used to designate the services rendered by any qualified dentist. The codes and descriptions listed in the CDT coding system are those that are generally consistent with contemporary medical practice and being performed by dental professionals in clinical practice. Inclusion in CDT does not represent endorsement by the American Dental Medical Association of any particular diagnostic or therapeutic procedure. Inclusion or exclusion of a procedure does not imply any health insurance coverage or reimbursement policy. COLOR CODING AND CONVENTIONS CDT PLUS! includes color-coding to alert the user to special coding situations or conditions that require additional attention. The color is applied as solid rectangular bars over the codes only so that the descriptions remain clear and legible. The color codes and definitions are printed at the bottom of all left-sided pages of the CDT codes chapter. Color Coding

By report. Nomenclature includes the phrase “by report,” or report commonly required/requested by insurance company.

Unspecified code. Descriptions include the term “unspecified.”

Use only if a more specific diagnosis is not known or available.

Nonspecific code. Descriptions include the term “nonspecific, other specified or other.” A report may be required by insurance carriers.

New, Revised and Deleted Codes Codes that are new to the CDT coding system, codes with revised narratives or descriptors and codes deleted from the current edition are identified as follows:

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• New procedure code and nomenclature, and descriptor (if present). � Revision in the nomenclature or descriptor (or both), or to indicate a

revision to an entire subcategory. ( ) CDT code enclosed in parenthesis indicates the code is no longer

valid, i.e., deleted, as of this edition.

CDT codes and descriptions copyright American Dental Association 61

CDT CODES CLASSIFICATION OF MATERIALS Names of dental materials are included in numerous procedure nomenclatures within several Categories of Service (e.g., Restorative; Prosthodontics, fixed). The following list of dental materials is included in the CDT coding system solely to aid in the selection of a procedure code applicable to the service provided. Classification of Metals (Source: ADA Council on Scientific Affairs) The noble metal classification system has been adopted as a more precise method of reporting various alloys used in dentistry. The alloys are defined on the basis of the percentage of metal content: High Noble Alloys noble metal content >= 60% (gold + platinum

group) and gold >= 40%; Titanium and Titanium Alloys

Titanium >= 85%;

Noble Alloys noble metal content >= 25% (gold + platinum group);

Predominantly Base Alloys

noble metal content < 25% (gold + platinum group); metals of the platinum group are platinum, palladium, rhodium, iridium, osmium and ruthenium.

Porcelain/Ceramic Refers to pressed, fired, polished or milled materials containing predominantly inorganic refractory compounds including porcelains, glasses, ceramics and glass-ceramics.

Resin Refers to any resin-based composite, including fiber or ceramic reinforced polymer compounds.

DIAGNOSTIC PROCEDURES (D0100-D0999) CLINICAL ORAL EXAMINATIONS The codes in this section have been revised to recognize the cognitive skills necessary for patient evaluation. The collection and recording of

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some data and components of the dental examination may be delegated; however, the evaluation, diagnosis and treatment planning are the responsibility of the dentist. As with all ADA procedure codes, there is no distinction made between the evaluations provided by general practitioners and specialists. Report additional diagnostic and/or definitive procedures separately. D0120 Periodic oral evaluation established patient Descriptor/Coding Notes: An evaluation performed on a patient

of record to determine any changes in the patient's dental and medical health status since a previous comprehensive or periodic evaluation. This includes periodontal screening and may require interpretation of information acquired through additional diagnostic procedures. Report additional diagnostic procedures separately.

Medicare Policy: Non-covered by Medicare D0140 Limited oral evaluation problem focused Descriptor/Coding Notes: An evaluation limited to a specific

oral health problem or complaint. This may require interpretation of information acquired through additional diagnostic procedures. Report additional diagnostic procedures separately. Definitive procedures may be required on the same date as the evaluation. Typically, patients receiving this type of evaluation present with a specific problem and/or dental emergencies, trauma, acute infections, etc.

Medicare Policy: Non-covered by Medicare D0145 Oral evaluation for a patient under three years of age and

counseling with primary caregiver Medicare Policy: Non-covered by Medicare D0150 Comprehensive oral evaluation new or established patient

CDT CODES


Descriptor/Coding Notes: Typically used by a general dentist and/or a specialist when evaluating a patient comprehensively. This applies to new patients; established patients who have had a significant change in health conditions or other unusual circumstances, by report, or test.

Medicare Policy: Special coverage instructions D0160 Detailed and extensive oral evaluation problem focused, by

report Descriptor/Coding Notes: A detailed and extensive problem

focused evaluation entails extensive diagnostic and cognitive modalities based on the findings of a comprehensive oral evaluation. Integration of more extensive diagnostic modalities to develop a treatment plan for a specific problem is required. The condition requiring this type of evaluation should be described and documented. Examples of conditions requiring this type of evaluation may include dentofacial anomalies, complicated perio-prosthetic conditions, complex temporomandibular dysfunction, facial pain of unknown origin, conditions requiring multi-disciplinary consultation, etc.

Medicare Policy: Non-covered by Medicare D0170 Re-evaluation limited, problem focused (established patient; not

postoperative visit) Descriptor/Coding Notes: Assessing the status of a previously

existing condition. For example: - a traumatic injury where no treatment was rendered but patient needs follow-up monitoring; - evaluation for undiagnosed continuing pain; - soft tissue lesion requiring follow-up evaluation.

