The tables in this resource link frequently reported CDT Codes with one or more possible ICD-10-CM diagnostic codes as examples. Please note that these tables, and especially their linkages, are not all-inclusive but serve only as a guide for commonly occurring conditions. Dentists, by virtue of their clinical education, experience and professional ethics, are the individuals responsible for diagnosis. As such, a dentist is also obligated to select the appropriate diagnosis code for patient records and claim submission. It is quite possible that other diagnoses and their associated codes may be appropriate for a given clinical scenario.
Current Dental Terminology, 2015 American Dental Association. All rights reserved.
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Figure 1 Diagnostic. Evaluations and Exams
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CDT Code(s)
|
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D0120
|
Periodic oral evaluation - established patient
|
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D0140
|
Limited oral evaluation - problem focused
|
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D0150
|
Comprehensive oral evaluation - new or established patient
|
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D0210
|
Intraoral - complete series of radiographic images
|
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D0220
|
Intraoral - periapical first radiographic image
|
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D0230
|
Intraoral - periapical each additional film
|
| D0251 |
Extra-oral posterior dental radiographic image
|
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D0272
|
Bitewings- two radiographic images
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D0274
|
Bitewings- four radiographic images
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D0330
|
Panoramic radiographic image
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D0999
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Unspecified diagnostic procedure, by report
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Example ICD-10-CM Code(s)
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Z01.20
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Encounter for dental examination and cleaning without abnormal findings
|
| Z01.21 |
Encounter for dental examination and cleaning with abnormal findings
|
| Z13.84 |
Encounter screening for dental disorders
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Figure 2. Preventive. Dental Prophylaxis for Adults and Children
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CDT Code(s)
|
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D1110
|
Prophylaxis - adult
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D1120
|
Prophylaxis - child
|
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Example ICD-10-CM Code(s)
|
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E11.9
|
Type 2 diabetes mellitus without complications
|
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K03.6
|
Deposits [accretions] on teeth
|
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K05.1
|
Chronic gingivitis
|
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K05.10
|
Chronic gingivitis; plaque induced
|
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K05.30
|
Chronic periodontitis, unspecified
|
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Z33.1
|
Pregnant state; incidental
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Z72.0
|
Tobacco use
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Figure 3. Preventive. Topical Flouride Treatment
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CDT Code(s)
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D1206
|
Topical application of fluoride varnish
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D1208
|
Topical application of fluoride, excluding varnish
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Example ICD-10-CM Code(s)
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K02.3
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Arrested dental caries
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K02.61
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Dental caries on smooth surface limited to enamel
|
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K02.7
|
Dental root caries
|
| K03.1 |
Abrasion of teeth
|
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K03.2
|
Erosion of teeth
|
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M35.00
|
Sicca syndrome; unspecified
|
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Figure 4. Other Preventive Services. Oral Hygiene Instructions
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CDT Code(s)
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D1330
|
Oral hygiene instructions
|
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Example ICD-10-CM Code(s)
|
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E11.9
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Type 2 diabetes mellitus without complication
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K02.3
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Arrested dental caries
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K02.52
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Dental caries on pit and fissure surface penetrating into dentin
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K02.61
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Dental caries on smooth surface limited to enamel
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K02.62
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Dental caries on smooth surface penetrating into dentin
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K02.7
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Dental root caries
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K02.9
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Dental caries; unspecified
|
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K03.2
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Erosion of teeth
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K03.6
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Deposits [accretions] on teeth
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K05.00
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Acute gingivitis, plaque induced
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K05.01
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Acute gingivitis, non-plaque induced
|
| K05.10 |
Chronic gingivitis, plaque induced
