Code on Dental Procedures and Nomenclature

Code on Dental Procedures and Nomenclature

P ro c e d u re s c o v e re d Council on Dental Care Programs

The Council on Dental Care Programs has ap­ proved a revision o f the Code on Dental Proce­ dures and Nomenclature. The purpose of the Code is to identify and to categorize dental pro­ cedures covered under all types of third party programs, particularly dental insurance. It is intended to facilitate the filing and processing of claims, data tabulation, and the collection of statistics for third party program operation. The Code originally was developed in 1969, and published in the journal (JA D A 79:814 Oct 1969). The Code has gained wide acceptance and use by dentists and third party agencies. On the basis of that experience, the Council on D en­ tal Care Programs, with the cooperation of the clinical dental specialty organizations, has up­ dated and revised the Code. On written request, copies of the Code are available from the Coun­ cil. A companion piece to the Code is the Attend­ ing D entist’s Statement, frequently referred to as the uniform report form, which was approved by the Health Insurance Council o f the Health Insurance Association o f America and the Delta Dental Plans Association. The form was intro­ duced by the Council in July 1967, and was re­ vised by the Council and the Health Insurance Council in 1971. This Attending Dentist’s State­ ment form is now utilized by the major commer­ cial insurance companies and by Delta Plans. Single copies o f the Attending Dentist’s State­ ment are available on request from the A D A Council on Dental Care Programs or the Health Insurance Council, 750 Third A ve, N ew York, 10017.

Although the Code includes primarily the den­ tal services most frequently provided in a den­ tist’s office, it also lists dental services that are performed in a hospital. Diagnostic services common to most categories of treatment are grouped under a separate diagnostic listing. These include oral examinations, radiographs, tests, and laboratory examinations. Dental ser­ vices frequently performed by dental specialists are grouped and listed according to treatment sequence. To avoid duplication, other proce­ dures that are performed by general practition­ ers and specialists alike have been grouped under the specialty category with which the pro­ cedures are most frequently identified. The sec­ tions on endodontics, periodontics, and orth­ odontics are somewhat different from the clas­ sification used in other parts of the Code in re­ sponse to the recommendations o f these special­ ty organizations. The groupings according to specialty categories are solely for convenience in using the Code and should not be interpreted as excluding general practitioners from perform­ ing such procedures.

C o d in g sys tem The Code is a five-digit system to identify den­ tal procedures and services. The first digit is a zero throughout the Code and it identifies all procedures as being dental as contrasted to med­ ical, hospital, or surgical services. The second digit designates the category of dental service. The third digit indicates the class o f service with­ in the dental category and the fourth digit desig­ nates the subclass or specific procedure. The fifth digit allows for further expansion o f the Code when necessary. JADA, Vol. 85, October 1972 ■ 789

01300

Categoryofservice

Codeseries

I. II. III. IV. V. VI.

00100-00999 01000-01999 02000-02999 03000-03999 04000-04999

VII. VIII. IX. X.

Diagnostic Preventive Restorative Endodontics Periodontics Prosthodontics, Removable Prosthodontics, Fixed Oral Surgery Orthodontics Adjunctive General Services

Other PreventiveServices 01310 Dietary planning for the control of dental caries 01330 Oral hygiene instruction 01340 Training in preventive dental care

01500

06000-06999 07000-07999 08000-08999 09000-09999

Fixed, unilateral band type Fixed, lingual or palatal arch band type Fixed, distal shoe type Fixed, stainless steel crown type Fixed, cast type Removable, acrylic Additional clasps and/or activating wires

02000-02999 III.

00100-00999 I. 00100

Clinical Oral Examinations

02100

Radiographs 00210 Intraoral—complete series (including bitewings) 00220 Intraoral—single, first film 00230 Intraoral—each additional film 00240 Intraoral—occlusal, single, first film 00250 Extraoral—single, first film 00260 Extraoral—each additional film 00270 Bitewing—single, first film 00280 Bitewing—each additional film 00290 Posteroanterior and lateral skull and facial bone, survey film 00310 Sialography 00321 Temporomandibular joint, single film 00330 Panoramic—maxilla and mandible, single film 00340 Cephalometric film 00390 Other radiographs