Medicare Policy: Non-covered by Medicare D0180 Comprehensive periodontal evaluation new or established patient Descriptor/Coding Notes: This procedure is indicated for

patients showing signs or symptoms of periodontal disease and

D0160

Code requiring a report arecolor coded red to alert thecoder that a report is needed.

CDT CODES


D0384 Cone beam CT image capture for TMJ series including two or more exposures

Medicare Policy: Non-covered by Medicare D0385 Maxillofacial MRI image capture Medicare Policy: Non-covered by Medicare D0386 Maxillofacial ultrasound image capture Medicare Policy: Non-covered by Medicare D0391 Interpretation of diagnostic image by a practitioner not

associated with capture of the image, including report Medicare Policy: Non-covered by Medicare

POST PROCESSING OF IMAGE OR IMAGE SETS • D0393 Treatment simulation using 3D image volume Descriptor/Coding Notes: The use of 3D image volumes for

simulation of treatment including, but not limited to, dental implant placement, orthognathic surgery and orthodontic tooth movement.

Medicare Policy: Non-covered by Medicare

• D0394 Digital subtraction of two or more images or image volumes of

the same modality

Descriptor/Coding Notes: To demonstrate changes that have occurred over time.

Medicare Policy: Non-covered by Medicare

• D0395 Fusion of two or more 3D image volumes of one or more

modalities

New codes and revised codes areclearly marked for quick review.

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Medicare Policy: Carrier discretion D0485 Consultation, including preparation of slides from biopsy

material supplied by referring source Descriptor/Coding Notes: A service that requires the consulting

pathologist to prepare the slides as well as render a written report. The slides are evaluated to aid in the diagnosis of a difficult case or to offer a consultative opinion at the patient's request.

Medicare Policy: Carrier discretion D0486 Accession of transepithelial cytologic sample, microscopic

examination, preparation and transmission of written report Medicare Policy: Non-covered by Medicare D0502 Other oral pathology procedures, by report Medicare Policy: Special coverage instructions D0999 Unspecified diagnostic procedure, by report Descriptor/Coding Notes: Used for procedure that is not

adequately described by a code. Describe procedure. Medicare Policy: Special coverage instructions

D0502

D0999

Unspecified and nonspecific codesare color coded to alert the coderto codes that require reports andmay require additionaldocumentation for payment.

CDT CODES


PREVENTIVE SERVICES (D1000-D1999) DENTAL PROPHYLAXIS D1110 Prophylaxis adult Descriptor/Coding Notes: Removal of plaque, calculus and

stains from the tooth structures in the permanent and transitional dentition. It is intended to control local irritational factors.

Medicare Policy: Non-covered by Medicare D1120 Prophylaxis child Descriptor/Coding Notes: Removal of plaque, calculus and

stains from the tooth structures in the primary and transitional dentition. It is intended to control local irritational factors.

Medicare Policy: Non-covered by Medicare TOPICAL FLUORIDE TREATMENT (OFFICE PROCEDURE) D1203 Topical application of fluoride; child Descriptor/Coding Notes: Used when reporting prophylaxis and

fluoride procedures separately. Medicare Policy: Non-covered by Medicare D1204 Topical application of fluoride adult Descriptor/Coding Notes: Used when reporting prophylaxis and

fluoride procedures separately. Medicare Policy: Non-covered by Medicare D1206 Topical fluoride varnish; therapeutic application for moderate to

high caries risk patients Medicare Policy: Non-covered by Medicare

CDT CODES


RESTORATIVE PROCEDURES (D2000-D2999) AMALGAM RESTORATIONS (INCLUDING POLISHING) D2140 Amalgam; one surface, primary or permanent Medicare Policy: Non-covered by Medicare D2150 Amalgam; two surfaces, primary or permanent Medicare Policy: Non-covered by Medicare D2160 Amalgam; three surfaces, primary or permanent Medicare Policy: Non-covered by Medicare D2161 Amalgam; four or more surfaces, primary or permanent Medicare Policy: Non-covered by Medicare RESIN-BASED COMPOSITE RESTORATIONS - DIRECT D2330 Resin; one surface, anterior Medicare Policy: Non-covered by Medicare D2331 Resin; two surfaces, anterior Medicare Policy: Non-covered by Medicare D2332 Resin; three surfaces, anterior Medicare Policy: Non-covered by Medicare D2335 Resin; four or more surfaces or involving incisal angle (anterior) Descriptor/Coding Notes: Incisal angle to be defined as one of

the angles formed by the junction of the incisal and the mesial or distal surface of an anterior tooth.

CDT CODES


ENDODONTICS (D3000-D3999) PULP CAPPING D3110 Pulp cap; direct (excluding final restoration) Descriptor/Coding Notes: Procedure in which the exposed pulp

is covered with a dressing or cement that protects the pulp and promotes healing and repair.

Medicare Policy: Non-covered by Medicare D3120 Pulp cap; indirect (excluding final restoration) Descriptor/Coding Notes: Procedure in which the nearly

exposed pulp is covered with a protective dressing to protect the pulp from additional injury and to promote healing and repair via formation of secondary dentin.

