CDT Codes

eApogee CDT Codes

CDT Code	CDT Code Description	Tooth Range	Surfaces	Xray	Narrative	Review	Perio Charts	Cross Code	Detail Narrative Notes
D0120	Periodic oral evaluation – established patient	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99213	N
D0140	Limited oral evaluation – problem focused	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99203/99213	N
D0145	Oral evaluation for a patient under three years of age and counseling with primary caregiver	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99203/99212	N
D0150	Comprehensive oral evaluation – new or established patient	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99204/99215	N
D0160	Detailed and extensive oral evaluation – problem focused, by report	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99203/99213	N
D0170	Re-evaluation – limited, problem focused (established patient; not post-operative visit)	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99213	N
D0171	Re-evaluation – post-operative office visit	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99212	N
D0180	Comprehensive periodontal evaluation – new or established patien	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99204/99213	N
D0190	Screening of a patient	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99201/99213	N
D0191	Assessment of a patient	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99201/99213	N
D0210	Intraoral – complete series of radiographic images	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	70300/70310/70320
D0220	Intraoral – periapical first radiographic image	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	70300/70310/70320
D0230	Intraoral – periapical each additional radiographic image	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	70300/70310/70320
D0240	Intraoral – occlusal radiographic image	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	70300/70310/70320
D0250	Extra-oral – 2D projection radiographic image created using a stationary radiation source, and detec	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	70100/70140/70300/70310/70320
D0251	Extra-oral posterior dental radiographic image	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	70300/70310/70320
D0270	Bitewing – single radiographic image	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	70300/70310/70320
D0272	Bitewings – two radiographic images	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	70300/70310/70320
D0273	Bitewings – three radiographic images	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	70300/70310/70320
D0274	Bitewings – four radiographic images	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	70300/70310/70320
D0277	Vertical bitewings – 7 to 8 radiographic images	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	70300/70310/70320
D0310	Sialography	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	70390
D0320	Temporomandibular joint arthrogram, including injection	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	70332
D0321	Other temporomandibular joint radiographic images, by report	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	70328/70330/ 76499/76536
D0322	Tomographic survey	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	70486/70487/76497
D0330	Panoramic radiographic image	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	70320/70355
D0340	2D cephalometric radiographic image – acquisition, measurement and analysis	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	70350
D0350	2D oral/facial photographic image obtained intra-orally or extra-orally	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99070/41899/99199
D0351	3D photographic image	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D0364	Cone beam CT capture and interpretation with limited field of view – less than one whole jaw	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	70486/70487/70488/76497
D0365	Cone beam CT capture and interpretation with field of view of one full dental arch – mandible	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	70486/70487/70488/76497
D0366	Cone beam CT capture and interpretation with field of view of one full dental arch – maxilla, with o	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	70486/70487/70488/76497
D0367	Cone beam CT capture and interpretation with field of view of both jaws, with or without cranium	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	70486/70487/70488/76497
D0368	Cone beam CT capture and interpretation for TMJ series including two or more exposures	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	70486/70487/70488/76497
D0369	Maxillofacial MRI capture and interpretation	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	70336/70540/70542/70543
D0370	Maxillofacial ultrasound capture and interpretation	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	76536
D0371	Sialoendoscopy capture and interpretation	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	70390
D0380	Cone beam CT image capture with limited field of view – less than one whole jaw	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	70486/70487/70488/76497/ 76380
D0381	Cone beam CT image capture with field of view of one full dental arch – mandible	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	70486/70487/70488/76497/ 76380
D0382	Cone beam CT image capture with field of view of one full dental arch – maxilla, with or without cra	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	70486/70487/70488/76497
D0383	Cone beam CT image capture with field of view of both jaws, with or without cranium	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	70486/70487/70488/76497
D0384	Cone beam CT image capture for TMJ series including two or more exposures	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	70486/70487/70488/76497
D0385	Maxillofacial MRI image capture	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	70336/70540/70542/70543
D0386	Maxillofacial ultrasound image capture	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	76536/76999
D0391	Interpretation of diagnostic image by a practitioner not associated with capture of the image, inclu	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	76140/ 76497
D0393	Treatment simulation using 3D image volume	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	76376/ 76377/ 76380
D0394	Digital subtraction of two or more images or image volumes of the same modality	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	76499
D0395	Fusion of two or more 3D image volumes of one or more modalities	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	76499
D0411	Hba1c in-office point of service testing	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	83036/83037
D0412	Blood glucose level test – in-office using a glucose meter	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	82962/83037
D0414	Laboratory processing of microbial specimen to include culture and sensitivity studies, preparation	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	87070/ 87071
D0415	Collection of microorganisms for culture and sensitivity	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	87070/87071/87075/87076/87077/87081/87084/87181/87184/87205/87207/87220/87999
D0416	Viral culture	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	87070/87071/87081/87181/87207/87999
D0417	Collection and preparation of saliva sample for laboratory diagnostic testing	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	82397/87070/87071/87081/87181/87207/87999
D0418	Analysis of saliva sample	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	87070/87071/87081/87181/87207/87999
D0422	Collection and preparation of genetic sample material for laboratory analysis and report	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99000/99001
D0423	Genetic test for susceptibility to diseases – specimen analysis	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99000/99001
D0425	Caries susceptibility tests	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	87181/87184
D0431	Adjunctive pre-diagnostic test that aids in detection of mucosal abnormalities including premalignan	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	40899/41599/41899
D0460	Pulp vitality tests	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99212
D0470	Diagnostic casts	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99070
D0600	Non-ionizing diagnostic procedure capable of quantifying, monitoring, and recording changes in stru	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D0601	Caries risk assessment and documentation, with a finding of low risk	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D0602	Caries risk assessment and documentation, with a finding of moderate risk	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D0603	Caries risk assessment and documentation, with a finding of high risk	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D0472	Accession of tissue, gross examination, preparation and transmission of written report	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	88300
D0473	Accession of tissue, gross and microscopic examination, preparation and transmission of written repo	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	88311/88312
D0474	Accession of tissue, gross and microscopic examination, including assessment of surgical margins for	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	88302/88304/88305/88307/88309
D0475	Decalcification procedure	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	88311
D0476	Special stains for microorganisms	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	88312/88313
D0477	Special stains, not for microorganisms	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	87207/87209
D0478	Immunohistochemical stains	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	88314
D0479	Tissue in-situ hybridization, including interpretation	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	88365/88367
D0480	Accession of exfoliative cytologic smears, microscopic examination, preparation and transmission of	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	88104/88108/88112/88160/88161/88162/88199
D0481	Electron microscopy	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	88348
D0482	Direct immunofluorescence	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	87290/87299/88346/88350
D0483	Indirect immunofluorescence	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	88346/88350
D0484	Consultation on slides prepared elsewhere	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	80500/80502/88321/88323
D0485	Consultation, including preparation of slides from biopsy material supplied by referring source	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	80500/80502/ 88321/88323