00400

TestsandLaboratoryExaminations 00410 Bacteriologic cultures for determination of pathologic agents 00420 Caries susceptibility tests 00430 Biopsy and examination of oral tissue (hard) 00440 Biopsy and examination of oral tissue (soft) 00460 Ëulp vitality tests 00470 Diagnostic casts 00471 Diagnostic photographs 00490 Miscellaneous tests and laboratory examinations

01000-01999 II. 01100

Preventive

Dental Prophylaxis 01110 Adults 01120 Children

01200

FluorideTreatments 01210 Topical application of sodium fluoride, four treatments (excluding prophylaxis) 01220 Topical application of stannous fluoride, one treatment (excluding prophylaxis) 01230 Topical application of acid fluoride phosphate, one treatment (excluding prophylaxis)

790 ■ JADA, Vol. 85, October 1972

03200

02200

03300

Root Canal Therapy (includes treatment plan, clinical procedures, and follow-up care) 03310 One canal (excludes final restoration) 03320 Two canals (excludes final restoration) 03330 Three canals (excludes final restoration) 03340 Four canals (excludes final restoration) 03350 Apexification

03400

Periapical Services 03410 Apicoectomy, performed as separate surgical procedure 03420 Apicoectomy, performed in conjunction with endodontic manipulation 03430 Retrograde filling 03440 Apical curettage 03450 Root resection 03460 Endosseous implants

SilicateRestorations 02210 Silicate cement—per restoration

02300

Acrylicor Plastic Restorations

03900

GoldFoil Restorations 02410 Gold, Foil—one surface 02420 Gold foil—two surfaces 02430 Gold foil—three surfaces

02500

02600

04000-04999 V.

04200

Inlay, gold—one surface Inlay, gold—two surfaces Inlay, gold—three surfaces Onlay, per tooth (in addition to above)

PorcelainRestorations

02900

Crowns-SingleRestorationsOnly Plastic (acrylic) Plastic—prefabricated Plastic with metal Porcelain Porcelain with metal Gold (full cast) Gold {% cast) Gold thimble Stainless steel Temporary (fractured tooth) Crown with pin Crown with post

OtherRestorativeServices 02910 Recement inlays 02920 Recement crowns 02940 Fillings (sedative)

Surgical Services 04210 Gingivectomy or gingivoplasty— per sextant or quadrant (specify) 04220 Gingival curettage 04260 Osseous surgery (including flap entry and closure) per sextant or quadrant (specify) 04261 Osseous graft—single site (including flap entry and closure) 04262 Osseous graft— multiple site (including flap entry and closure) 04270 Pedicle soft tissue grafts 04271 Free soft tissue grafts 04272 Vestibuloplasty 04280 Periodontal pulpal procedures

02610 Inlay, porcelain 02700-02899 02710 02711 02720 02740 02750 02790 02810 02820 02830 02840 02890 02891

Periodontics

DiagnosticProcedures—see Section I

GoldInlayRestorations 02510 02520 02530 02540

Other EndodonticProcedures 03910 Gingival curettage—necessary for isolation of tooth with rubber dam 03920 Hemisection 03930 Canal and/or pulp chamber enlargement (NaiEDTA) 03990 Emergency procedures

02310 Acrylic or plastic 02311 Acrylic or plastic—pin retained 02320 Acrylic or plastic (involving incisal angle) 02330 Composite resin—one surface 02331 Composite resin—two surfaces 02332 Composite resin—three surfaces 02400

Pulpotomy (excluding final restoration) 03210 Therapeutic apical closure 03220 Vital pulpotomy

Amalgam Restorations (including

polishing) Amalgam—one surface, deciduous Amalgam—two surfaces, deciduous Amalgam—three surfaces, deciduous Amalgam—four surfaces, deciduous Amalgam—one surface, permanent Amalgam—two surfaces, permanent Amalgam—three surfaces, permanent Amalgam—four or more surfaces, permanent 02170 Amalgam—pin retained

PulpCapping 03110 Pulp cap—direct— (excluding final restoration) 03120 Pulp cap—indirect—(excluding final restoration) 03130 Recalcification (CaOH, temporary restoration per tooth)

Restorative

02110 02120 02130 02131 02140 02150 02160 02161

00110 Initial oral examination 00120 Periodic oral examination 00130 Emergency oral examination 00200

03100

DiagnosticProcedures—see Section I

Diagnostic

Endodontics

DiagnosticProcedures—seeSection I

SpaceMaintainers 01510 01511 01512 01515 01520 01530 01540

05000-05999

03000-03999 IV.