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| K05.30 |
Chronic periodontitis, unspecified
|
| K05.5 |
Other periodontal diseases
|
| M35.00 |
Sicca syndrome; unspecified
|
| Z33.1 |
Pregnant state; incidental
|
| Z72.0 |
Tobacco Use |
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Figure 5. Other Preventive Services. Sealants
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CDT Code(s)
|
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D1351
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Sealant - per tooth
|
| D1354 |
Interim caries arresting medicament application
|
| D2990 |
Resin infiltration of incipient smooth surface lesions
|
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Example ICD-10-CM Code(s)
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K02.51
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Dental caries on pit and fissure surface limited to enamel
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K02.61
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Dental caries on smooth surface limited to enamel
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M35.00
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Sicca syndrome; unspecified
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Figure 6. Restorative. Resin Restorations
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CDT Code(s)
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D1352
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Preventive resin restoration
|
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Example ICD-10-CM Code(s)
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K02.51
|
Dental caries on pit and fissure surface limited to enamel
|
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Figure 7. Restorative. Amalgam Restorations
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CDT Code(s)
|
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D2140
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Amalgam - one surface; primary or permanent
|
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D2150
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Amalgam - two surfaces; primary or permanent
|
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D2160
|
Amalgam - three surfaces; primary or permanent
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D2161
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Amalgam - four or more surfaces; primary or permanent
|
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Example ICD-10-CM Code(s)
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K02.51
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Dental caries on pit and fissure surface limited to enamel
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K02.52
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Dental caries on pit and fissure surface penetrating into dentin
|
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K02.61
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Dental caries on smooth surface limited to enamel
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K02.62
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Dental caries on smooth surface penetrating into dentin
|
| K03.81 |
Cracked tooth
|
| S02.5XXA |
Fracture of tooth (traumatic), initial encounter for closed fracture |
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Figure 8. Restorative. Anterior Resin-Based Composite Restorations
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CDT Code(s)
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D2330
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Resin-based composite - one surface; anterior
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D2331
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Resin-based composite - two surfaces; anterior
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D2332
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Resin-based composite - three surfaces; anterior
|
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D2335
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Resin-based composite - four or more surfaces involving incisal angle (anterior)
|
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Example ICD-10-CM Code(s)
|
| K00.2 |
Abnormalities of size and form of teeth
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K02.51
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Dental caries on pit and fissure surface limited to enamel
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K02.52
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Dental caries on pit and fissure surface penetrating into dentin
|
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K02.61
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Dental caries on smooth surface limited to enamel
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K02.62
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Dental caries on smooth surface penetrating into dentin
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K03.1
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Abrasion of teeth
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K03.2
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Erosion of teeth
|
| K03.81 |
Cracked tooth
|
| S02.5XXA |
Fracture of tooth (traumatic), initial encounter for closed fracture
|
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Figure 9. Restorative. Posterior Resin-Based Composite Restorations
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CDT Code(s)
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D2391
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Resin-based composite - one surface; posterior
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D2392
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Resin-based composite - two surfaces; posterior
|
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D2393
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Resin-based composite - three surfaces; posterior
|
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D2394
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Resin-based composite - four surfaces; posterior
|
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Example ICD-10-CM Code(s)
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K02.51
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Dental caries on pit and fissure surface limited to enamel
|
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K02.52
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Dental root caries on pit and fissure surface penetrating into dentin