Medicare Policy: Non-covered by Medicare PULPOTOMY D3220 Therapeutic pulpotomy (excluding final restoration) removal of

pulp coronal to the dentinocemental junction and application of medicament

Descriptor/Coding Notes: Pulpotomy is the surgical removal of

a portion of the pulp with the aim of maintaining the vitality of the remaining portion by means of an adequate dressing. - To be performed on primary or permanent teeth. - This is not to be construed as the first stage of root canal therapy.

Medicare Policy: Non-covered by Medicare D3221 Pulpal debridement; primary and permanent teeth Descriptor/Coding Notes: Pulpal debridement for the relief of

acute pain prior to conventional root canal therapy. This

CDT CODES


PERIODONTICS (D4000-D4999) SURGICAL SERVICES (INCLUDING USUAL POSTOPERATIVE CARE) Site: A term used to describe a single area, position, or locus. The word "site" is frequently used to indicate an area of soft tissue recession on a single tooth or an osseous defect adjacent to a single tooth. If two contiguous teeth have areas of soft tissue recession, each area of recession is a single site. If two contiguous teeth have adjacent but separate osseous defects, each defect is a single site. If two contiguous teeth have a communicating interproximal osseous defect, it should be considered a single site. All non-communicating osseous defects are single sites. Also used to indicate soft tissue defects and/or osseous defects in edentulous tooth positions. All edentulous non-contiguous tooth positions are single sites. Depending on the dimensions of the defect, up to two contiguous edentulous tooth positions may be considered a single site. D4210 Gingivectomy or gingivoplasty four or more contiguous teeth or

tooth bounded spaces per quadrant Descriptor/Coding Notes: Involves the excision of the soft tissue

wall of the periodontal pocket by either an external or an internal bevel. It is performed to eliminate suprabony pockets after adequate initial preparation, to allow access for restorative dentistry in the presence of suprabony pockets, and to restore normal architecture when gingival enlargements or asymmetrical or unesthetic topography is evident with normal bony configuration.

Medicare Policy: Not valid for Medicare CPT/HCPCS Cross-reference: 41820 D4211 Gingivectomy or gingivoplasty one to three contiguous teeth or

tooth bounded spaces per quadrant Descriptor/Coding Notes: Involves the excision of the soft tissue

wall of the periodontal pocket by either an external or an internal

CDT CODES


PROSTHODONTICS - REMOVABLE (D5000-D5899) COMPLETE DENTURES (INCLUDING ROUTINE POST-DELIVERY CARE) D5110 Complete denture; maxillary Medicare Policy: Non-covered by Medicare D5120 Complete denture; mandibular Medicare Policy: Non-covered by Medicare D5130 Immediate denture; maxillary Descriptor/Coding Notes: Includes limited follow-up care only;

does not include required future rebasing/relining procedure(s) or a complete new denture.

Medicare Policy: Non-covered by Medicare D5140 Immediate denture; mandibular Descriptor/Coding Notes: Includes limited follow-up care only;

does not include required future rebasing/relining procedure(s) or a complete new denture.

Medicare Policy: Non-covered by Medicare PARTIAL DENTURES (INCLUDING ROUTINE POST-DELIVERY CARE) D5211 Upper partial resin base (including any conventional clasps, rests

and teeth) Descriptor/Coding Notes: Includes acrylic resin base denture

with resin or wrought wire clasps.

CDT CODES


IMPLANT SERVICES (D6000-D6199) D6010 Surgical placement of implant body: endosteal implant Medicare Policy: Not valid for Medicare CPT/HCPCS Cross-reference: 21248 D6012 Surgical placement of interim implant body for transitional

prosthesis: endosteal implant Medicare Policy: Non-covered by Medicare D6040 Surgical placement: eposteal implant Medicare Policy: Not valid for Medicare CPT/HCPCS Cross-reference: 21245 D6050 Surgical placement: transosteal implant Medicare Policy: Not valid for Medicare D6051 Interim abutment Descriptor/Coding Notes: Includes placement and removal. A

healing cap is not an interim abutment. Medicare Policy: Not valid for Medicare IMPLANT SUPPORTED PROSTHETICS D6053 Implant/abutment supported removable denture for completely

edentulous arch Medicare Policy: Non-covered by Medicare D6054 Implant/abutment supported removable denture for partially

edentulous arch

CDT CODES


PROSTHODONTICS, FIXED (D6200-D6999) FIXED PARTIAL DENTURE PONTICS Classification of Metals (Source: ADA Council on Scientific Affairs). The noble metal classification system has been adopted as a more precise method of reporting various alloys used in dentistry. The alloys are defined on the basis of the percentage of metal content: high noble - Gold (Au), Palladium (Pd), and/or Platinum (Pt) > 60% (with at least 40% Au); titanium and titanium alloys Titanium (Ti) > 85%; noble - Gold (Au), Palladium (Pd), and/or Platinum (Pt)> 25%; predominantly base - Gold (Au), Palladium (Pd), and/or Platinum (Pt) < 25%. Porcelain/ceramic refers to those non-metal, non-resin inorganic refractory compounds processed at high temperatures (600C/1112F and above) and pressed, polished or milled including porcelains, glasses, and glass-ceramics. Resin refers to any resin-based composite, including fiber or ceramic reinforced polymer compounds." D6205 Pontic indirect resin based composite Descriptor/Coding Notes: Not to be used as a temporary or

provisional prosthesis. Medicare Policy: Non-covered by Medicare D6210 Pontic cast high noble metal Medicare Policy: Non-covered by Medicare D6211 Pontic cast predominantly base metal Medicare Policy: Non-covered by Medicare D6212 Pontic cast noble metal Medicare Policy: Non-covered by Medicare D6214 Pontic titanium