04300

AdjunctivePeriodontal Services 04320 04321 04330 04331 04340

Provisional splinting—intracoronal Provisional splinting—extracoronal Occlusal adjustment (limited) Occlusal adjustment (complete) Periodontal scaling and root planing (entire mouth) 04341 Periodontal scaling and root planing (fewer than 12 teeth) 04350 Tooth movement forperiodontal purposes 04360 Special periodontal appliances (including occlusal guards)

CASEPATTERNSECTION (in c lu d e s

a ll

n e c e s s a ry

0 52 30 L o w e r w ith g o ld o r c h ro m e lin g u a l b a r

d ia g n o s tic ,

s u rg ic a l,

a nd

a d ju n c tiv e s e rv ic e s ) 045 00 T Y P E 1—

065 00

a n d tw o c la s p s , a c ry lic base 0 52 40 L o w e r w ith g o ld o r c h ro m e lin g u a l b a r

0 65 30 G o ld in la y , th re e o r m o re s u rfa c e s 0 65 40 G o ld o n la y

a n d tw o c la s p s , a c ry lic base

Gingivitis— s h a llo w p o c k e ts , n o b o n e

0 52 50 U p p e r w ith g o ld o r c h ro m e p a la ta l b a r

lo s s

0 66 00

a n d tw o c la s p s , a c ry lic base 0 52 60 U p p e r w ith g o ld o r c h ro m e p a la ta l b a r

o r o th e r fa c in g 0 6 6 2 0 R e p la c e b ro k e n fa c in g w h e re p o s t is

0 5 2 8 0 R e m o v a b le u n ila te ra l p a rtia l d e n tu re ,

1. A ll n e c e s s a ry d ia g n o s tic p ro c e d u re s 2. T ra in in g in p e rs o n a l p re v e n tiv e .d e n ta l ca re

one

3. M o u th p re p a ra tio n p ro c e d u re s

c o b a lt c la s p a tta c h m e n ts , p e r u n it

p ie c e c a s tin g , g o ld

o r c h ro m e -

in ta c t 0 6 6 3 0 R e p la c e b ro k e n fa c in g w h e re p o s t

in c lu d in g p o n tic s

4. R o u tin e f in is h in g p ro c e d u re s

b a c k in g is b ro k e n

0 52 90 F u ll ca st p a rtia l

5. P o s ttre a tm e n t e v a lu a tio n

EarlyPeriodontitis— m o d e ra te

05300

0 66 40 R e p la c e

Additional UnitsforP a rt/a / D e n tu re s 0 53 10 E a c h a d d itio n a l c la s p w ith rest

s a tis fa c to r y to p o g ra p h y

0 53 20 E a c h a d d itio n a l to o th 05400

b ro k e n

fa c in g

w ith

0 67 00

Crowns 0 67 10 P la s tic (a c ry lic ) 0 67 20 P la s tic -p ro c e s s e d -to -m e ta l

Adjustments toDentures (b y o th e r th a n

0 67 40 P o rc e la in

1. A ll n e c e s s a ry d ia g n o s tic p ro c e d u re s

d e n tis t p r o v id in g a p p lia n c e s )

2. T ra in in g in p e rs o n a l p re v e n tiv e d e n ta l ca re

0 5 4 1 0 C o m p le te d e n tu re

0 67 50 P o rc e la in -fu s e d -to -m e ta l 0 67 60 R e ve rse p in fa c in g a nd m e ta l

3. M o u th p re p a ra tio n p ro c e d u re s

0 54 20 P a rtia l d e n tu re

0 67 80 G o ld p/4 ca st)