D0486	Laboratory accession of transepithelial cytologic sample, microscopic examination, preparation and t	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	88104/88108/88112/88160/88161/88162/88199
D0502	Other oral pathology procedures, by report	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	88311/88321/88323/88325/88329/88331/88332
D0999	Unspecified diagnostic procedure, by report	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	76499	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D1110	Prophylaxis – adult	FALSE	FALSE	TRUE	FALSE	FALSE	FALSE	41899
D1120	Prophylaxis – child	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D1206	Topical application of fluoride varnish	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99188
D1208	Topical application of fluoride – excluding varnish	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899/99211
D1310	Nutritional counseling for control of dental disease	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	97802
D1320	Tobacco counseling for the control and prevention of oral disease	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99213/99406/99407
D1330	Oral hygiene instructions	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99213
D1351	Sealant – per tooth	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D1352	Preventive resin restoration in a moderate to high caries risk patient – permanent tooth	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D1353	Sealant repair – per tooth	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D1354	Sealant repair – per tooth	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D1510	Space maintainer – fixed – unilateral	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D1516	Space maintainer – fixed – bilateral, maxillary	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D1517	Space maintainer – fixed – bilateral, mandibular	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D1520	Space maintainer – removable – unilateral	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D1526	Space maintainer – removable – bilateral, maxillary	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D1527	Space maintainer – removable – bilateral, mandibular	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D1550	Re-cement or re-bond space maintainer	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D1555	Removal of fixed space maintainer	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D1575	Distal shoe space maintainer – fixed – unilateral	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D1999	Unspecified preventive procedure, by report	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	41899/99245	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2140	Amalgam – one surface, primary or permanent	TRUE	TRUE	FALSE	FALSE	FALSE	FALSE	41899
D2150	Amalgam – two surfaces, primary or permanent	TRUE	TRUE	FALSE	FALSE	FALSE	FALSE	41899
D2160	Amalgam – three surfaces, primary or permanent	TRUE	TRUE	FALSE	FALSE	FALSE	FALSE	41899
D2161	Amalgam – four or more surfaces, primary or permanent	TRUE	TRUE	FALSE	FALSE	FALSE	FALSE	41899
D2330	Resin-based composite – one surface, anterior	TRUE	TRUE	FALSE	FALSE	FALSE	FALSE	41899
D2331	Resin-based composite – two surfaces, anterior	TRUE	TRUE	FALSE	FALSE	FALSE	FALSE	41899
D2332	Resin-based composite – three surfaces, anterior	TRUE	TRUE	FALSE	FALSE	FALSE	FALSE	41899
D2335	Resin-based composite – four or more surfaces or involving incisal angle (anterior)	TRUE	TRUE	FALSE	FALSE	FALSE	FALSE	41899
D2390	Resin-based composite crown, anterior	TRUE	TRUE	TRUE	N	N	FALSE	41899
D2391	Resin-based composite – one surface, posterior	TRUE	TRUE	FALSE	FALSE	FALSE	FALSE	41899
D2392	Resin-based composite – two surfaces, posterior	TRUE	TRUE	FALSE	FALSE	FALSE	FALSE	41899
D2393	Resin-based composite – three surfaces, posterior	TRUE	TRUE	FALSE	FALSE	FALSE	FALSE	41899
D2394	Resin-based composite – four or more surfaces, posterior	TRUE	TRUE	FALSE	FALSE	FALSE	FALSE	41899
D2410	Gold foil – one surface	TRUE	TRUE	FALSE	FALSE	FALSE	FALSE	41899
D2420	Gold foil – two surfaces	TRUE	TRUE	FALSE	FALSE	FALSE	FALSE	41899
D2430	Gold foil – three surfaces	TRUE	TRUE	FALSE	FALSE	FALSE	FALSE	41899
D2510	Inlay – metallic – one surface	TRUE	TRUE	TRUE	TRUE	N	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2520	Inlay – metallic – two surfaces	TRUE	TRUE	TRUE	N	N	FALSE	41899
D2530	Inlay – metallic – three or more surfaces	TRUE	TRUE	TRUE	N	N	FALSE	41899
D2542	Onlay – metallic-two surfaces	TRUE	TRUE	TRUE	N	TRUE	FALSE	41899
D2543	Onlay – metallic-three surfaces	TRUE	TRUE	TRUE	N	TRUE	FALSE	41899
D2544	Onlay – metallic-four or more surfaces	TRUE	TRUE	TRUE	N	TRUE	FALSE	41899
D2610	Inlay – porcelain/ceramic – one surface	TRUE	TRUE	TRUE	N	N	FALSE	41899
D2620	Inlay – porcelain/ceramic – two surfaces	TRUE	TRUE	TRUE	N	N	FALSE	41899
D2630	Inlay – porcelain/ceramic – three or more surfaces	TRUE	TRUE	TRUE	N	N	FALSE	41899
D2642	Onlay – porcelain/ceramic – two surfaces	TRUE	TRUE	TRUE	N	TRUE	FALSE	41899
D2643	Onlay – porcelain/ceramic – three surfaces	TRUE	TRUE	TRUE	N	TRUE	FALSE	41899
D2644	Onlay – porcelain/ceramic – four or more surfaces	TRUE	TRUE	TRUE	N	TRUE	FALSE	41899
D2650	Inlay – resin-based composite – one surface	TRUE	TRUE	TRUE	N	N	FALSE	41899
D2651	Inlay – resin-based composite – two surfaces	TRUE	TRUE	TRUE	N	N	FALSE	41899
D2652	Inlay – resin-based composite – three or more surfaces	TRUE	TRUE	TRUE	N	N	FALSE	41899
D2662	Onlay – resin-based composite – two surfaces	TRUE	TRUE	TRUE	N	N	FALSE	41899
D2663	Onlay – resin-based composite – three surfaces	TRUE	TRUE	TRUE	N	N	FALSE	41899
D2664	Onlay – resin-based composite – four or more surfaces	TRUE	TRUE	TRUE	N	TRUE	FALSE	41899
D2710	Crown – resin-based composite (indirect)	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2712	Crown – 3/4 resin-based composite (indirect)	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2720	Crown – resin with high noble metal	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2721	Crown – resin with predominantly base metal	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2722	Crown – resin with noble metal	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2740	Crown – porcelain/ceramic	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2750	Crown – porcelain fused to high noble metal	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2751	Crown – porcelain fused to predominantly base metal	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2752	Crown – porcelain fused to noble metal	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2780	Crown – 3/4 cast high noble metal	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2781	Crown – 3/4 cast predominantly base metal	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2782	Crown – 3/4 cast noble metal	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2783	Crown – 3/4 porcelain/ceramic	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2790	Crown – full cast high noble metal	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2791	Crown – full cast predominantly base metal	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2792	Crown – full cast noble metal	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2794	Crown – titanium	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2799	Provisional crown – further treatment or completion of diagnosis necessary prior to final impression	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2910	Re-cement or re-bond inlay, onlay, veneer or partial coverage restoration	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2915	Re-cement or re-bond indirectly fabricated or prefabricated post and core	TRUE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D2920	Re-cement or re-bond crown	TRUE	FALSE	FALSE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2921	Reattachment of tooth fragment, incisal edge or cusp	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2929	Prefabricated porcelain/ceramic crown – primary tooth	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2930	Prefabricated stainless steel crown – primary tooth	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2931	Prefabricated stainless steel crown – permanent tooth	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2932	Prefabricated resin crown	FALSE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2933	Prefabricated stainless steel crown with resin window	TRUE	FALSE	TRUE	TRUE	N	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2934	Prefabricated esthetic coated stainless steel crown – primary tooth	TRUE	FALSE	TRUE	N	N	FALSE	41899
D2940	Protective restoration	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2941	Interim therapeutic restoration – primary dentition	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2949	Restorative foundation for an indirect restoration	TRUE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D2950	Core buildup, including any pins when required	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2951	Pin retention – per tooth, in addition to restoration	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2952	Post and core in addition to crown, indirectly fabricated	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2953	Each additional indirectly fabricated post – same tooth	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2954	Prefabricated post and core in addition to crown	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2955	Post removal	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41806/41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2957	Each additional prefabricated post – same tooth	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2960	Labial veneer (resin laminate) – chairside	TRUE	TRUE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2961	Labial veneer (resin laminate) – laboratory	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2962	Labial veneer (porcelain laminate) – laboratory	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2971	Additional procedures to construct new crown under existing partial denture framework	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	–	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2975	Coping	TRUE	FALSE	TRUE	FALSE	FALSE	FALSE	–