CDT CODES


ORAL AND MAXILLOFACIAL SURGERY (D7000-D7999) EXTRACTIONS - INCLUDES LOCAL ANESTHESIA, SUTURING IF NEEDED, AND ROUTINE POSTOPERATIVE CARE D7111 Extraction, coronal remnants deciduous tooth Descriptor/Coding Notes: Removal of soft tissue-retained

coronal remnants. Medicare Policy: Special coverage instructions D7140 Extraction, erupted tooth or exposed root (elevation and/or

forceps removal) Descriptor/Coding Notes: Includes routine removal of tooth

structure, minor smoothing of socket bone, and closure, as necessary.

Medicare Policy: Special coverage instructions SURGICAL EXTRACTIONS - INCLUDES LOCAL ANESTHESIA, SUTURING IF NEEDED, AND ROUTINE POSTOPERATIVE CARE D7210 Surgical removal of erupted tooth requiring removal of bone

and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated

Medicare Policy: Special coverage instructions D7220 Removal of impacted tooth soft tissue Medicare Policy: Special coverage instructions D7230 Removal of impacted tooth partially bony

CDT CODES


ORTHODONTICS (D8000-D8999) Primary Dentition: Teeth developed and erupted first in order of time. Transitional Dentition: The final phase of the transition from primary to adult teeth, in which the deciduous molars and canines are in the process of shedding and the permanent successors are emerging. Adolescent Dentition: The dentition that is present after the normal loss of primary teeth and prior to cessation of growth that would affect orthodontic treatment. Adult Dentition: The dentition that is present after the cessation of growth that would affect orthodontic treatment. All of these codes may be used more than once for the treatment of a particular patient depending on the particular circumstance. A patient may require more than one interceptive procedure or more than one limited procedure depending on their particular problem. LIMITED ORTHODONTIC TREATMENT D8010 Limited orthodontic treatment of the primary dentition Medicare Policy: Non-covered by Medicare D8020 Limited orthodontic treatment of the transitional dentition Medicare Policy: Non-covered by Medicare D8030 Limited orthodontic treatment of the adolescent dentition Medicare Policy: Non-covered by Medicare D8040 Limited orthodontic treatment of the adult dentition

CDT CODES


ADJUNCTIVE GENERAL SERVICES (D9000-D9999) UNCLASSIFIED TREATMENT D9110 Palliative (emergency) treatment of dental pain minor procedures Descriptor/Coding Notes: This is typically reported on a "per

visit" basis for emergency treatment of dental pain. Medicare Policy: Special coverage instructions D9120 Fixed partial denture sectioning Medicare Policy: Non-covered by Medicare ANESTHESIA D9210 Local anesthesia not in conjunction with operative or surgical

procedures Medicare Policy: Not valid for Medicare CPT/HCPCS Cross-reference: 90784 D9211 Regional block anesthesia Medicare Policy: Not valid for Medicare CPT/HCPCS Cross-reference: 01995 D9212 Trigeminal division block anesthesia Medicare Policy: Not valid for Medicare CPT/HCPCS Cross-reference: 64400 D9215 Local anesthesia in conjunction with operative or surgical

procedures

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DIAGNOSIS CODING DENTAL SERVICES

ICD-9-CM ICD-9-CM is an acronym for International Classification of Diseases, 9th Revision, Clinical Modification, published under different names since 1900. ICD-9-CM is a statistical classification system that arranges diseases and injuries into groups according to established criteria. Most ICD-9-CM codes are numeric and consist of three, four or five numbers and a description. The codes are revised approximately every 10 years by the World Health Organization and annual updates are published by Center for Medicare and Medicaid Services (CMS). KEY POINTS REGARDING ICD-9-CM 1. ICD-9-CM codes are three to five numeric or alphanumeric codes. 2. ICD-9-CM codes describe illnesses, injuries, signs and symptoms,

and procedures. 3. ICD-9-CM codes must be used on all health insurance claims. 4. Most ICD-9-CM codes have a specific definition; however, some

ICD-9-CM codes have more than one definition. 5. Correct ICD-9-CM coding can make a significant difference in your

reimbursement. 6. Accurate ICD-9-CM coding puts you in control of the

reimbursement process. FORMAT OF ICD-9-CM The International Classification of Diseases, 9th Revision, Clinical Modification consists of three separate volumes of diagnostic and procedure codes, descriptions and additional information. Current

Diagnostic coding is coming for dentalservices. This section includes review of theICD-9-CM, ICD-10-CM, SNODENT andEZCODES diagnosis coding systems, alongwith code lists and mapping.