4. O c c lu s a l a d ju s tm e n t (if n e ce ssa ry) 5. S u rg ic a l p ro c e d u re s u s u a lly in v o lv in g

05600

c u re tta g e a n d /o r g in g iv e c to m y

0 69 40 S tre s s B re a k e r 0 69 50 P re c is io n a tta c h m e n t

d e n tu r e a n d re p la c e o n e b ro k e n to o th

Moderate Periodontitis— m o d e ra te

0 69 60 D o w e l p in , m e ta l

0 56 30 R e p la c e a d d itio n a l te e th , each to o th 0 56 40 R e p la c e b ro k e n to o th o r d e n tu re , n o

lo ss, u n s a tis fa c to ry to p o g ra p h y

o th e r re p a irs 0 56 50 A d d in g to o th to p a rtia l d e n tu re to

T re a tm e n t:

re p la c e

1. AH n e c e s s a ry d ia g n o s tic p ro c e d u re s

(n o t in v o lv in g c la s p o r a b u tm e n t to o th )

e x tra c te d

to o th ,

e a ch

0 7 0 0 0 -0 7 9 9 9

to o th

DiagnosticProcedures— see S e c tio n

3. M o u th p re p a ra tio n p ro c e d u re s

re p la c e

4. O c c lu s a l a d ju s tm e n t

(in v o lv in g cla s p , a b u tm e n t to o th )

5. S u rg ic a l p ro c e d u re s u s u a lly in v o lv in g fla p

e x tra c te d

to o th ,

e a ch

to o th

0 71 00

0 71 10 S in g le to o th 0 71 20 E a ch a d d itio n a l to o th

d e n tu r e

6. R o u tin e f in is h in g p ro c e d u re s

0 56 60 R e p la c in g b ro k e n c la s p w ith n e w cla sp

7. P o s ttre a tm e n t e v a lu a tio n

072 00

o n d e n tu re

Surgical Extractions—in c lu d e s lo c a l a n e s th e s ia

0 56 90 E a c h a d d itio n a l c la s p w ith re st

AdvancedPeriodontitis— d ee p

SimpleExtractions— in c lu d e s lo c a l a n e s th e s ia a n d ro u tin e p o s to p e ra tiv e ca re

0 56 70 R e a tta c h in g d a m a g e d c la s p o n

e n try a n d o s s e o u s p ro c e d u re s

p o c k e ts , se ve re b o n e lo ss, a d v a n c e d m o b ility

I .

0 56 60 A d d in g to o th to p a r tia l d e n tu re to

2. T ra in in g in p e rs o n a l p re v e n tiv e d e n ta l ca re

and

ro u tin e

p o s to p e ra tiv e

ca re

0 72 10 E x tr a c tio n o f to o th , e ru p te d 0 57 00

p a tte rn s (u s u a lly ca se s in v o lv in g m is s in g

DentureDuplicationandRelining 0 57 10 D u p lic a te

t e e th a n d re c o n s tru c tio n )

upper o r

0 72 20 E x tr a c tio n o f to o th , s o ft tis s u e

lo w e r

im p a c tio n

c o m p le te

0 7 2 3 0 E x tr a c tio n o f to o th , p a r tia l b o n y

d e n tu re

im p a c tio n

0 57 20 D u p lic a te u p p e r o r lo w e r p a rtia l

0 7 2 4 0 E x tr a c tio n

d e n tu r e

T re a tm e n t: 1. A ll n e c e s s a ry d ia g n o s tic p ro c e d u re s

5. S u rg ic a l p ro c e d u re s u s u a lly in v o lv in g

a n tra l ro o t re c o v e ry )

d e n tu r e (la b o ra to ry )

6. R o u tin e f in is h in g p ro c e d u re s

Other Surgical Procedures Applied to Teeth

0 57 60 R e lin in g u p p e r o r lo w e r p a rtia l d e n tu re

7. P o s ttre a tm e n t e v a lu a tio n

bony

re s id u a l ro o t)

0 57 50 R e lin in g u p p e r o r lo w e r c o m p le te

c o m p le x te c h n iq u e s

c o m p le te

0 72 60 O ra l a n tra l fis tu la c lo s u re (a n d /o r

(o ffic e re lin e )

4. O c c lu s a l a d ju s tm e n t

to o th ,

072 50 R o o t re c o v e ry (s u rg ic a l re m o v a l o f

d e n tu r e (o ffic e re lin e ) 0 5 7 4 0 R e lin in g u p p e r o r lo w e r p a rtia l d e n tu re