D2980	Crown repair necessitated by restorative material failure	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2981	Inlay repair necessitated by restorative material failure	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2982	Onlay repair necessitated by restorative material failure	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2983	Veneer repair necessitated by restorative material failure	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2990	Resin infiltration of incipient smooth surface lesions	TRUE	TRUE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D2999	Unspecified restorative procedure, by report	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D3110	Pulp cap – direct (excluding final restoration)	TRUE	FALSE	TRUE	FALSE	TRUE	FALSE	41899
D3120	Pulp cap – indirect (excluding final restoration)	TRUE	FALSE	TRUE	FALSE	FALSE	FALSE	41899
D3220	Therapeutic pulpotomy (excluding final restoration) – removal of pulp coronal to the dentinocemental	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D3221	Pulpal debridement, primary and permanent teeth	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D3222	Partial pulpotomy for apexogenesis – permanent tooth with incomplete root development	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D3230	Pulpal therapy (resorbable filling) – anterior, primary tooth (excluding final restoration)	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D3240	Pulpal therapy (resorbable filling) – posterior, primary tooth (excluding final restoration)	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D3310	Endodontic therapy, anterior tooth (excluding final restoration)	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	41826/41899
D3320	Endodontic therapy, premolar tooth (excluding final restoration)	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D3330	Endodontic therapy, molar tooth (excluding final restoration)	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D3331	Treatment of root canal obstruction; non-surgical access	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D3332	Incomplete endodontic therapy; inoperable, unrestorable or fractured tooth	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D3333	Internal root repair of perforation defects	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D3346	Retreatment of previous root canal therapy – anterior	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D3347	Retreatment of previous root canal therapy – premolar	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D3348	Retreatment of previous root canal therapy – molar	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D3351	Apexification/recalcification – initial visit (apical closure / calcific repair of perforations, roo	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D3352	Apexification/recalcification – interim medication replacement (apical closure/calcific repair of pe	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D3353	Apexification/recalcification – final visit (includes completed root canal therapy – apical closure	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D3355	Pulpal regeneration – initial visit	TRUE	FALSE	TRUE	FALSE	FALSE	FALSE	41899
D3356	Pulpal regeneration – interim medication replacement	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D3357	Pulpal regeneration – completion of treatment	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D3410	Apicoectomy – anterior	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D3421	Apicoectomy – premolar (first root)	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D3425	Apicoectomy – molar (first root)	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D3426	Apicoectomy (each additional root)	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D3427	Periradicular surgery without apicoectomy	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D3428	Bone graft in conjunction with periradicular surgery – per tooth, single site	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	20900/21210/21215	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D3429	Bone graft in conjunction with periradicular surgery – each additional contiguous tooth in the same	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	20900/21210/21215	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D3430	Retrograde filling – per root	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D3431	Biologic materials to aid in soft and osseous tissue regeneration in conjunction with periradicular	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D3432	Guided tissue regeneration, resorbable barrier, per site, in conjunction with periradicular surgery	FALSE	FALSE	TRUE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D3450	Root amputation – per root	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D3460	Endodontic endosseous implant	TRUE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D3470	Intentional reimplantation (including necessary splinting)	TRUE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D3910	Surgical procedure for isolation of tooth with rubber dam	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D3920	Hemisection (including any root removal), not including root canal therapy	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D3950	Canal preparation and fitting of preformed dowel or post	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D3999	Unspecified endodontic procedure, by report	FALSE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D4210	Gingivectomy or gingivoplasty – four or more contiguous teeth or tooth bounded spaces per quadrant	FALSE	FALSE	FALSE	TRUE	FALSE	FALSE	41820/41872/41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D4211	Gingivectomy or gingivoplasty – one to three contiguous teeth or tooth bounded spaces per quadrant	FALSE	FALSE	TRUE	FALSE	FALSE	FALSE	41820/41872/41899
D4212	Gingivectomy or gingivoplasty to allow access for restorative procedure, per tooth	TRUE	FALSE	FALSE	TRUE	FALSE	FALSE	41820/41872/41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D4230	Anatomical crown exposure – four or more contiguous teeth or tooth bounded spaces per quadrant	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41820/41821/41899
D4231	Anatomical crown exposure – one to three teeth or tooth bounded spaces per quadrant	FALSE	FALSE	TRUE	TRUE	FALSE	FALSE	41820/41821/41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D4240	Gingival flap procedure, including root planing – four or more contiguous teeth or tooth bounded spa	FALSE	FALSE	TRUE	P	FALSE	FALSE	41820/41870/41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D4241	Gingival flap procedure, including root planing – one to three contiguous teeth or tooth bounded spa	FALSE	FALSE	TRUE	P	FALSE	FALSE	41820/41870/41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D4245	Apically positioned flap	FALSE	FALSE	TRUE	TRUE	FALSE	FALSE	14040/41870/41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D4249	Clinical crown lengthening – hard tissue	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	41872/41874/41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D4260	Osseous surgery (including elevation of a full thickness flap and closure) – four or more contiguous	FALSE	FALSE	TRUE	P	FALSE	FALSE	41823/41830/41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D4261	Osseous surgery (including elevation of a full thickness flap and closure) – one to three contiguous	FALSE	FALSE	TRUE	P	FALSE	FALSE	21125/41823/41830/41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D4263	Bone replacement graft – retained natural tooth – first site in quadrant	FALSE	FALSE	TRUE	TRUE	FALSE	FALSE	20900/21125/21127/21210/21215/21255/41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D4264	Bone replacement graft – retained natural tooth – each additional site in quadrant	FALSE	FALSE	TRUE	TRUE	FALSE	FALSE	20900/21127/21210/21215/41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D4265	Biologic materials to aid in soft and osseous tissue regeneration	FALSE	FALSE	FALSE	TRUE	FALSE	FALSE	41899/99070	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D4266	Guided tissue regeneration – resorbable barrier, per site	FALSE	FALSE	TRUE	TRUE	FALSE	FALSE	15574/15576/15770/41827/41870/41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D4267	Guided tissue regeneration – nonresorbable barrier, per site (includes membrane removal)	FALSE	FALSE	TRUE	FALSE	FALSE	FALSE	15574/15576/15770/41827/41870/41899
D4268	Surgical revision procedure, per tooth	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	15574/15576/15770/41827/41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D4270	Pedicle soft tissue graft procedure	FALSE	FALSE	TRUE	TRUE	FALSE	FALSE	14020/14021/14040/14041/14060/14061/15574/15576/15770/41870	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D4273	Autogenous connective tissue graft procedure (including donor and recipient surgical sites) first to	FALSE	FALSE	TRUE	TRUE	TRUE	FALSE	41870	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D4274	Mesial/distal wedge procedure, single tooth (when not performed in conjunction with surgical procedu	FALSE	FALSE	TRUE	TRUE	TRUE	FALSE	41820/41870	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D4275	Non-autogenous connective tissue graft (including recipient site and donor material) first tooth, im	FALSE	FALSE	TRUE	TRUE	TRUE	FALSE	41870/41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D4276	Combined connective tissue and double pedicle graft, per tooth	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	15004/15574/15740/15770/40525/40527/41870/41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D4277	Free soft tissue graft procedure (including recipient and donor surgical sites) first tooth, implant	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	15240/15241/41870/41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D4278	Free soft tissue graft procedure (including recipient and donor surgical sites) each additional cont	FALSE	FALSE	TRUE	TRUE	TRUE	FALSE	15240/15241/41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D4283	Autogenous connective tissue graft procedure (including donor and recipient surgical sites) – each a	FALSE	FALSE	TRUE	TRUE	TRUE	FALSE	15240/15241/41870	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D4285	Non-autogenous connective tissue graft procedure (including recipient surgical site and donor materi	FALSE	FALSE	TRUE	TRUE	D	FALSE	15240/15241/41870	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D4320	Provisional splinting – intracoronal	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D4321	Provisional splinting – extracoronal	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D4341	Periodontal scaling and root planing – four or more teeth per quadrant	FALSE	FALSE	TRUE	TRUE	TRUE	FALSE	41805	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D4342	Periodontal scaling and root planing – one to three teeth per quadrant	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	41805	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D4346	Scaling in presence of generalized moderate or severe gingival inflammation – full mouth, after oral	FALSE	FALSE	TRUE	P	FALSE	FALSE	41805	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D4355	Full mouth debridement to enable a comprehensive oral evaluation and diagnosis on a subsequent visit	FALSE	FALSE	TRUE	TRUE	FALSE	FALSE	41805	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D4381	Localized delivery of antimicrobial agents via controlled release vehicle into diseased crevicular t	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D4910	Periodontal maintenance	FALSE	FALSE	TRUE	P	FALSE	FALSE	41899/99213	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D4920	Unscheduled dressing change (by someone other than treating dentist or their staff)	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D4921	Gingival irrigation – per quadrant	FALSE	FALSE	FALSE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D4999	Unspecified periodontal procedure, by report	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	41899/99002	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D5110	Complete denture – maxillary	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99070