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521.01 Dental caries limited to enamel 521.02 Dental caries extending into dentine 521.03 Dental caries extending into pulp 521.04 Arrested dental caries 521.05 Odontoclasia 521.06 Dental caries pit and fissure 521.07 Dental caries of smooth surface 521.08 Dental caries of root surface 521.09 Other dental caries

521.1 Excessive attrition (approximal wear)(occlusal wear)

521.10 Excessive attrition, unspecified 521.11 Excessive attrition, limited to enamel 521.12 Excessive attrition, extending into dentine 521.13 Excessive attrition, extending into pulp 521.14 Excessive attrition, localized 521.15 Excessive attrition, generalized

521.2 Abrasion of teeth

521.20 Abrasion, unspecified 521.21 Abrasion, limited to enamel 521.22 Abrasion, extending into dentine 521.23 Abrasion, extending into pulp 521.24 Abrasion, localized 521.25 Abrasion, generalized

521.3 Erosion of teeth

521.30 Erosion, unspecified 521.31 Erosion, limited to enamel 521.32 Erosion, extending into dentine 521.33 Erosion, extending into pulp 521.34 Erosion, localized 521.35 Erosion, generalized

521.4 Pathological tooth resorption

521.40 Pathological resorption, unspecified

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521.41 Pathological resorption, internal 521.42 Pathological resorption, external 521.49 Other pathological resorption

521.5 Hypercementosis 521.6 Ankylosis of teeth 521.7 Intrinsic posteruptive color changes of teeth 521.8 Other specified diseases of hard tissues of teeth

521.81 Cracked tooth 521.89 Other specific diseases of hard tissues of teeth

521.9 Unspecified disease of hard tissues of teeth 522 Diseases of Pulp and Periapical Tissues

522.0 Pulpitis 522.1 Necrosis of the pulp 522.2 Pulp degeneration 522.3 Abnormal hard tissue formation in pulp 522.4 Acute apical periodontitis of pulpal origin 522.5 Periapical abscess without sinus 522.6 Chronic apical periodontitis 522.7 Periapical abscess with sinus 522.8 Radicular cyst 522.9 Other and unspecified diseases of pulp and periapical tissues

523 Gingival and Periodontal Diseases 523.0 Acute gingivitis 523.00 Acute gingivitis, plaque induced 523.01 Acute gingivitis, non-plaque induced 523.1 Chronic gingivitis 523.10 Chronic gingivitis, plaque induced 523.11 Chronic gingivitis, non-plaque induced 523.2 Gingival recession


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ICD-10-CM On October 1, 2013, the most significant change in medical coding requirements since the 1992 replacement of CPT visit codes with E & M codes will take place. On that date ICD-10 replaces ICD-9 as the mandated diagnosis coding system in the United States. All health insurance claims processed on or after October 1, 2013 must include ICD-10 codes. This change will have a tremendous impact on the health care industry. • All health care providers must use ICD-10 instead of ICD-9 for new

claims. • All computer software that provides for storage of diagnosis codes

must be revised to accommodate the additional digits of ICD-10 and maintain ICD-9 codes for previously filed claims.

• The conversion and implementation costs will be in the billions of dollars.

KEY POINTS REGARDING ICD-10-CM 1. ICD-10-CM codes are three (3) to seven (7) digit alphanumeric

codes. 2. ICD-10-CM codes describe illnesses, injuries, signs and symptoms,

and procedures. 3. ICD-10-CM codes must be used on all health insurance claims as of

October 1, 2014. 4. Most ICD-10-CM codes have a specific definition; however, some

ICD-10-CM codes have more than one definition. 5. Correct ICD-10-CM coding can make a significant difference in your

reimbursement. 6. Accurate ICD-10-CM coding puts you in control of the

reimbursement process.

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BENEFITS OF ICD-10-CM The transition to the ICD-10-CM classification system will provide better data for: • Measuring the quality, safety, and efficacy of care • Designing payment systems and processing claims for

reimbursement • Conducting research, epidemiological studies, and clinical trials • Setting health policy • Operational and strategic planning and designing healthcare delivery

systems • Monitoring resource utilization • Improving clinical, financial, and administrative performance • Preventing and detecting healthcare fraud and abuse • Tracking public health and risks STRUCTURE OF ICD-10-CM COMPARED TO ICD-9-CM The easiest way to understand the structural difference between ICD-9-CM and ICD-10-CM is with a comparative visual representation of the two coding systems. The illustrations below clearly show the differences in structure and length. STRUCTURE OF AN ICD-9-CM CODE 525.43 Complete edentulism, class III

Number or Letter

(V/E) Numbers Only

1st Digit 2nd Digit 3rd Digit 4th Digit 5th Digit

5 2 5 . 4 3 Category Etiology, anatomic

site, manifestation


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Length: 3-5 digits First character: Number or Letter (E or V) Characters 2-5: Numbers only Minimum length: 3 characters Decimal: After 3rd character STRUCTURE OF AN ICD-10-CM CODE K08.103 Complete loss of teeth, unspecified cause, class III

Length: 3-7 digits First character: Letter only (all letters except U are used) Character 2: Number only Characters 3-7: Numbers or letter Decimal: After 3rd character Placeholder: Use of “x” as a dummy placeholder Letter format: Letters are case-sensitive SIMILARITY OF ICD-10-CM TO ICD-9-CM While there are more codes in the ICD-10-CM coding system than the ICD-9-CM coding system and the coding is a bit more complex, there are many similarities between the two systems. Experienced coders should be able to use the ICD-10-CM system relatively quickly due in part to these similarities. 1. Format – Both ICD-10-CM and ICD-9-CM have a Tabular List and

Index.