3. M o u th p re p a ra tio n p ro c e d u re s

of

im p a c tio n

0 5 7 3 0 R e lin in g u p p e r o r lo w e r c o m p le te

2. T ra in in g in p e rs o n a l p re v e n tiv e d e n ta l ca re

0 72 70 T o o th re p la n ta tio n

(la b o ra to ry )

07271 T o o th im p la n ta tio n

OtherPeriodontic Sen/ices

0 58 00

0 49 10 P re v e n tiv e p e r io d o n ta l p ro c e d u re s

Other ProstheticServices

0 7 2 7 2 T o o th tra n s p la n ta tio n

0 58 10 D e n tu re , te m p o ra ry (c o m p le te ) u p p e r

0 72 80 S u rg ic a l e x p o s u re o f im p a c te d o r

o r lo w e r

( p e rio d o n ta l p ro p h y la x is ) 0 49 20 U n s c h e d u le d d re s s in g c h a n g e (by

u n e ru p te d to o th f o r o rth o d o n tic re a s o n s — in c lu d in g w ire a tta c h m e n t

0 58 20 D e n tu re , te m p o ra ry (p a rtia l— sta yp la te ),

w h e n in d ic a te d

u p p e r o r lo w e r

o th e r th a n tr e a tin g d e n tis t)

0 7 2 9 0 S u r g ic a l re p o s itio n in g o f te e th

0 58 30 O b tu r a to r f o r s u rg ic a lly e x c is e d 0 5 0 0 0 -0 5 9 9 9 V I.

Other Prosthetic Services 0 69 30 R e c e m e n t b rid g e

0 56 20 R e p a ir b ro k e n c o m p le te o r p a rtia l

t o d e e p p o c k e ts , m o d e ra te to se vere b on e

0 48 00 T Y P E IV —

069 00

d e n tu r e , n o te e th d a m a g e d

7. P o s ttre a tm e n t e v a lu a tio n 0 47 00 T Y P E III—

0 67 90 G o ld (fu ll ca st)

Repairs toDentures 0 56 10 R e p a ir b ro k e n c o m p le te o r p a rtia l

6. R o u tin e f in is h in g p ro c e d u re s

a c ry lic

0 66 50 R e p la c e b ro k e n T ru -P o n tic

p o c k e ts , m in o r to m o d e ra te b o n e loss,

T re a tm e n t:

049 00

Repairs 0 66 10 R e p la c e b ro k e n p in fa c in g w ith s lo tte d

a n d tw o c la s p s , c a s t base

T re a tm e n t:

0 4 6 0 0 T Y P E 11—

Retainers 0 65 20 G o ld in la y, tw o s u rfa c e s

p a la ta l tis s u e

Prosthodontics, Removable

0 58 40 O b tu ra to r f o r d e fic ie n t v e lo p h a ry n g e a l

Diagnostic Procedures—seeS e c tio n

I

Complete Dentures— in c lu d in g

m o n th s ’

0 73 00

Alveoloplasty (s u rg ic a l

p re p a ra tio n o f rid g e

f o r d e n tu re s )

fu n c tio n (c le ft p a la te )

0 73 10 P e r s e x ta n t, in c o n ju n c tio n w ith

0 58 50 T is s u e c o n d itio n in g

e x tr a c tio n s 051 00

s ix

p o s td e liv e ry c a re

0 7 3 2 0 P e r s e x ta n t, n o t in c o n ju n c tio n w ith 0 6 0 0 0 -0 6 9 9 9 V II.

Prosthodontics, Fixed

e x tr a c tio n s 0 73 30 C a n in e to c a n in e , in c o n ju n c tio n

0 51 10 C o m p le te u p p e r 0 51 20 C o m p le te lo w e r

FixedBridges (e a ch a b u tm e n t a nd

0 51 30 Im m e d ia te u p p e r

p o n tic c o n s titu te s a u n it in a b rid g e )

0 51 40 Im m e d ia te lo w e r 052 00

Partial Dentures— in c lu d in g

062 00 s ix m o n th s ’