D5120	Complete denture – mandibular	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99070
D5130	Immediate denture – maxillary	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99070
D5140	Immediate denture – mandibular	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99070
D5211	Maxillary partial denture – resin base (including, retentive/clasping materials, rests, and teeth)	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99070
D5212	Mandibular partial denture – resin base (including, retentive/clasping materials, rests, and teeth)	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99070
D5213	Maxillary partial denture – cast metal framework with resin denture bases (including any conventiona	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99070
D5214	Mandibular partial denture – cast metal framework with resin denture bases (including any convention	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99070
D5221	Immediate maxillary partial denture – resin base (including any conventional clasps, rests and teeth	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D5222	Immediate mandibular partial denture – resin base (including any conventional clasps, rests and teet	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D5223	Immediate maxillary partial denture – cast metal framework with resin denture bases (including any c	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D5224	Immediate mandibular partial denture – cast metal framework with resin denture bases (including any	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D5225	Maxillary partial denture – flexible base (including any clasps, rests and teeth)	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D5226	Mandibular partial denture – flexible base (including any clasps, rests and teeth)	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D5282	Removable unilateral partial denture – one piece cast metal (including clasps and teeth), maxillary	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D5283	Removable unilateral partial denture – one piece cast metal (including clasps and teeth), mandibular	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D5410	Adjust complete denture – maxillary	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99070
D5411	Adjust complete denture – mandibular	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99070
D5421	Adjust partial denture – maxillary	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99070
D5422	Adjust partial denture – mandibular	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99070
D5511	Repair broken complete denture base, mandibular	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D5512	Repair broken complete denture base, maxillary	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D5520	Replace missing or broken teeth – complete denture (each tooth)	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D5611	Repair resin partial denture base, mandibular	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D5612	Repair resin partial denture base, maxillary	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D5621	Repair cast partial framework, mandibular	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D5622	Repair cast partial framework, maxillary	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D5630	Repair or replace broken retentive clasping materials – per tooth	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D5640	Replace broken teeth – per tooth	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D5650	Add tooth to existing partial denture	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D5660	Add clasp to existing partial denture – per tooth	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D5670	Replace all teeth and acrylic on cast metal framework (maxillary)	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D5671	Replace all teeth and acrylic on cast metal framework (mandibular)	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D5710	Rebase complete maxillary denture	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D5711	Rebase complete mandibular denture	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D5720	Rebase maxillary partial denture	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D5721	Rebase mandibular partial denture	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D5730	Reline complete maxillary denture (chairside)	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D5731	Reline complete mandibular denture (chairside)	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D5740	Reline maxillary partial denture (chairside)	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D5741	Reline mandibular partial denture (chairside)	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D5750	Reline complete maxillary denture (laboratory)	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D5751	Reline complete mandibular denture (laboratory)	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D5760	Reline maxillary partial denture (laboratory)	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D5761	Reline mandibular partial denture (laboratory)	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D5810	Interim complete denture (maxillary)	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99070
D5811	Interim complete denture (mandibular)	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99070
D5820	Interim partial denture (maxillary)	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99070
D5821	Interim partial denture (mandibular)	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99070
D5850	Tissue conditioning, maxillary	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D5851	Tissue conditioning, mandibular	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D5862	Precision attachment, by report	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21089
D5863	Overdenture – complete maxillary	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21089
D5864	Overdenture – partial maxillary	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D5865	Overdenture – complete mandibular	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D5866	Overdenture – partial mandibular	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D5867	Replacement of replaceable part of semi-precision or precision attachment (male or female component)	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D5875	Modification of removable prosthesis following implant surgery	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21089
D5876	Add metal substructure to acrylic full denture (per arch)	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D5899	Unspecified removable prosthodontic procedure, by report	FALSE	FALSE	FALSE	TRUE	FALSE	FALSE	21089	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D5911	Facial moulage (sectional)	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21089
D5912	Facial moulage (complete)	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21089
D5913	Nasal prosthesis	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21077/21086/21087/21088/21089
D5914	Auricular prosthesis	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21077/21086/21087/21088/21089
D5915	Orbital prosthesis	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21077/21086/21087/21088/21089
D5916	Ocular prosthesis	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21077/21086/21087/21088/21089
D5919	Facial prosthesis	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21077/21086/21087/21088/21089
D5922	Nasal septal prosthesis	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21077/21086/21087/21088/21089
D5923	Ocular prosthesis, interim	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21077/21086/21087/21088/21089
D5924	Cranial prosthesis	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21077/21086/21087/21088/21089
D5925	Facial augmentation implant prosthesis	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21077/21086/21087/21088/21089/21208
D5926	Nasal prosthesis, replacement	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21077/21086/21087/21088/67550
D5927	Auricular prosthesis, replacement	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21077/21086/21087/21088
D5928	Orbital prosthesis, replacement	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21077/21086/21087/21088/67550
D5929	Facial prosthesis, replacement	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21077/21079/21086/21087/21088
D5931	Obturator prosthesis, surgical	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21076/21079/21080
D5932	Obturator prosthesis, definitive	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21076/21079/21080
D5933	Obturator prosthesis, modification	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21076/21079/21080
D5934	Mandibular resection prosthesis with guide flange	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21081/41899
D5935	Mandibular resection prosthesis without guide flange	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21081/41899
D5936	Obturator prosthesis, interim	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21076/21079/21080
D5937	Trismus appliance (not for TMD treatment)	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21089
D5951	Feeding aid	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21089/99070
D5952	Speech aid prosthesis, pediatric	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21084/99199