Letter Number or Letter 1ST

Digit 2nd

Digit 3rd

Digit 4th Digit

5th Digit

6th Digit 7th Digit

K 0 8 . 1 0 3 Category Etiology, anatomic site,

severity Added code

extensions for obstetrics,

injuries and external causes

of injury


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FORWARD MAPPING SAMPLE (ICD-9-CM � ICD-10-CM)

ICD-9-CM CODE & DESCRIPTION ICD-10-CM CODE & DESCRIPTION 520.0 Anodontia K00.0 Anodontia 520.1 Supernumerary teeth K00.1 Supernumerary teeth 520.2 Abnormalities of size and

form of teeth K00.2 Abnormalities of size and

form of teeth 520.3 Mottled teeth K00.3 Mottled teeth 520.4 Disturbances of tooth

formation K00.4 Disturbances in tooth

formation 520.5 Hereditary disturbances in

tooth structure not elsewhere classified

K00.5 Hereditary disturbances in tooth structure not elsewhere classified

520.6 Disturbances in tooth eruption

K00.6 Disturbances in tooth eruption

K01.0 Embedded teeth K01.1 Impacted teeth 520.7 Teething syndrome K00.7 Teething syndrome 520.8 Other specified disorders of

tooth development and eruption

K00.8 Other disorders of tooth development

520.9 Unspecified disorder of tooth development and eruption

K00.9 Disorder of tooth development unspecified

521.00 Unspecified dental caries K02.9 Dental caries unspecified 521.01 Dental caries limited to

enamel K02.61 Dental caries on smooth

surface limited to enamel 521.02 Dental caries extending into

dentine K02.62 Dental caries on smooth

surface penetrating into dentin 521.03 Dental caries extending into

pulp K02.63 Dental caries on smooth

surface penetrating into pulp 521.04 Arrested dental caries K02.3 Arrested dental caries 521.05 Odontoclasia K03.89 Other specified diseases of

hard tissues of teeth 521.06 Dental caries pit and fissure K02.51 Dental caries on pit and

fissure surface limited to enamel

521.07 Dental caries of smooth surface

K02.62 Dental caries on smooth surface penetrating into dentin

K02.63 Dental caries on smooth surface penetrating into pulp

K02.61 Dental caries on smooth surface limited to enamel

521.08 Dental caries of root surface K02.7 Dental root caries 521.09 Other dental caries K02.9 Dental caries unspecified 521.10 Excessive attrition,

unspecified K03.0 Excessive attrition of teeth

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ICD-9-CM CODE & DESCRIPTION ICD-10-CM CODE & DESCRIPTION

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521.11 Excessive attrition, limited to enamel

K03.0 Excessive attrition of teeth

521.12 Excessive attrition, extending into dentine


521.13 Excessive attrition, extending into pulp


521.14 Excessive attrition, localized K03.0 Excessive attrition of teeth 521.15 Excessive attrition,

generalized K03.0 Excessive attrition of teeth

521.20 Abrasion, unspecified K03.1 Abrasion of teeth 521.21 Abrasion, limited to enamel K03.1 Abrasion of teeth 521.22 Abrasion, extending into

dentine K03.1 Abrasion of teeth

521.23 Abrasion, extending into pulp

K03.1 Abrasion of teeth

521.24 Abrasion, localized K03.1 Abrasion of teeth 521.25 Abrasion, generalized K03.1 Abrasion of teeth 521.30 Erosion, unspecified K03.2 Erosion of teeth 521.31 Erosion, limited to enamel K03.2 Erosion of teeth 521.32 Erosion, extending into

dentine K03.2 Erosion of teeth

521.33 Erosion, extending into pulp K03.2 Erosion of teeth 521.34 Erosion, localized K03.2 Erosion of teeth 521.35 Erosion, generalized K03.2 Erosion of teeth 521.40 Pathological resorption,

unspecified K03.3 Pathological resorption of

teeth 521.41 Pathological resorption,

internal K03.3 Pathological resorption of

teeth 521.42 Pathological resorption,

external K03.3 Pathological resorption of

teeth 521.49 Other pathological resorption K03.3 Pathological resorption of

teeth 521.5 Hypercementosis K03.4 Hypercementosis 521.6 Ankylosis of teeth K03.5 Ankylosis of teeth 521.7 Intrinsic posteruptive color

changes of teeth K03.7 Posteruptive color changes of

dental hard tissues 521.81 Cracked tooth K03.81 Cracked tooth 521.89 Other specific diseases of

hard tissues of teeth K03.89 Other specified diseases of

hard tissues of teeth 521.9 Unspecified disease of hard

tissues of teeth K03.9 Disease of hard tissues of

teeth unspecified 522.0 Pulpitis K04.0 Pulpitis 522.1 Necrosis of the pulp K04.1 Necrosis of pulp 522.2 Pulp degeneration K04.2 Pulp degeneration 522.3 Abnormal hard tissue

formation in pulp K04.3 Abnormal hard tissue

formation in pulp

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DENTAL CLAIM FORMS

THE ADA DENTAL INSURANCE CLAIM FORM The ADA dental insurance claim form may be used for pre-authorization of proposed dental work, or for billing work completed. The ADA Dental Claim Form was revised in 2006 by the American Dental Association and now includes a field for the National Provider Identifier. Effective May 23, 2007 providers are required to have a NPI when transmitting electronic claims or other electronic transactions governed by HIPAA. The ADA dental insurance form is used to report dental services and procedures only, using CDT codes. If the dentist performs any services or procedures classifiable as medical services or procedures, then the CMS1500 health insurance claim form should be used along with the appropriate CPT and ICD-9-CM codes. The ADA dental insurance claim form is divided into two major sections; patient information and dentist’s information. A brief description of each element on the ADA dental insurance form is listed following the sample claim form. Please note that the term “insured” as used in regard to the dental claim form is the same as the terms “policy holder" or "subscriber."

