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CDT codes 2013

Last Updated: Jun 28, 2013 07:48PM EDT
31 PRE-DIAGNOSTIC SERVICES D0190 31 screening of a patient A screening, including state or federally mandated screenings, to determine an individual’s need to be seen by a dentist for diagnosis. D0191 31 assessment of a patient A limited clinical inspection that is performed to identify possible signs of oral or systemic disease, malformation, or injury, and the potential need for referral for diagnosis and treatment. 31 IMAGE CAPTURE WITH INTERPRETATION D0364 31 cone beam CT capture and interpretation with limited field of view – less than one whole jaw D0365 31 cone beam CT capture and interpretation with field of view of one full dental arch – mandible D0366 31 cone beam CT capture and interpretation with field of view of one full dental arch – maxilla, with or without cranium D0367 31 cone beam CT capture and interpretation with field of view of both jaws, with or without cranium D0368 31 cone beam CT capture and interpretation for TMJ series including two or more exposures D0369 31 maxillofacial MRI capture and interpretation D0370 31 maxillofacial ultrasound capture and interpretation D0371 31 sialoendoscopy capture and interpretation 31 IMAGE CAPTURE ONLY Interpretation and Report Performed by a Practitioner Not Associated With the Capture D0380 31 cone beam CT image capture with limited field of view – less than one whole jaw D0381 31 cone beam CT image capture with field of view of one full dental arch – mandible D0382 31 cone beam CT image capture with field of view of one full dental arch – maxilla, with or without cranium D0383 31 cone beam CT image capture with field of view of both jaws, with or without cranium D0384 31 cone beam CT image capture for TMJ series including two or more exposures D0385 31 maxillofacial MRI image capture D0386 31 maxillofacial ultrasound image capture 31 INTERPRETATION AND REPORT ONLY Image Capture Performed by a Practitioner Not Associated With Interpretation and Report D0391 31 interpretation of diagnostic image by a practitioner not associated with capture of the image, including report D1208 31 topical application of fluoride D2990 31 resin infiltration of incipient smooth surface lesions Placement of an infiltrating resin restoration for strengthening, stabilizing and/or limiting the progression of the lesion. D2929 31 prefabricated porcelain/ceramic crown – primary tooth D2981 31 inlay repair necessitated by restorative material failure D2982 31 onlay repair necessitated by restorative material failure D2983 31 veneer repair necessitated by restorative material failure D4212 31 gingivectomy or gingivoplasty to allow access for restorative procedure, per tooth D4277 31 free soft tissue graft procedure (including donor site surgery), first tooth or edentulous tooth position in graft D4278 31 free soft tissue graft procedure (including donor site surgery), each additional contiguous tooth or edentulous tooth position in same graft site D6101 31 debridement of a periimplant defect and surface cleaning of exposed implant surfaces, including flap entry and closure D6102 31 debridement and osseous contouring of a periimplant defect; includes surface cleaning of exposed implant surfaces and flap entry and closure D6103 31 bone graft for repair of periimplant defect – not including flap entry and closure or, when indicated, placement of a barrier membrane or biologic materials to aid in osseous regeneration D6104 31 bone graft at time of implant placement Placement of a barrier membrane, or biologic materials to aid in osseous regeneration are reported separately. D6051 31 interim abutment Includes placement and removal. A healing cap is not an interim abutment. D7921 31 collection and application of autologous blood concentrate product D7952 31 sinus augmentation via a vertical approach The augmentation of the sinus to increase alveolar height by vertical access through the ridge crest by raising the floor of the sinus and grafting as necessary. This includes obtaining the bone or bone substitutes D9975 31 external bleaching for home application, per arch; includes materials and fabrication of custom trays 35 CLASSIFICATION OF MATERIALS 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. 35 DIAGNOSTIC IMAGING Should be taken only for clinical reasons as determined by the patient's dentist. Should be of diagnostic quality and properly identified and dated. Is a part of the patient's clinical record and the original images should be retained by the dentist. Originals should not be used to fulfill requests made by patients or third-parties for copies of records. D0210 35 intraoral - complete series of radiographic images A radiographic survey of the whole mouth, usually consisting of 14-22 periapical and posterior bitewing images intended to display the crowns and roots of all teeth, periapical areas and alveolar bone. D0220 35 intraoral - periapical first radiographic image D0230 35 intraoral - periapical each additional radiographic image D0240 35 intraoral - occlusal radiographic image D0250 35 extraoral - first radiographic image D0260 35 extraoral - each additional radiographic image D0270 35 bitewing - single radiographic image D0272 35 bitewings - two radiographic images D0273 35 bitewings - three radiographic images D0274 35 bitewings - four radiographic images D0277 35 vertical bitewings - 7 to 8 radiographic images This does not constitute a full mouth intraoral radiographic series. D0290 35 posterior-anterior or lateral skull and facial bone survey radiographic image D0321 35 other temporomandibular joint radiographic images, by report D0330 35 panoramic radiographic image D0340 35 cephalometric radiographic