D5953	Speech aid prosthesis, adult	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21084/99199
D5954	Palatal augmentation prosthesis	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21082/21083/42280/42281
D5955	Palatal lift prosthesis, definitive	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21082/21083
D5958	Palatal lift prosthesis, interim	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21082/21083
D5959	Palatal lift prosthesis, modification	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21083
D5960	Speech aid prosthesis, modification	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21084
D5982	Surgical stent	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21085
D5983	Carriers	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21089
D5994	Carriers	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899/99002
D5984	Radiation shield	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21089
D5985	Radiation cone locator	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21089
D5986	Fluoride gel carrier	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21089
D5987	Commissure splint	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	42281
D5988	Surgical splint	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21085
D5991	Vesiculobullous disease medicament carrier	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21089
D5992	Adjust maxillofacial prosthetic appliance, by report	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21089
D5993	Maintenance and cleaning of a maxillofacial prosthesis (extra- or intra-oral) other than required ad	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21089
D5999	Unspecified maxillofacial prosthesis, by report	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	21083/21089/21100/21110/42281	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D6010	Surgical placement of implant body: endosteal implant	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	21248/21249	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D6011	Second stage implant surgery	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21245/21246/21248/21249/41899
D6012	Surgical placement of interim implant body for transitional prosthesis: endosteal implant	TRUE	FALSE	TRUE	N	TRUE	FALSE	21245/21246/21248/21249/41899
D6013	Surgical placement of mini implant	TRUE	FALSE	TRUE	FALSE	TRUE	FALSE	21245/21246/21248/21249/41899
D6040	Surgical placement: eposteal implant	1-32	FALSE	TRUE	N	TRUE	FALSE	21245/21246/21247/21248/21249/41899
D6050	Surgical placement: transosteal implant	TRUE	FALSE	TRUE	N	TRUE	FALSE	21244/21245/21246/21248/21249/41899
D6100	Implant removal, by report	1-32	FALSE	N	N	N	FALSE	20670/20680/21296/21299
D6101	Debridement of a peri-implant defect or defects surrounding a single implant, and surface cleaning o	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	–	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D6102	Debridement and osseous contouring of a peri-implant defect or defects surrounding a single implant	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	–	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D6103	Bone graft for repair of peri-implant defect – does not include flap entry and closure	FALSE	FALSE	TRUE	TRUE	FALSE	FALSE	21210/21215	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D6104	Bone graft at time of implant placement	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	20900/20902/21210/21215
D6051	Interim abutment	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D6052	Semi-precision attachment abutment	TRUE	FALSE	TRUE	FALSE	TRUE	FALSE	21089/21248/21249/21299/41899
D6055	Connecting bar – implant supported or abutment supported	TRUE	FALSE	TRUE	N	N	FALSE	41899
D6056	Prefabricated abutment – includes modification and placement	TRUE	FALSE	TRUE	N	N	FALSE	21248
D6057	Custom fabricated abutment – includes placement	TRUE	FALSE	TRUE	N	N	FALSE	21089/21248/21249
D6058	Abutment supported porcelain/ceramic crown	1-32	FALSE	TRUE	N	N	FALSE	21089/21248/21249
D6059	Abutment supported porcelain fused to metal crown (high noble metal)	1-32	FALSE	TRUE	N	N	FALSE	21089/21248/21249
D6060	Abutment supported porcelain fused to metal crown (predominantly base metal)	1-32	FALSE	TRUE	N	N	FALSE	21089/21248/21249
D6061	Abutment supported porcelain fused to metal crown (noble metal)	1-32	FALSE	TRUE	N	N	FALSE	21089/21248/21249
D6062	Abutment supported cast metal crown (high noble metal)	1-32	FALSE	TRUE	N	N	FALSE	21089/21248/21249
D6063	Abutment supported cast metal crown (predominantly base metal)	1-32	FALSE	TRUE	N	N	FALSE	21089/21248/21249
D6064	Abutment supported cast metal crown (noble metal)	1-32	FALSE	TRUE	N	N	FALSE	21089/21248/21249
D6094	Abutment supported crown – (titanium)	TRUE	FALSE	TRUE	N	N	FALSE	–
D6065	Implant supported porcelain/ceramic crown	1-32	FALSE	TRUE	N	N	FALSE	21089/21248/21249
D6066	Implant supported porcelain fused to metal crown (titanium, titanium alloy, high noble metal)	1-32	FALSE	TRUE	N	N	FALSE	21089/21248/21249
D6067	Implant supported metal crown (titanium, titanium alloy, high noble metal)	1-32	FALSE	TRUE	N	N	FALSE	21248/21249
D6068	Abutment supported retainer for porcelain/ceramic FPD	1-32	FALSE	TRUE	N	N	FALSE	21089/21248/21249
D6069	Abutment supported retainer for porcelain fused to metal FPD (high noble metal)	1-32	FALSE	TRUE	N	N	FALSE	21089/21248/21249
D6070	Abutment supported retainer for porcelain fused to metal FPD (predominantly base metal)	1-32	FALSE	TRUE	N	N	FALSE	21089/21248/21249
D6071	Abutment supported retainer for porcelain fused to metal FPD (noble metal)	1-32	FALSE	TRUE	N	N	FALSE	21089/21248/21249
D6072	Abutment supported retainer for cast metal FPD (high noble metal)	1-32	FALSE	TRUE	N	N	FALSE	21089/21248/21249
D6073	Abutment supported retainer for cast metal FPD (predominantly base metal)	1-32	FALSE	TRUE	N	N	FALSE	21089/21248/21249
D6074	Abutment supported retainer for cast metal FPD (noble metal)	1-32	FALSE	TRUE	N	N	FALSE	21089/21248/21249
D6194	Abutment supported retainer crown for FPD (titanium)	1-32	FALSE	TRUE	N	N	FALSE	–
D6075	Implant supported retainer for ceramic FPD	1-32	FALSE	TRUE	N	N	FALSE	21089/21248/21249
D6076	Implant supported retainer for porcelain fused to metal FPD (titanium, titanium alloy, or high noble	1-32	FALSE	TRUE	N	N	FALSE	21089/21248/21249
D6077	Implant supported retainer for cast metal FPD (titanium, titanium alloy, or high noble metal)	1-32	FALSE	TRUE	N	N	FALSE	21089/21248/21249
D6110	Implant /abutment supported removable denture for edentulous arch – maxillary	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D6111	Implant /abutment supported removable denture for edentulous arch – mandibular	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D6112	Implant /abutment supported removable denture for partially edentulous arch – maxillary	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D6113	Implant /abutment supported removable denture for partially edentulous arch – mandibular	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D6114	Implant /abutment supported fixed denture for edentulous arch – maxillary	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D6115	Implant /abutment supported fixed denture for edentulous arch – mandibular	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D6116	Implant /abutment supported fixed denture for partially edentulous arch – maxillary	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D6117	Implant /abutment supported fixed denture for partially edentulous arch – mandibular	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D6118	Implant/abutment supported interim fixed denture for edentulous arch – mandibular	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D6119	Implant/abutment supported interim fixed denture for edentulous arch – maxillary	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D6080	Implant maintenance procedures when prostheses are removed and reinserted, including cleansing of pr	TRUE	FALSE	TRUE	N	N	FALSE	21089/21296/21299
D6081	Scaling and debridement in the presence of inflammation or mucositis of a single implant, including	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D6085	Provisional implant crown	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D6090	Repair implant supported prosthesis, by report	1-32	FALSE	N	N	N	FALSE	21089/21296/21299/41899
D6091	Replacement of semi-precision or precision attachment (male or female component) of implant/abutment	TRUE	FALSE	N	N	N	FALSE	21089/21296/21299/41899
D6092	Re-cement or re-bond implant/abutment supported crown	TRUE	FALSE	FALSE	TRUE	FALSE	FALSE	21089/21296/21299/41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D6093	Re-cement or re-bond implant/abutment supported fixed partial denture	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21089/21296/21299/41899
D6095	Repair implant abutment, by report	TRUE	FALSE	TRUE	TRUE	N	FALSE	21089/21296/21299/41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D6096	Remove broken implant retaining screw	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	20670
D6190	Radiographic/surgical implant index, by report	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D6199	Unspecified implant procedure, by report	FALSE	FALSE	FALSE	TRUE	FALSE	FALSE	21296/21299/41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D6205	Pontic – indirect resin based composite	TRUE	FALSE	TRUE	N	TRUE	FALSE	41899
D6210	Pontic – cast high noble metal	TRUE	FALSE	TRUE	N	TRUE	FALSE	41899
D6211	Pontic – cast predominantly base metal	1-32	FALSE	TRUE	N	TRUE	FALSE	41899
D6212	Pontic – cast noble metal	1-32	FALSE	TRUE	N	TRUE	FALSE	41899
D6214	Pontic – titanium	1-32	FALSE	TRUE	N	TRUE	FALSE	41899
D6240	Pontic – porcelain fused to high noble metal	TRUE	FALSE	TRUE	N	TRUE	FALSE	41899
D6241	Pontic – porcelain fused to predominantly base metal	1-32	FALSE	TRUE	N	TRUE	FALSE	41899
D6242	Pontic – porcelain fused to noble metal	1-32	FALSE	TRUE	N	TRUE	FALSE	41899
D6245	Pontic – porcelain/ceramic	TRUE	FALSE	TRUE	FALSE	FALSE	FALSE	21089/41899
D6250	Pontic – resin with high noble metal	1-32	FALSE	TRUE	N	TRUE	FALSE	41899
D6251	Pontic – resin with predominantly base metal	1-32	FALSE	TRUE	N	TRUE	FALSE	41899
D6252	Pontic – resin with noble metal	TRUE	FALSE	TRUE	N	TRUE	FALSE	41899
D6253	Provisional pontic – further treatment or completion of diagnosis necessary prior to final impressio	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D6545	Retainer – cast metal for resin bonded fixed prosthesis	1-32	FALSE	TRUE	N	TRUE	FALSE	21089/41899/99070
D6548	Retainer – porcelain/ceramic for resin bonded fixed prosthesis	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21089/41899/99070