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K02.61
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Dental caries on smooth surface limited to enamel
|
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K02.62
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Dental caries on smooth surface penetrating into dentin
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K02.7
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Dental root caries
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K03.1
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Abrasion of teeth
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K03.2
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Erosion of teeth
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| K03.81 |
Cracked tooth
|
| S02.5XXA |
Fracture of tooth (traumatic), initial encounter for closed fracture
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Figure 10. Restorative. Porcelain, Noble Metal, and High Noble Metal Crowns
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CDT Code(s)
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D2740
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Crown - porcelain/ceramic substrate
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D2750
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Crown - porcelain fused to high noble metal
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D2751
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Crown - porcelain fused to predominantly base metal
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D2752
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Crown - porcelain fused to noble metal
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D2790
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Crown - full cast high noble metal
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D2792
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Crown - full cast noble metal
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D2950
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Core buildup, including any pins when required
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D2951
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Pin retention - per tooth; in addition to restoration
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D2952
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Post and core in addition to crown; indirectly fabricated
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D2954
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Prefabricated post and core in addition to crown
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Example ICD-10-CM Code(s)
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K00.2
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Abnormalities of size and form of teeth
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K02.52
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Dental caries on pit and fissure surface penetrating into dentin
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K02.53
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Dental caries on pit and fissure surface penetrating into pulp
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K02.62
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Dental caries on smooth surface penetrating into dentin
|
| K02.63 |
Dental caries on smooth surface penetrating into pulp
|
| S02.5XXA |
Fracture of tooth (traumatic), initial encounter for closed fracture
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Figure 11. Restorative. Stainless Steel Crowns
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CDT Code(s)
|
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D2930
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Prefabricated stainless steel crown - primary tooth
|
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Example ICD-10-CM Code(s)
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K00.2
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Abnormalities of size and form of teeth
|
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K02.52
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Dental caries on pit and fissure surface penetrating into dentin
|
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K02.53
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Dental caries on pit and fissure surface penetrating into pulp
|
| K02.62 |
Dental caries on smooth surface penetrating into dentin
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| K02.63 |
Dental caries on smooth surface penetrating into pulp
|
| S02.5XXA |
Fracture of tooth (traumatic), initial encounter for closed fracture |
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Figure 12. Restorative. Protective Restorations
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CDT Code(s)
|
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D2940
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Protective restoration
|
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Example ICD-10-CM Code(s)
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K02.9
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Dental caries, unspecified
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S02.5XXA
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Fracture of tooth (traumatic), initial encounter for closed fracture
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Figure 13. Endodontics - Pulp Caps
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CDT Code(s)
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D3110
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Pulp cap – direct (excluding final restoration)
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D3120
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Pulp cap – indirect (excluding final restoration)
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Example ICD-10-CM Code(s)
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K02.52
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Dental caries on pit and fissure surface penetrating into dentin
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K02.53
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Dental caries on pit and fissure surface penetrating into pulp
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K02.62
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Dental caries on smooth surface penetrating into dentin
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K02.63
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Dental caries on smooth surface penetrating into pulp