BridgePontics

each

w ith e x tr a c tio n s

Stomatoplasty—in c lu d in g

re v is io n o f s o ft

tis s u e o n rid g e s , m u s c le re a tta c h m e n t,

0 62 10 C a s t g o ld

to n g u e , p a la te , and o th e r o ra l s o ft tis s u e s

p o s td e liv e ry c a re

062 20 S lo tte d fa c in g

073 40 P er a rc h , u n c o m p lic a te d

052 10 U p p e r o r lo w e r, w ith o u t c la sp s, a c ry lic

0 62 30 S lo tte d p o n tic

0 73 50 P e r a rc h , c o m p lic a te d — in c lu d in g

base 052 20 U p p e r o r lo w e r w ith tw o g o ld o r c h ro m e c la s p s w ith re sts, a c ry lic base

0 62 35 P in fa c in g

rid g e e x te n s io n , s o ft tis s u e g ra fts , and

0 62 40 P o rc e la in -fu s e d -to -m e ta l

m a n a g e m e n t o f h y p e rtro p h ie d a nd

0 62 50 P la s tic -p ro c e s s e d -to -m e ta l

h y p e rp la s tic tis s u e

CODE ON DENTAL PROCEDURES AND NOMENCLATURE ■ 791

07400

c o n g e n ita l le s io n s )

Reduction of Dislocation and Management ofOther TemporomandibularJoint Dysfunctions

0 7 4 1 0 R a d ic a l e x c is io n , le s io n d ia m e te r

0 78 10 O p e n r e d u c tio n o f d is lo c a tio n

Surgical Excision—e x c is io n

0 78 00

o f re a ctive

in fla m m a to ry le s io n s (s c a r tis s u e o r lo c a liz e d

0 86 00 III.

0 86 20 C la ss II m a lo c c lu s io n 0 86 30 C la ss III m a lo c c lu s io n

0 78 20 C lo s e d re d u c tio n o f d is lo c a tio n

u p to 1/2 in c h

CASE TYPE— re m o v a b le

0 78 30 M a n ip u la tio n u n d e r a n e s th e s ia

0 7 4 2 0 R a d ic a l e x c is io n , le s io n d ia m e te r

07840

o v e r Vi in c h

Condylectomy

0 78 60 A rth r o to m y

0 74 30 E x c is io n o f b e n ig n tu m o r , le s io n

0 78 70 A rth ro c e n te s is

a n d p o s ttre a tm e n t) 0 87 00 I.

079 00

07431 E x c is io n o f b e n ig n tu m o r, le s io n

Other Oral Surgery

0 87 20 C la ss II m a lo c c lu s io n 0 87 30 C la ss III m a lo c c lu s io n

d ia m e te r o v e r Vfe in c h 0 74 40 E x c is io n o f m a lig n a n t tu m o r, le sio n

Repairof TraumaticWounds 0 79 10 S im p le s u tu re o f re c e n t s m a ll w o u n d s

d ia m e te r u p t o 1/2 in c h o f m a lig n a n t tu m o r,

0 88 00 II.

MixedDentition

0 88 10 C la ss I m a lo c c lu s io n

u p to 2 in c h e s d ia m e te r

le s io n

0 8 8 2 0 C la ss II m a lo c c lu s io n

d ia m e te r o v e r Vz in c h

0 88 30 C la ss III m a lo c c lu s io n

C o m p lic a te d s u tu rin g (r e c o n s tr u c tio n

Removal of CystsandNeoplasms

re q u ir in g d e lic a te h a n d lin g o f tis s u e s , w id e

0 74 50 R e m o v a l o f o d o n to g e n ic c y s t o r

u n d e r m in in g f o r m e tic u lo u s c lo s u re )

tu m o r , u p to 1/ 2-in c h d ia m e te r 07451 R e m o v a l o f o d o n to g e n ic cy s t o r tu m o r , o v e r V i-in c h d ia m e te r

08900 III.

Deciduous Dentition

07911 D ia m e te r u p to 2 in c h e s

0 89 10 C la ss I m a lo c c lu s io n

0 7 9 1 2 D ia m e te r o v e r 2 in c h e s

0 89 20 C la ss II m a lo c c lu s io n

0 79 20 S k in

0 89 30 C la ss III m a lo c c lu s io n

g ra fts (id e n tify d e fe c t c o v e re d ,

lo c a tio n , a n d ty p e o f g ra ft)

0 74 60 R e m o v a l o f n o n o d o n to g e n ic c y s t o r t u m o r , u p to V i-in c h d ia m e te r

Other RepairProcedures

07461 R e m o v a l o f n o n o d o n to g e n ic cy s t o r

0 9 0 0 0 -0 9 9 9 9 X.