D6549	Resin retainer – for resin bonded fixed prosthesis	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D6600	Retainer inlay – porcelain/ceramic, two surfaces	TRUE	TRUE	TRUE	N	N	FALSE	41899
D6601	Retainer inlay – porcelain/ceramic, three or more surfaces	TRUE	TRUE	TRUE	N	N	FALSE	41899
D6602	Retainer inlay – cast high noble metal, two surfaces	1-5,12-16,17-21,28-32	Any 2 surfaces M,O,D,L,B	N	N	N	FALSE	41899
D6603	Retainer inlay – cast high noble metal, three or more surfaces	TRUE	TRUE	TRUE	N	N	FALSE	41899
D6604	Retainer inlay – cast predominantly base metal, two surfaces	TRUE	TRUE	TRUE	N	N	FALSE	41899
D6605	Retainer inlay – cast predominantly base metal, three or more surfaces	TRUE	TRUE	TRUE	N	N	FALSE	41899
D6606	Retainer inlay – cast noble metal, two surfaces	TRUE	TRUE	TRUE	N	N	FALSE	41899
D6607	Retainer inlay – cast noble metal, three or more surfaces	TRUE	TRUE	TRUE	N	N	FALSE	41899
D6608	Retainer onlay – porcelain/ceramic, two surfaces	TRUE	TRUE	TRUE	N	N	FALSE	41899
D6609	Retainer onlay – porcelain/ceramic, three or more surfaces	TRUE	TRUE	TRUE	N	N	FALSE	41899
D6610	Retainer onlay – cast high noble metal, two surfaces	TRUE	TRUE	TRUE	FALSE	N	FALSE	41899
D6611	Retainer onlay – cast high noble metal, three or more surfaces	TRUE	TRUE	TRUE	N	N	FALSE	41899
D6612	Retainer onlay – cast predominantly base metal, two surfaces	TRUE	TRUE	TRUE	N	N	FALSE	41899
D6613	Retainer onlay – cast predominantly base metal, three or more surfaces	TRUE	TRUE	TRUE	N	N	FALSE	41899
D6614	Retainer onlay – cast noble metal, two surfaces	1-5,12-16,17-21,28-32	Any 2 surfaces M,O,D,L,B	N	N	N	FALSE	41899
D6615	Retainer onlay – cast noble metal, three or more surfaces	TRUE	TRUE	TRUE	N	N	FALSE	41899
D6624	Retainer inlay – titanium	1-5,12-16,17-21,28-32	Any 2 surfaces M,O,D,L,B	TRUE	N	N	FALSE	–
D6634	Retainer onlay – titanium	TRUE	TRUE	TRUE	N	N	FALSE	–
D6710	Retainer crown – indirect resin based composite	TRUE	FALSE	TRUE	N	TRUE	FALSE	41899
D6720	Retainer crown – resin with high noble metal	TRUE	FALSE	TRUE	N	TRUE	FALSE	41899
D6721	Retainer crown – resin with predominantly base metal	TRUE	FALSE	TRUE	N	TRUE	FALSE	41899
D6722	Retainer crown – resin with noble metal	TRUE	FALSE	TRUE	N	TRUE	FALSE	41899
D6740	Retainer crown – porcelain/ceramic	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D6750	Retainer crown – porcelain fused to high noble metal	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D6751	Retainer crown – porcelain fused to predominantly base metal	TRUE	FALSE	TRUE	N	TRUE	FALSE	41899
D6752	Retainer crown – porcelain fused to noble metal	TRUE	FALSE	TRUE	FALSE	TRUE	FALSE	41899
D6780	Retainer crown – 3/4 cast high noble metal	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D6781	Retainer crown – 3/4 cast predominantly base metal	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D6782	Retainer crown – 3/4 cast noble metal	1-32, A-Z	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D6783	Retainer crown – 3/4 porcelain/ceramic	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D6790	Retainer crown – full cast high noble metal	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D6791	Retainer crown – full cast predominantly base metal	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D6792	Retainer crown – full cast noble metal	1-32, A-Z	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D6793	Provisional retainer crown – further treatment or completion of diagnosis necessary prior to final i	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D6794	Retainer crown – titanium	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	–	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D6920	Connector bar	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D6930	Re-cement or re-bond fixed partial denture	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D6940	Stress breaker	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21089/41899
D6950	Precision attachment	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21089/41899
D6980	Fixed partial denture repair necessitated by restorative material failure	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D6985	Pediatric partial denture, fixed	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D6999	Unspecified fixed prosthodontic procedure, by report	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	21089/99002/99070	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7111	Extraction, coronal remnants – primary tooth	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	41805/41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevat	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7220	Removal of impacted tooth – soft tissue	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7230	Removal of impacted tooth – partially bony	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7240	Removal of impacted tooth – completely bony	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7241	Removal of impacted tooth – completely bony, with unusual surgical complications	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7250	Removal of residual tooth roots (cutting procedure)	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7251	Coronectomy – intentional partial tooth removal	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7260	Oroantral fistula closure	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	30580/30600/31000/31299/42215	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7261	Primary closure of a sinus perforation	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	30580/30600/31299	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7270	Tooth reimplantation and/or stabilization of accidentally evulsed or displaced tooth	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21440/21445/21497/41899/70355/99212
D7272	Tooth transplantation (includes reimplantation from one site to another and splinting and/or stabili	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21497/21499/41870/41899
D7280	Exposure of an unerupted tooth	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7282	Mobilization of erupted or malpositioned tooth to aid eruption	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D7283	Placement of device to facilitate eruption of impacted tooth	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	–	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7285	Incisional biopsy of oral tissue-hard (bone, tooth)	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	20220/20225/20240/20245/40808/41899/42104/42106/42107/82397	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7286	Incisional biopsy of oral tissue-soft	FALSE	FALSE	TRUE	TRUE	TRUE	FALSE	20200/20205/20206/38500/38505/38510/38520/40490/40500/40510/40520/40525/40527/40808/40814/41100/41105/41108/42100/42400/42405/42800/64795	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7287	Exfoliative cytological sample collection	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	88199/99000/99001	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7288	Brush biopsy – transepithelial sample collection	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	40799/40899/41599/88112	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7290	Surgical repositioning of teeth	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7291	Transseptal fiberotomy/supra crestal fiberotomy, by report	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7292	Placement of temporary anchorage device [screw retained plate] requiring flap; includes device remov	FALSE	FALSE	TRUE	TRUE	TRUE	FALSE	–	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7293	Placement of temporary anchorage device requiring flap; includes device removal	FALSE	FALSE	TRUE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7294	Placement of temporary anchorage device without flap; includes device removal	FALSE	FALSE	TRUE	TRUE	TRUE	FALSE	–	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7295	Harvest of bone for use in autogenous grafting procedure	FALSE	FALSE	FALSE	TRUE	FALSE	FALSE	20900/20902/21210/21215
D7296	Corticotomy – one to three teeth or tooth spaces, per quadrant	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	14040/14041/15240/15241/21215/21299
D7297	Corticotomy – four or more teeth or tooth spaces, per quadrant	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	14040/14041/15240/15241/21215/21299
D7310	Alveoloplasty in conjunction with extractions – four or more teeth or tooth spaces, per quadrant	FALSE	FALSE	TRUE	TRUE	FALSE	FALSE	41870/41874
D7311	Alveoloplasty in conjunction with extractions – one to three teeth or tooth spaces, per quadrant	FALSE	FALSE	TRUE	TRUE	FALSE	FALSE	41870/41874
D7320	Alveoloplasty not in conjunction with extractions -four or more teeth or tooth spaces, per quadrant	FALSE	FALSE	FALSE	TRUE	FALSE	FALSE	41874
D7321	Alveoloplasty not in conjunction with extractions – one to three teeth or tooth spaces, per quadrant	FALSE	FALSE	FALSE	TRUE	FALSE	FALSE	41874
D7340	Vestibuloplasty – ridge extension (secondary epithelialization)	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	40840/40842/40843/40844
D7350	Vestibuloplasty – ridge extension (including soft tissue grafts, muscle reattachment, revision of so	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	40845