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| K04.0 |
Pulpitis
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| S02.5XXA |
Fracture of tooth (traumatic), initial encounter for closed fracture |
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Figure 14. Endodontics. Pulpotomies and Endodontic Therapy
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CDT Code(s)
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D3220
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Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to dentinocemental junction and application of medicament
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D3310
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Endodontic therapy; anterior tooth (excluding final restoration)
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D3320
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Endodontic therapy; bicuspid tooth (excluding final restoration)
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D3330
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Endodontic therapy; molar (excluding final restoration)
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Example ICD-10-CM Code(s)
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| K02.53 |
Dental caries on pit and fissure surface penetrating into pulp
|
| K02.63 |
Dental caries on smooth surface penetrating into pulp
|
| K03.81 |
Cracked tooth
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| K03.89 |
Other specified diseases of hard tissues of teeth
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K04.0
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Pulpitis
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K04.1
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Necrosis of the pulp
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K04.5
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Chronic apical periodontitis
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K04.6
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Periapical abscess with sinus
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K04.7
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Periapical abscess without sinus
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K04.8
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Radicular cyst
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K04.90
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Unspecified diseases of pulp and periapical tissues
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| K04.99 |
Other diseases of pulp and periapical tissues
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| K05.5 |
Other periodontal diseases
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| K08.8 |
Other specified disorders of teeth and supporting structures
|
| S02.5XXA |
Fracture of tooth (traumatic), initial encounter for closed fracture |
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Figure 15. Endodontics. Retreatment of Previous Root Canal Therapy
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CDT Code(s)
|
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D3346
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Retreatment of previous root canal therapy - anterior
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D3347
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Retreatment of previous root canal therapy - bicuspid
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D3348
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Retreatment of previous root canal therapy - molar
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Example ICD-10-CM Code(s)
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K08.59
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Other unsatisfactory restoration of existing tooth
|
| M27.5 |
Periradicular pathology associated with previous endodontic treatment
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Figure 16. Periodontics. Gingivectomies and Gingivoplasties
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CDT Code(s)
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D4210
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Gingivectomy or gingivoplasty – four or more contiguous teeth or tooth bounded spaces per quadrant
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D4211
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Gingivectomy or gingivoplasty - one to three contiguous teeth or tooth bounded spaces per quadrant
|
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Example ICD-10-CM Code(s)
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K05.30
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Chronic periodontitis; unspecified
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K05.31
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Chronic periodontitis; localized
|
| K05.32 |
Chronic periodontitis, generalized
|
| K06.1 |
Gingival enlargement
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Figure 17. Periodontics. Clinical Crown Lengthening - Hard Tissue
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CDT Code(s)
|
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D4249
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Clinical crown lengthening - hard tissue
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Example ICD-10M Code(s)
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K02.9
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Chronic periodontitis; unspecified
|
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K03.81
|
Cracked tooth
|
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K05.5
|
Other periodontal diseases
|
| S02.5XXA |
Fracture of tooth (traumatic), initial encounter for closed fracture |
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Figure 18. Periodontics. Osseous Surgery and Bone Grafts
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CDT Code(s)
|
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D4260
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Osseous surgery (including flap entry and closure) - four or more contiguous teeth or tooth bounded spaces per quadrant
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D4261
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Osseous surgery (including flap entry and closure) – one to three contiguous teeth or tooth bounded spaces per quadrant
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D4263
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Bone replacement graft - first site in quadrant