CDT PLUS! includes completeinstructions for the new ADA 2012Dental Claim Form.

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DENTAL CLAIM FORM 2012

DENTAL CLAIM FORMS

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DENTAL CLAIM FORM GENERAL INFORMATION The ADA 2012 version dental insurance claim form is designed so that the name and address of the third party payer receiving the claim (Box #3) is visible in a standard #10 window envelope. The form includes guide marks to fold the form into thirds before placing in the envelope. In the upper-right of the form a blank space is provided for the third party payer who may use the space to record a claim or control number. This space should not be used by the reporting dentist. All items on the form must be completed unless noted as optional or conditional on the form. When a name and address field is required, the full name of the individual or a full business name, address, and zip code must be entered. All dates must include the four-digit year and be in the format MM/DD/CCYY. If the number of procedures to be reported exceeds the ten (10) lines available on a single claim form, the additional procedures must be listed on a separate, fully completed claim form. HEADER INFORMATION 1. TYPE OF TRANSACTION Place an "x" in the appropriate box to indicate if the claim is a

statement of actual services, a request for redetermination/ preauthorization or EPSDT/Title XIX.

2. PREDETERMINATION/PREAUTHORIZATION NUMBER Fill in the Predetermination or Prior Authorization number if

applicable.

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INSURANCE COMPANY/DENTAL BENEFIT PLAN INFORMATION 3. COMPANY/PLAN NAME, ADDRESS, CITY, STATE, ZIP

CODE Enter dental insurance carrier and billing address in appropriate

boxes. OTHER COVERAGE 4. OTHER DENTAL OR MEDICAL COVERAGE? Place an "x" in the No or Yes box as appropriate. 5. NAME OF POLICY HOLDER/SUBSCRIBER IN #4 Complete only if #4 box marked "Yes." Enter policy

holder/subscriber name in last name, first name, middle initial order. 6. DATE OF BIRTH (MM/DD/CCYY) Complete only if #4 box marked "Yes." Enter the date of birth of the

policy holder/subscriber listed in box #5. 7. GENDER Complete only if #4 box marked "Yes." Check the appropriate box to

identify the gender of the policy holder/subscriber listed in box #5. 8. POLICY HOLDER/SUBSCRIBER ID (SSN OR ID#) Complete only if #4 box marked "Yes." Enter the social security

number or insurance identification number of the policy/older listed in box #5.

9. PLAN/GROUP NUMBER Complete only if #4 box marked "Yes." Enter the insurance plan or

group number for the other dental insurance coverage listed in box 11.

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ALPHABETIC INDEX The alphabetical index includes listings by procedure, CDT headings and sub-headings and anatomic site. Procedures and services commonly known by their acronyms, eponyms, homonyms or other designations are also included. The alphabetical index of CDT PLUS is unique in that both indexes to specific page numbers and indexes to CDT code numbers are included. HOW TO USE THE ALPHABETICAL INDEX When using the alphabetical index to locate CPT codes, use the following search sequence: Look for the CDT HEADING for the general category of surgical procedure(s) or medical service(s) or TOPIC for instructional and/or explanatory information. Look for the CDT Sub-heading for the organ system(s) involved or service(s) performed or the TOPIC sub-heading for the instructional or explanatory issue. Scan the index listings to determine if the specific procedure or service or topic is listed. If the specific procedure or service was listed in the index, locate the procedure or service in the CDT code section and verify the full description of the CDT code before using. If the specific procedure or service was not listed in the index, first locate the organ system and/or medical service sub-heading and then review the CDT code section until you locate the specific procedure and/or service. For instructional and/or explanatory topics, turn to the page number specified in the alphabetical index. Alternately, look for SYNONYMS, HOMONYMS, EPONYMS or ACRONYMS. The alphabetic index is NOT a substitute for the main text of CDT Even if codes are found in the index, the user must refer to the main text to ensure that the code selection is accurate.

The Alphabetic Index isdesigned to make CDT codesfaster and easier to find.