D7410	Excision of benign lesion up to 1.25 cm	FALSE	FALSE	TRUE	TRUE	TRUE	FALSE	11441/11442/21015/40500/40510/40520/40810/40812/40814/40816/40820/41110/41112/41113/41114/41116/41825/41826/42100/42104/42106/42107	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7411	Excision of benign lesion greater than 1.25 cm	FALSE	FALSE	TRUE	TRUE	TRUE	FALSE	21030/21040/40500/40510/40520/40810/40812/40814/40816/40820/41110/41112/41113/41114/41116/41825/41826/42100/42104/42106/42107	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7412	Excision of benign lesion, complicated	FALSE	FALSE	TRUE	TRUE	TRUE	FALSE	11440/11442/21030/21040/40500/40510/40520/40810/40812/40814/40816/41110/41112/41113/41114/41116/41825/41826/41827/42104/42106	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7413	Excision of malignant lesion up to 1.25 cm	FALSE	FALSE	TRUE	TRUE	TRUE	FALSE	11640/11641/11642/21015/21034/21044/40500/40510/40520/40810/40812/40814/40816/41110/41112/41113/41114/41116/41825/41826/41827/42104/42106/42107	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7414	Excision of malignant lesion greater than 1.25 cm	FALSE	FALSE	TRUE	TRUE	TRUE	FALSE	11641/11642/21015/21034/21044/40510/40520/40810/40812/40814/40816/41110/41112/41113/41114/41116/41825/41826/41827/42104/42106/42107	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7415	Excision of malignant lesion, complicated	FALSE	FALSE	TRUE	TRUE	TRUE	FALSE	11641/11642/11643/11644/11646/21034/21044/21045/40500/40510/40520/40525/40527/40530/40810/40812/40814/40816/41110/41112/41113/41114/41116/41120/41140/41120 41825/41826/41827/42104/42106/42107/42120/42808	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7465	Destruction of lesion(s) by physical or chemical method, by report	FALSE	FALSE	TRUE	TRUE	TRUE	FALSE	17000/17003/17004/17280/17281/17282/17283/17284/17286/20615/40820/41850/42160/42808/64600/64605/64610/64612/64732/64734/64736/64738/64740/64742	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7440	Excision of malignant tumor – lesion diameter up to 1.25 cm	FALSE	FALSE	TRUE	TRUE	TRUE	FALSE	11640/11641/11642/21015/21034/21044/21045/40510/40520/40525/40527/40530/40810/40812/40814/40816/41110/41112/41113/41114/41116/41825/41826/41827/42104/42106/42107	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7441	Excision of malignant tumor – lesion diameter greater than 1.25 cm	FALSE	FALSE	TRUE	TRUE	TRUE	FALSE	11642/11643/11644/11646/21015/21034/21044/21045/41825/41826/41827/42106/42107/42120/42808	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7450	Removal of benign odontogenic cyst or tumor – lesion diameter up to 1.25 cm	FALSE	FALSE	TRUE	TRUE	TRUE	FALSE	11441/20680/21030/21040/21046/21047/41825/41826/ 41827	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7451	Removal of benign odontogenic cyst or tumor – lesion diameter greater than 1.25 cm	FALSE	FALSE	TRUE	TRUE	FALSE	FALSE	11442/11443/11444/11446/21030/21040/41825/41826/41827	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7460	Removal of benign nonodontogenic cyst or tumor – lesion diameter up to 1.25 cm	FALSE	FALSE	TRUE	TRUE	TRUE	FALSE	11441/11442/21030/21040/41825/41826/41827/42408/42409/42450	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7461	Removal of benign nonodontogenic cyst or tumor – lesion diameter greater than 1.25 cm	FALSE	FALSE	TRUE	TRUE	TRUE	FALSE	11442/11443/11444/11446/21029/21030/21040/41825/41826/41827/42408/42409/42450	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7471	Removal of lateral exostosis (maxilla or mandible)	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	21031/21032/41822/41823	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7472	Removal of torus palatinus	FALSE	FALSE	TRUE	TRUE	TRUE	FALSE	21031/21032	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7473	Removal of torus mandibularis	FALSE	FALSE	TRUE	TRUE	TRUE	FALSE	21029/21030/21031/21032/	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7485	Reduction of osseous tuberosity	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	41823	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7490	Radical resection of maxilla or mandible	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	21034/21045/21245	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7510	Incision and drainage of abscess – intraoral soft tissue	FALSE	FALSE	TRUE	TRUE	TRUE	FALSE	10060/10160/10180/40800/40801/41000/41005/41006/41007/41008/41009/41015/41017/41800/42000/42300/42300/42305/42310/42320/42700/42720/42725	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7511	Incision and drainage of abscess – intraoral soft tissue – complicated (includes drainage of multipl	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	10060/10160/10180/40800/40801/41000/41005/41006/41007/41008/41009	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7520	Incision and drainage of abscess – extraoral soft tissue	FALSE	FALSE	TRUE	TRUE	TRUE	FALSE	10060/10061/10160/10180/38300/38305/40801/41015/41016/41017/41018/41800/42300/42305/42320/42725	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7521	Incision and drainage of abscess – extraoral soft tissue – complicated (includes drainage of multipl	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	10060/10061/10160/38300/38305/40801/41015/41016/41017/41018/41800/42300/42305/42320/42725	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7530	Removal of foreign body from mucosa, skin, or subcutaneous alveolar tissue	FALSE	FALSE	TRUE	TRUE	TRUE	FALSE	10120/10121/20670/40804/40805/41805/41806/41828/42809	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7540	Removal of reaction producing foreign bodies, musculoskeletal system	FALSE	FALSE	TRUE	TRUE	TRUE	FALSE	10060/10120/10121/20520/20525/20670/20680/40804/40805/41800/41806	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7550	Partial ostectomy/sequestrectomy for removal of non-vital bone	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	21025/21026/41830	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7560	Maxillary sinusotomy for removal of tooth fragment or foreign body	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	31020/31030/31032	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7610	Maxilla – open reduction (teeth immobilized, if present)	FALSE	FALSE	TRUE	TRUE	TRUE	FALSE	21346/21347/21348/21421/21422/21423/21432/21433/21435/21436/21445/21450/21451/21452/21453/21454/21461/21462	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7620	Maxilla – closed reduction (teeth immobilized, if present)	FALSE	FALSE	TRUE	TRUE	TRUE	FALSE	20693/21345/21421/21431/21440/21445/21452/21453/21454/21461	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7630	Mandible – open reduction (teeth immobilized, if present)	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	21421/21422/21423/21432/21450/21451/21452/21453/21454/21461/21462/21465/21470	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7640	Mandible – closed reduction (teeth immobilized, if present)	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	21421/21422/21423/21440/21450/21451/21452/21453/21454/21461	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7650	Malar and/or zygomatic arch – open reduction	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	21355/21356/21360/21365/21366/40844	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7660	Malar and/or zygomatic arch – closed reduction	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	21355/21356/21360/23155	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7670	Alveolus closed reduction may include stabilization of teeth	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	21421/21440/21445	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7671	Alveolus, open reduction may include stabilization of teeth	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	21422/21440/21445	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7680	Facial bones – complicated reduction with fixation and multiple surgical approaches	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	21310/21315/21320/21325/21330/21335/21336/21337/21338/21339/21340/21343/21344/21345/21346/21347/21348/21365/21366/21400/21401/21406/21407/21408/21432/21433/21435/21436/21470/21480/21485/21490/21497	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7710	Maxilla – open reduction	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	21346/21347/21348/21421/21422/21423/21432/21433/21435/21436/21445/21461/21465	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7720	Maxilla – closed reduction	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	21345/21421/21422/21423/21431/21440/21450	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7730	Mandible – open reduction	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	21422/21445/21450/21451/21452/21453/21454/21461/21462/21465/21470	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7740	Mandible – closed reduction	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	21421/21440/21450/21451/21452/21453/21454/21461/21462/21465/21470	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7750	Malar and/or zygomatic arch – open reduction	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	21347/21348/21355/21356/21360/21365/21366/21423	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7760	Malar and/or zygomatic arch – closed reduction	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	21355/21360/21365/21366	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7770	Alveolus – open reduction stabilization of teeth	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	21422/21440/21445/21453	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7771	Alveolus, closed reduction stabilization of teeth	TRUE	FALSE	TRUE	TRUE	TRUE	FALSE	21421/21440/21445	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7780	Facial bones – complicated reduction with fixation and multiple approaches	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	20650/21310/21315/21320/21325/21330/21335/21336/21337/21338/21339/21340/21343/21344/21345/21346/21347/21348/21355/21356/21360/21365/21366/21385/21386/21387/21395/21400/21401/21406/21407/21408/21421/21422/21423/21431/21432/21433/21435/21436/21440/21445/21450/21451/21452/21453/21454/21461/21462/21465/21470/21480/21485/21490/21497	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7810	Open reduction of dislocation	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21480/21485/21490/21497
D7820	Closed reduction of dislocation	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21480/21485/21490/21497
D7830	Manipulation under anesthesia	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21073/21480/21485
D7840	Condylectomy	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21050
D7850	Surgical discectomy, with/without implant	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21060
D7852	Disc repair	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21060/21240/21296/21299/29804
D7854	Synovectomy	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21240/21296/21299
D7856	Myotomy	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21296/21299
D7858	Joint reconstruction	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21240/21242/21243/21247/21296/21299
D7860	Arthrotomy	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21010
D7865	Arthroplasty	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21240/21242/21243
D7870	Arthrocentesis	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	20605/21060
D7871	Non-arthroscopic lysis and lavage	FALSE	FALSE	FALSE	FALSE	TRUE	FALSE	20605/41899
D7872	Arthroscopy – diagnosis, with or without biopsy	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	29800/29804
D7873	Arthroscopy: lavage and lysis of adhesions	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	29800/29804/29999
D7874	Arthroscopy: disc repositioning and stabilization	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	29800/29804/29999
D7875	Arthroscopy: synovectomy	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	29800/29804/29999
D7876	Arthroscopy: discectomy	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	29800/29804/29999
D7877	Arthroscopy: debridement	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	29800/29804/29999