image D1206 35 topical application of fluoride varnish D2710 35 crown - resin-based composite (indirect) D2799 35 provisional crown– further treatment or completion of diagnosis necessary prior to final impression Not to be used as a temporary crown for a routine prosthetic restoration. D2940 35 protective restoration Direct placement of a restorative material to protect tooth and/or tissue form. This procedure may be used to relieve pain, promote healing, or prevent further deterioration. Not to be used for endodontic access closure, or as a base or liner under a restoration. D2955 35 post removal D2980 35 crown repair necessitated by restorative material failure 35 ENDODONTIC RETREATMENT D3352 35 apexification/recalcification/pulpal regeneration - interim medication replacement (apical closure/calcific repair of perforations, root resorption, pulp space disinfection, etc.) For visits in which the intra-canal medication is replaced with new medication. Includes any necessary radiographs. D4210 35 gingivectomy or gingivoplasty - four or more contiguous teeth or tooth bounded spaces per quadrant It is performed to eliminate suprabony pockets or to restore normal architecture when gingival enlargements or asymmetrical or unaesthetic topography is evident with normal bony configuration. D4211 35 gingivectomy or gingivoplasty - one to three contiguous teeth or tooth bounded spaces per quadrant It is performed to eliminate suprabony pockets or to restore normal architecture when gingival enlargements or asymmetrical or unaesthetic topography is evident with normal bony configuration. D4260 35 osseous surgery (including flap entry and closure) - four or more contiguous teeth or tooth bounded spaces per quadrant This procedure modifies the bony support of the teeth by reshaping the alveolar process to achieve a more physiologic form. This must include the removal of supporting bone (ostectomy) and/or non-supporting bone (osteoplasty). Other procedures may be required concurrent to D4260 and should be reported using their own unique codes D4261 35 osseous surgery (including flap entry and closure) - one to three contiguous teeth or tooth bounded spaces per quadrant This procedure modifies the bony support of the teeth by reshaping the alveolar process to achieve a more physiologic form. This must include the removal of supporting bone (ostectomy) and/or non-supporting bone (osteoplasty). Other procedures may be required concurrent to D4261 and should be reported using their own unique codes. D4266 35 guided tissue regeneration - resorbable barrier, per site This procedure does not include flap entry and closure, or, when indicated, wound debridement, osseous contouring, bone replacement grafts, and placement of biologic materials to aid in osseous regeneration. This procedure can be used for periodontal and peri-implant defects. D4267 35 guided tissue regeneration - nonresorbable barrier, per site (includes membrane removal) This procedure does not include flap entry and closure, or, when indicated, wound debridement, osseous contouring, bone replacement grafts, and placement of biologic materials to aid in osseous regeneration. This procedure can be used for periodontal and peri-implant defects. D4381 35 localized delivery of antimicrobial agents via controlled release vehicle into diseased crevicular tissue, per tooth FDA approved subgingival delivery devices containing antimicrobial medication(s) are inserted into periodontal pockets to suppress the pathogenic microbiota. These devices slowly release the pharmacological agents so they can remain at the intended site of action in a therapeutic concentration for a sufficient length of time. D6056 35 prefabricated abutment – includes modification and placement Modification of a prefabricated abutment may be necessary. D6057 35 custom fabricated abutment – includes placement Created by a laboratory process, specific for an individual application. D6200-D6999 35 PROSTHODONTICS, fixed Each retainer and each pontic constitutes a unit in a fixed partial denture. Local anesthesia is usually considered to be part of Fixed Prosthodontic procedures. The term “fixed partial denture” replaces the words “bridge” and “bridgework” throughout this section. Fixed partial denture prosthetic procedures include routine temporary prosthetics. When indicated, interim or provisional codes should be reported separately. D6253 35 provisional pontic– further treatment or completion of diagnosis necessary prior to final impression Not to be used as a temporary pontic for routine prosthetic fixed partial dentures. D6793 35 provisional retainer crown– further treatment or completion of diagnosis necessary prior to final impression Not to be used as a temporary retainer crown for routine prosthetic fixed partial dentures. D6975 35 coping To be used as a definitive restoration when coping is an integral part of a fixed prosthesis. D6980 35 fixed partial denture repair necessitated by restorative material failure D7951 35 sinus augmentation with bone or bone substitutes via a lateral open approach The augmentation of the sinus cavity to increase alveolar height for reconstruction of edentulous portions of the maxilla. This procedure is performed via a lateral open approach. This includes obtaining the bone or bone substitutes. Placement of a barrier membrane if used should be reported separately. D9972 35 external bleaching – per arch – performed in office Code Class Nomenclature Description Note: Procedure codes are not always in numeric order. This arises from situations where there is no available code for an addition within an existing sequence, or where like/related codes are grouped.

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