0 79 30 In je c tio n o f trig e m in a l n e rve , f o r

tu m o r , o v e r 1/ 2- in c h d ia m e te r

Excisionof BoneTissue

07931 A v u ls io n o f trig e m in a l n erve

0 74 70 R e m o v a l o f e x o s to s is , m a x illa o r

0 79 40 O s te o p la s ty (th a t is, fo r p ro g n a th is m

AdjunctiveGeneral Services

UnclassifiedTreatment

d e s tru c tio n

0 91 10 P a llia tiv e (e m e rg e n c y ) tre a tm e n t o f d e n ta l p a in , m in o r p ro c e d u re s

a n d m ic ro g n a th is m )

m a n d ib le

0 92 00

0 79 50 O s te o p e rio s te a l, p e rio s te a l, o r

0 74 80 P a rtia l o s te o to m y (g u tte rin g o r

o p e ra tiv e o r s u rg ic a l p ro c e d u re s )

a u to g e n o u s o r n o n a u to g e n o u s

0 74 90 R a d ic a l re s e c tio n o f m a n d ib le w ith

09211 R e g io n a l b lo c k a n e s th e s ia

0 7 9 6 0 F re n u le c to m y — s e p a ra te p ro c e d u re

b o n e g r a ft

0 92 12 T rig e m in a l d iv is io n b lo c k

(fre n e c to m y o r fre n o to m y )

Surgical Incision

0 92 20 G e n e ra l

0 79 70 E x c is io n o f h y p e rp la s tic tis s u e , p e r

0 92 30 A n a lg e s ia

a rc h

0 75 10 In c is io n a n d d ra in a g e o f a bscess,

0 7 9 8 0 S ia lo lith o to m y (p a ro tid )

in tra o ra l

0 93 00

07981 E x c is io n o f s a liv a ry g la n d

0 75 20 In c is io n a n d d ra in a g e o f absce ss, 0 75 30 R e m o v a l o f f o r e ig n b o d y , s k in , o r s u b c u ta n e o u s a re o la r tissu e

0 79 83 C lo s u re o f s a liv a ry fis tu la

o th e r th a n p r a c titio n e r p ro v id in g tre a tm e n t)

0 7 9 9 0 E m e rg e n c y tra c h e o to m y

0 93 10 C o n s u lta tio n , p e r s e s s io n

0 75 40 R e m o v a l o f re a c tio n -p ro d u c in g f o r e ig n b o d ie s , m u s c u lo s k e le ta l

Professional Consultation—d ia g n o s tic s e rv ic e p ro v id e d b y p h y s ic ia n o r d e n tis t

0 79 82 S ia lo d o c h o p la s ty

e x tr a o ra l

Anesthesia 0 92 10 L o c a l (n o t in c o n ju n c tio n w ith

c a rtila g e g r a ft o f th e m a n d ib le —

s a u c e riz a tio n )

0 75 00

Permanent Dentition

0 87 10 C la ss I m a lo c c lu s io n

d ia m e te r u p t o 1/2 in c h

07441 E x c is io n

a p p lia n c e (in c lu d e s

d ia g n o s tic p ro c e d u re s , re m o v a b le a p p lia n c e ,

0 78 50 M e n is c e c to m y

Excisionof Tumors

Deciduous Dentition

0 86 10 C la ss I m a lo c c lu s io n

0 8 0 0 0 -0 8 9 9 9 IX.