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D4264
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Bone replacement graft – each additional site in quadrant
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Example ICD-10-CM Code(s)
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K05.21
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Aggressive periodontitis, localized
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K05.22
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Aggressive periodontitis, generalized
|
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K05.30
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Chronic periodontitis, unspecified
|
| K05.31 |
Chronic periodontitis, localized
|
| K05.32 |
Chronic periodontitis, generalized
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| K05.6 |
Periodontal disease, unspecified
|
| K08.20 |
Unspecified atrophy of edentulous alveolar ridge
|
| K08.21 |
Minimal atrophy of the mandible
|
| K08.22 |
Moderate atrophy of the mandible
|
| K08.23 |
Severe atrophy of the mandible
|
| K08.24 |
Minimal atrophy of the maxilla
|
| K08.25 |
Moderate atrophy of the maxilla
|
| K08.26 |
Severe atrophy of the maxilla
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Figure 19. Periodontics. Tissue Grafts
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CDT Code(s)
|
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D4270
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Pedicle soft tissue graft procedure
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D4273
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Autogenous connective tissue graft procedure (including donor and recipient surgical sites) first tooth, implant, or edentulous tooth position in graft
|
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D4275
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non-autogenous connective tissue graft (including recipient site and donor material) first tooth, implant, or edentulous tooth position in graft
|
| D4276 |
Combined connective tissue and double pedicle graft, per tooth
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| D4278 |
Free soft tissue graft procedure (including recipient and donor surgical sites) each additional contiguous tooth, implant, or edentulous tooth position in same graft site
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| D4283 |
Autogenous connective tissue graft procedure (including donor and recipient surgical sites) each additional contiguous tooth, implant, or edentulous tooth position in same graft site
|
| D4285 |
Non-autogenous connective tissue graft procedure (including recipient surgical site and donor material) each additional contiguous tooth, implant, or edentulous tooth position in same graft site
|
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Example ICD-10-CM Code(s)
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K06.0
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Gingival recession
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Figure 20. Periodontics. Periodontal Maintenance. Scaling and Root Planing
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CDT Code(s)
|
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D4341
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Periodontal scaling and root planing - four or more teeth per quadrant
|
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D4342
|
Periodontal scaling and root planing - one to three teeth per quadrant
|
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D4910
|
Periodontal maintenance
|
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Example ICD-10-CM Code(s)
|
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A69.1
|
Other Vincent's infections
|
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E11.9
|
Type 2 diabetes mellitus without complications
|
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K03.6
|
Deposits [accretions] on teeth
|
| K05.20 |
Aggressive periodontitis; unspecified
|
| K05.21 |
Aggressive periodontitis; localized
|
| K05.22 |
Aggressive periodontitis; generalized
|
| K05.30 |
Chronic periodontitis; unspecified
|
| K05.31 |
Chronic periodontitis; localized
|
| K05.32 |
Chronic periodontitis; generalized
|
| K05.5 |
Other periodontal diseases
|
| K05.6 |
Periodontal disease; unspecified
|
| K06.1 |
Gingival enlargement
|
| Z33.1 |
Pregnant state; incidental
|
| Z72.0 |
Tobacco use
|
| Z87.891 |
Personal history of nicotine dependence
|
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Figure 21. Periodontics. Full Mouth Debridement
|
CDT Code(s)
|
|
D4355
|
Full mouth debridement to enable comprehensive evaluation and diagnosis
|
|
Example ICD-10-CM Code(s)
|
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K03.6
|
Deposits [accretions] on teeth
|
| Z72.0 |
Tobacco use
|
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Z87.891
|
Personal history of tobacco use
|
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Figure 22. Prosthodontics. Complete Dentures
|
CDT Code(s)
|
|
D5110
|
Complete denture - maxillary
|
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D5120
|
Complete denture - mandibular
|
|
Example ICD-10-CM Code(s)
|
|
K08.1
|
Complete loss of teeth
|
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Figure 23. Prosthodontics and Implant Services. Partial Dentures and Implants
|
CDT Code(s)
|
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D5211
|
Maxillary partial denture - resin base (including any conventional clasps, rests, and teeth)
|
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D5213
|
Maxillary partial denture - cast metal framework with resin denture bases (including any conventional clasps; rests and teeth)
|
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D5214
|
Mandibular partial denture - cast metal framework with resin denture bases (including any conventional clasps; rests and teeth)
|
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D6010
|
Surgical placement of implant body: endosteal implant
|
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D6056
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Prefabricated abutment – includes modification and placement
|
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D6057
|
Custom fabricated abutment – includes placement
|
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D6059
|
Abutment supported porcelain fused to metal crown (high noble metal)
|
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D6240
|
Pontic - porcelain fused to high noble metal
|