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A Abutment custom fabricated ............................................................................................... D6057 interim ............................................................................................................... D6051 prefabricated ..................................................................................................... D6056 semi-precision attachment ................................................................................ D6052 Accession exfoliative cytologic smears .............................................................................. D0480 tissue, gross and micro exam, assessment of surgical margins ......................... D0474 tissue, gross and micro exam, preparation and transmission written report ....... D0473 tissue, gross exam, preparation and transmission written report ........................ D0472 laboratory, transepithelial cytologic sample ....................................................... D0486 Adjust complete denture - mandibular .......................................................................... D5411 complete denture - maxillary ............................................................................. D5410 maxillofacial prosthetic appliance ..................................................................... D5992 partial denture - mandibular ............................................................................... D5422 partial denture - maxillary .................................................................................. D5421 Adjustment occlusal - complete ............................................................................................ D9952 occlusal - limited ................................................................................................ D9951 Allograft, soft tissue ................................................................................................. D4275 Alveoloplasty not with extractions - four or more teeth or tooth spaces, per quadrant ............. D7320 not with extractions - one to three teeth or tooth spaces, per quadrant............... D7321 with extractions - four or more teeth or tooth spaces, per quadrant ................... D7310 with extractions - one to three teeth or tooth spaces, per quadrant ..................... D7311 Alveolus closed reduction may include stabilization of teeth ........................................... D7670 closed reduction stabilization of teeth ............................................................... D7771 open reduction stabilization of teeth .................................................................. D7770 open reduction may include stabilization of teeth .............................................. D7671 Amalgam four or more surfaces, primary or permanent ..................................................... D2161 one surface, primary or permanent .................................................................... D2140 three surfaces, primary or permanent ................................................................. D2160 two surfaces, primary or permanent ................................................................... D2150 Analysis, saliva sample ............................................................................................ D0418 Anesthesia local, with operative or surgical procedures ....................................................... D9215 local, not operative or surgical procedures......................................................... D9210 regional block ................................................................................................... D9211 trigeminal division block ................................................................................... D9212 Apexification/recalcification final visit ............................................................................................................ D3353 initial visit .......................................................................................................... D3351 interim medication replacement ......................................................................... D3352

ALPHABETIC INDEX

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Apicoectomy anterior ............................................................................................................... D3410 bicuspid (first root) ............................................................................................ D3421 each additional root ............................................................................................ D3426 molar (first root) ................................................................................................ D3425 Appliance therapy, fixed ......................................................................................... D8220 Application desensitizing medicament .................................................................................. D9910 desensitizing resin .............................................................................................. D9911 Arthrocentesis .......................................................................................................... D7870 Arthrogram, temporomandibular joint ................................................................. D0320 Arthroplasty ............................................................................................................. D7865 Arthroscopy diagnosis ............................................................................................................ D7872 surgical; debridement ......................................................................................... D7877 surgical; disc repositioning and stabilization ..................................................... D7874 surgical; discectomy .......................................................................................... D7876 surgical; lavage and lysis of adhesions .............................................................. D7873 surgical; synovectomy ....................................................................................... D7875 Arthrotomy .............................................................................................................. D7860 Assessment patient ................................................................................................... D0191 Attachment precision ............................................................................................................ D6950 precision, by report ............................................................................................ D5862 Augmentation, facial, implant prosthesis ................................................................. D5925

B Behavior management ............................................................................................. D9920 Biologic materials soft and osseous tissue regeneration .................................................................. D4265 soft and osseous tissue regeneration, with periradicular surgery ....................... D3431 Biopsy brush - transepithelial sample collection ............................................................ D7288 oral tissue - hard ................................................................................................ D7285 oral tissue - soft ................................................................................................. D7286 Bitewing single radiographic image .................................................................................. D0270 Bitewings four radiographic images ................................................................................... D0274 three radiographic images .................................................................................. D0273 two radiographic images .................................................................................... D0272 vertical 7 to 8 radiographic images .................................................................... D0277 Bleaching external - home application ................................................................................ D9975 external - per arch - performed in office ............................................................ D9972 external - per tooth ............................................................................................. D9973 internal - per tooth ............................................................................................. D9974

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Bone graft at time of implant placement .............................................................................. D6104 for repair of periimplant defect ......................................................................... D6103 with periradicular surgery – each additional contiguous tooth .......................... D3429 with periradicular surgery – per tooth, single site .............................................. D3428 Bone replacement graft each additional site in quadrant .......................................................................... D4264 first site in quadrant ........................................................................................... D4263 for ridge preservation - per site .......................................................................... D7953

C Canal preparation .................................................................................................... D3950 Caries risk assessment and documentation, finding of high risk ................................... D0603 risk assessment and documentation, finding of low risk ................................... D0601 risk assessment and documentation, finding of moderate risk ........................... D0602 susceptibility tests .............................................................................................. D0425 Case presentation ..................................................................................................... D9450 Clasp ......................................................................................................................... D5660 Closure, salivary fistula ........................................................................................... D7983 Collection autologous blood concentrate product ............................................................... D7921 microorganisms for culture and sensitivity ....................................................... D0415 saliva sample ...................................................................................................... D0417 Condylectomy .......................................................................................................... D7840 Cone beam CT capture and interpretation both jaws .................................................................. D0367 capture and interpretation for TMJ series .......................................................... D0368 capture and interpretation one full dental arch – mandible ................................ D0365 capture and interpretation one full dental arch – maxilla ................................... D0366 capture and interpretation with limited field of view ......................................... D0364 image capture both jaws .................................................................................... D0383 image capture for TMJ series including two or more exposures ........................ D0384 image capture one full dental arch – mandible .................................................. D0381 image capture with limited field of view – less than one whole jaw .................. D0380

image capture one full dental arch – maxilla ..................................................... D0382 three-dimensional image reconstruction ............................................................ D0363 Connecting bar ......................................................................................................... D6055 Connector bar .......................................................................................................... D6920 Conscious sedation ................................................................................................... D9248 Consultation diagnostic service by dentist/physician ............................................................. D9310 including preparation of slides ........................................................................... D0485 slides prepared elsewhere .................................................................................. D0484 Coping other fixed partial denture services .................................................................... D6975 other restorative services ................................................................................... D2975 Core buildup ............................................................................................................ D2950

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