Orthodontics

0 94 00

Professional Visits 0 94 10 H o u s e c a lls

sy s te m 0 75 50 S e q u e s tre c to m y f o r o s te o m y e litis

DiagnosticProcedures— se e S e c tio n

Treatmentof Fractures— s im p le

Full-BandedCases— se e b e lo w

0 94 20 H o s p ita l c a lls

I

094 30 O ffic e v is it, d u r in g re g u la rly s c h e d u le d 0 76 00

0 81 00

im m o b iliz e d (if p re s e n t) 0 76 20 M a x illa , c lo s e d re d u c tio n , te e th im m o b iliz e d (if p re s e n t) 0 76 30 M a n d ib le , o p e n re d u c tio n , te e th

0 82 00

im m o b iliz e d (if p re s e n t) 076 40 M a n d ib le , c lo s e d re d u c tio n , te e th im m o b iliz e d (if p re s e n t)

083 00

076 60 M a la r a n d /o r z y g o m a tic a rc h , clo s e d

Appliancesfor ToothGuidance 0 8 1 1 0 R e m o v a b le

o ffic e h o u rs (n o o p e ra tiv e s e rv ic e s

0 8 1 2 0 F ix e d o r c e m e n te d

p e rfo rm e d )

Appliances toControl Harmful Habits

0 76 70 A lv e o lu s — s ta b iliz a tio n o f te e th ,

0 82 20 F ix e d o r c e m e n te d

0 96 20 E m e rg e n c y p re s c rip tio n

Retention Appliances— o rth o d o n tic

re ta in in g

a p p lia n c e 0 83 20 F ixe d

w it h fix a tio n a n d m u ltip le s u rg ic a l

ComprehensiveOrthodontic Treatment CASETYPE— fix e d a p p lia n c e (in c lu d e s

a p p ro a c h e s

d ia g n o s tic p ro c e d u re s , re te n tio n — fo rm a l,

re d u c tio n

f u ll-b a n d e d tre a tm e n t)

Treatmentof Fractures— c o m p o u n d 0 77 10 M a x illa , o p e n re d u c tio n

Permanent Dentition

0 8 4 1 0 C la s s I m a lo c c lu s io n

0 7 7 3 0 M a n d ib le , o p e n re d u c tio n

0 84 20 C la s s II m a lo c c lu s io n

0 7 7 4 0 M a n d ib le , c lo s e d re d u c tio n

0 84 30 C la ss III m a lo c c lu s io n

0 77 50 M a la r a n d /o r z y g o m a tic a rch , o p e n r e d u c tio n 0 77 60 M a la r a n d /o r z y g o m a tic a rc h , clo s e d re d u c tio n 0 77 70 A lv e o lu s — s ta b iliz a tio n o f te e th , o p e n

792 ■ JADA, Vol. 85, October 1972

09900

MiscellaneousServices 0 99 10 A p p lic a tio n o f d e s e n s itiz in g m e d ic a m e n ts (flu o rid e p a ste , s ilv e r 0 99 20 S p e c ia l c o n s u lta tio n a p p o in tm e n ts 0 99 30 C o m p lic a tio n s (p o s ts u rg ic a l— u n u su a l c irc u m s ta n c e s ) 0 99 40 O c c lu s a l a d ju s tm e n t (m in o r) 0 99 50 O c c lu s io n a n a ly s is (m o u n te d case)

0 84 00 I.

0 7 7 2 0 M a x illa , c lo s e d r e d u c tio n

re d u c tio n s p lin tin g

Drugs 0 96 10 T h e ra p e u tic d ru g in je c tio n

n itra te , and so fo rth )

o p e n r e d u c tio n s p lin tin g 0 76 80 F a c ia l b o n e s , c o m p lic a te d

09600

0 82 10 R e m o v a b le

0 8 3 1 0 R e m o v a b le

re d u c tio n

077 00

0 9 4 4 0 O ffic e v is it, a fte r re g u la rly s c h e d u le d

0 96 30 O th e r d ru g s a n d /o r m e d ic a m e n ts

076 50 M a la r a n d /o r z y g o m a tic a rch , o p e n r e d u c tio n

o ffic e h o u rs (n o o p e ra tiv e s e rv ic e s p e rfo rm e d )

0 7 6 1 0 M a x illa , o p e n r e d u c tio n , te e th

0 85 00 II.

MixedDentition

0 85 10 C la ss I m a lo c c lu s io n 0 85 20 C la ss II m a lo c c lu s io n 085 30 C la ss III m a lo c c lu s io n

0 99 99 U n s p e c ifie d (to b e d e s c rib e d by s ta te m e n t o f a tte n d in g d e n tis t)