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D6750
|
Crown - porcelain fused to high noble metal
|
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D6752
|
Crown - porcelain fused to noble metal
|
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Example ICD-10-CM Code(s)
|
|
K00.0
|
Anodontia
|
| K08.409 |
Partial loss of teeth, unspecified cause, unspecified class
|
| K08.419 |
Partial loss of teeth due to trauma, unspecified class
|
| K08.429 |
Partial loss of teeth due to periodontal diseases, unspecified class
|
| K08.439 |
Partial loss of teeth due to caries, unspecified class
|
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Figure 24. Surgical. Extractions
|
CDT Code(s)
|
|
D7111
|
Extraction, coronal remnants – deciduous tooth
|
|
D7250
|
Surgical removal of residual tooth roots (cutting procedure)
|
|
Example ICD-10-CM Code(s)
|
|
K03.9
|
Disease of hard tissues of teeth, unspecified
|
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Figure 25. Surgical. Extractions - Oral and Maxillofacial
|
CDT Code(s)
|
|
D7140
|
Extraction, erupted tooth or exposed root (elevation and/or forceps removal)
|
|
D7210
|
Surgical removal of erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated
|
|
Example ICD-9-CM Code(s)
|
|
K02.53
|
Dental caries on pit and fissure surface penetrating into pulp
|
|
K02.63
|
Dental caries on smooth surface penetrating into pulp
|
|
K04.0
|
Pulpitis
|
|
K04.1
|
Necrosis of the pulp
|
|
K04.5
|
Chronic apical periodontitis
|
|
K04.6
|
Periapical abscess with sinus
|
| K04.7 |
Periapical abscess without sinus
|
|
K04.8
|
Radicular cyst
|
|
K05.20
|
Aggressive periodontitis; unspecified
|
| K05.21 |
Aggressive periodontitis; localized
|
|
K05.30
|
Chronic periodontitis, unspecified
|
|
K09.0
|
Developmental odontogenic cysts
|
| L02.91 |
Cutaneous abscess, unspecified
|
| L03.90 |
Cellulitis; unspecified
|
| R44.8 |
Other symptoms and signs involving general sensations and perceptions
|
| R44.9 |
Unspecified symptoms and signs involving general sensations and perceptions
|
| R69 |
Illness; unspecified
|
| S02.5XXA |
Fracture of tooth (traumatic), initial encounter for closed fracture
|
| S02.5XXB |
Fracture of tooth (traumatic), initial encounter for open fracture
|
| S03.2XXA |
Dislocation of tooth; initial encounter
|
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Figure 26. Surgical. Removal of Impacted Teeth
|
CDT Code(s)
|
|
D7220
|
Removal of impacted tooth - soft tissue
|
|
D7230
|
Removal of impacted tooth - partially bony
|
|
D7240
|
Removal of impacted tooth - completely bony
|
|
Example ICD-10-CM Code(s)
|
|
K00.1
|
Supernumerary teeth
|
|
K00.6
|
Disturbances in tooth eruption
|
| K01.0 |
Embedded teeth
|
| K01.1 |
Impacted teeth
|
|
K09.0
|
Developmental odontogenic cysts
|
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Figure 27. Surgical. Bone Replacement Grafts
|
CDT Code(s)
|
|
D7953
|
Bone replacement graft for ridge preservation - per site
|
|
Example ICD-10-CM Code(s)
|
|
K02.53
|
Dental caries on pit and fissure surface penetrating into pulp
|
| K02.63 |
Dental caries on smooth surface penetrating into pulp
|
| K04.0 |
Pulpitis
|
| K04.5 |
Chronic apical periodontitis
|
| K04.6 |
Periapical abscess with sinus
|
| K04.7 |
Periapical abscess without sinus
|
| K04.8 |
Radicular cyst
|
| K05.21 |
Aggressive periodontitis; localized
|
| K05.30 |
Chronic periodontitis; unspecified
|
| K05.31 |
Chronic periodontitis; localized
|
| K05.32 |
Chronic periodontitis; generalized
|
| K09.0 |
Developmental odontogenic cysts
|
| S02.5XXA |
Fracture of tooth (traumatic), initial encounter for closed fracture
|
| S02.5XXB |
Fracture of tooth (traumatic), initial encounter for open fracture
|
| S03.2XXA |
Dislocation of tooth, initial encounter
|
-
Figure 28. Orthodontics. Comprehensive Orthodontic Treatment of Adolescents
|
CDT Code(s)
|
|
D8080
|
Comprehensive orthodontic treatment of the adolescent dentition
|
|
Example ICD-10-CM Code(s)
|
|
K00.0
|
Anodontia
|
|
K00.6
|
Disturbances in tooth eruption
|
| K08.8 |
Other specified disorders of teeth and supporting structures
|
|
M26.212
|
Malocclusion; Angle’s class II
|
|
M26.213
|
Malocclusion; Angle’s class III
|
|
M26.24
|
Reverse articulation
|
|
M26.29
|
Other anomalies of dental arch relationship
|
|
M26.30
|
Unspecified anomaly of tooth position of fully erupted tooth or teeth
|
|
M26.31
|
Crowding of fully erupted teeth
|
|
M26.35
|
Rotation of fully erupted tooth or teeth
|
|
M26.39
|
Other anomalies of tooth position of fully erupted tooth or teeth
|
|
M26.4
|
Malocclusion; unspecified
|
|
M26.81
|
Anterior soft tissue impingement
|
|
M26.82
|
Posterior soft tissue impingement
|
|
M26.89
|
Other dentofacial anomalies
|
|
Q67.0
|
Congenital facial asymmetry
|
-
Figure 29. Adjunctive General Services. Palliative (Emergency) Treatment of Dental Pain
|
CDT Code(s)
|
|
D9110
|
Palliative (emergency) treatment of dental pain - minor procedure
|
|
Example ICD-10-CM Code(s)
|
|
K02.53
|
Dental caries on pit and fissures surface penetrating into pulp
|
| K02.63 |
Dental caries on smooth surface penetrating into pulp
|
|
K04.0
|
Pulpitis
|
|
K04.6
|
Periapical abscess with sinus
|
|
K04.7
|
Periapical abscess without sinus
|
|
M26.60
|
Temporomandibular joint disorders; unspecified
|
|
M26.69
|
Other specified temporomandibular joint disorders
|
-
Figure 30. Adjunctive General Services. Inhalation of Nitrous Oxide
|
CDT Code(s)
|
|
D9230
|
Inhalation of nitrous oxide/anxiolysis, analgesia
|
|
Example ICD-10-CM Code(s)
|
|
F41.9
|
Anxiety disorder, unspecified
|
-
Figure 31. Adjunctive General Services - Application of Desensitizing Medicament
|
CDT Code(s)
|
|
D9910
|
Application of desensitizing medicament
|
|
Example ICD-10-CM Code(s)
|
|
K03.0
|
Excessive attrition of teeth
|
|
K03.1
|
Abrasion of teeth
|
|
K03.2
|
Erosion of teeth
|
-
Figure 32. Adjunctive General Services - Occlusal Guards
|
CDT Code(s)
|
|
D9940
|
Occlusal guard, by report
|
|
Example ICD-10-CM Code(s)
|
|
F59
|
Unspecified behavioral syndromes associated with physiological disturbances and physical factors
|
|
K03.0
|
Excessive attrition of teeth
|
|
M26.60
|
Temporomandibular joint disorders; unspecified
|
|
M26.69
|
Other specified temporomandibular joint disorders
|
|
M26.89
|
Other specified dentofacial anomalies
|
-
Figure 33. Adjunctive General Services - Occlusal Guard Adjustment
|
CDT Code(s)
|
|
D9951
|
Occlusal guard adjustment - limited
|
|
Example ICD-10-CM Code(s)
|
|
K03.0
|
Excessive attrition of teeth
|
|
K03.81
|
Cracked tooth
|
|
K04.0
|
Pulpitis
|
|
K06.0
|
Gingival recession
|
|
M26.60
|
Temporomandibular joint disorders; unspecified
|