D7880	Occlusal orthotic device, by report	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21085/21089/21110/21499/41899/99070
D7881	Occlusal orthotic device adjustment	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	–	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7899	Unspecified TMD therapy, by report	FALSE	FALSE	FALSE	TRUE	FALSE	FALSE	21499/29804/64612/90901/95831/95851/95999/97010/97012/97014/97024/97032/97035/97039/97110/97112/97124/97139/97530/97799	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7910	Suture of recent small wounds up to 5 cm	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	12011/12013/12020/12021/40830/40831/41250/41251/41252/42180/42182/42900/70320/99211	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7911	Complicated suture – up to 5 cm	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	12020/12051/12052/12053/12054/13131/13132/13151/13152/13160/14040/40650/40652/40654/40831/41252/42182/42900	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7912	Complicated suture – greater than 5 cm	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	12020/12021/12051/12052/12053/12054/12055/12056/12057/13121/13132/13133/13152/13153/13160/14040/14041/14060/14061/40654/40831/41252/42182/42900	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7920	skin graft (identify defect covered, location and type of graft)	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	13131/13132/15002/15004/15005/15100/15101/15120/15121/15220/15221/15240/15241/15260/15261/40818	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7921	Collection and application of autologous blood concentrate product	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D7940	Osteoplasty – for orthognathic deformities	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	21120/21121/21122/21123/21125/21127/21137/21138/21139/21179/21180/21181/21182/21183/21184/21188/21206/21208/21209/21210/21296/21299	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7941	Osteotomy – mandibular rami	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	21188/21193/21194/21195/21196	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7943	Osteotomy – mandibular rami with bone graft; includes obtaining the graft	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	21193/21194/21195/21196	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7944	Osteotomy – segmented or subapical	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	21198/21199/21206	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7945	Osteotomy – body of mandible	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	21193/21194/21195/21196/21198/21199/21206	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7946	LeFort I (maxilla – total)	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	21141/21142/21143/21145/21146/21147	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7947	LeFort I (maxilla – segmented)	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	21141/21142/21143/21145/21146/21147/21206/21260/21296/21299	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7948	LeFort II or LeFort III (osteoplasty of facial bones for midface hypoplasia or retrusion) – without	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	21150/21151/21154/21155/21159/21160/	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7949	LeFort II or LeFort III – with bone graft	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	21160/21151/21154/21155/21159/21160/21172/21175/21179/21179/21180/21181/21182/21183/21184/21188	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7950	Osseous, osteoperiosteal, or cartilage graft of the mandible or maxilla – autogenous or nonautogenou	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	20900/20902/20910/20926/20955/20956/20957/21125/21127/21210/21215/21230/21247/21296/21299/31030	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7951	Sinus augmentation with bone or bone substitutes via a lateral open approach	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	21210/21296/21299	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7952	Sinus augmentation via a vertical approach	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	21210/21215	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7953	Bone replacement graft for ridge preservation – per site	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	20900/21210/21215/21296/21299	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7955	Repair of maxillofacial soft and/or hard tissue defect	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	20500/21188/21208/21255/21261/21263/21267/21268/21270/21296/21299/40650/40652/40654/40700/40701/40702/40720/40761/42145/42200/42205/42210/42215/42225/42226/42227/42235/42260	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7960	Frenulectomy – also known as frenectomy or frenotomy – separate procedure not incidental to another	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	40806/40819/41010/41115/41520	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7963	Frenuloplasty	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	40806/40819/41010/41115/41520	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7970	Excision of hyperplastic tissue – per arch	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	11440/11441/11442/11443/11446/41828	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7971	Excision of pericoronal gingiva	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	11440/11441/11442/11443/11444/41820/41821/41872	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7972	Surgical reduction of fibrous tuberosity	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	21029/21030/21031/41822/41828	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7979	Non – surgical sialolithotomy	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	42699
D7980	Surgical sialolithotomy	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	42330/42335/42340/42650	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7981	Excision of salivary gland, by report	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	42405/42408/42410/42415/42420/42425/42426/42440/42450/42507/42509/42510	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7982	Sialodochoplasty	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	42500/42505/42600	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7983	Closure of salivary fistula	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	42600/42650/42660	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7990	Emergency tracheotomy	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	31603/31605	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7991	Coronoidectomy	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	21070	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7995	Synthetic graft – mandible or facial bones, by report	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	21120/21121/21122/21123/21125/21127/21208/21210/21215/21296/ 21299	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7996	Implant-mandible for augmentation purposes (excluding alveolar ridge), by report	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	21120/21123/21125/21127/21193/21194/21208/21215/21248/21249/21270/21296/21299	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7997	Appliance removal (not by dentist who placed appliance), includes removal of archbar	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	20665/20670/20680/20694/21046/21047/21048/21049/41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7998	Intraoral placement of a fixation device not in conjunction with a fracture	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	21110/21497	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D7999	Unspecified oral surgery procedure, by report	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	10140/10160/10180/11042/11043/11044/11950/11951/11952/11954/12014/12015/12016/12017/12018/14040/14041/14060/14061/20615/20926/20999/21110/21137/21138/21139/21139/21155/21160/21172/21175/21179/21180/21181/21182/21183/21184/21296/21299/41510/42650/42660/42665/42960/42961/42962/42970/42972/61576/64716/64859/64864/64865/64885	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D8010	Limited orthodontic treatment of the primary dentition	FALSE	FALSE	FALSE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D8020	Limited orthodontic treatment of the transitional dentition	FALSE	FALSE	FALSE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D8030	Limited orthodontic treatment of the adolescent dentition	FALSE	FALSE	FALSE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D8040	Limited orthodontic treatment of the adult dentition	FALSE	FALSE	FALSE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D8050	Interceptive orthodontic treatment of the primary dentition	FALSE	FALSE	FALSE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D8060	Interceptive orthodontic treatment of the transitional dentition	FALSE	FALSE	FALSE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D8070	Comprehensive orthodontic treatment of the transitional dentition	FALSE	FALSE	FALSE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D8080	Comprehensive orthodontic treatment of the adolescent dentition	FALSE	FALSE	FALSE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D8090	Comprehensive orthodontic treatment of the adult dentition	FALSE	FALSE	FALSE	TRUE	FALSE	FALSE	41899
D8210	Removable appliance therapy	FALSE	FALSE	FALSE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D8220	Fixed appliance therapy	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D8660	Pre-orthodontic treatment examination to monitor growth and development	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D8670	Periodic orthodontic treatment visit	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D8680	Orthodontic retention (removal of appliances, construction and placement of retainer(s))	FALSE	FALSE	FALSE	TRUE	FALSE	FALSE	41899
D8681	Removable orthodontic retainer adjustment	FALSE	FALSE	FALSE	TRUE	FALSE	FALSE	–	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D8690	Orthodontic treatment (alternative billing to a contract fee)	FALSE	FALSE	FALSE	TRUE	FALSE	FALSE	–	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D8691	Repair of orthodontic appliance	FALSE	FALSE	FALSE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D8692	Replacement of lost or broken retainer	FALSE	FALSE	FALSE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D8693	Re-cement or re-bond fixed retainer	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D8694	Repair of fixed retainers, includes reattachment	FALSE	FALSE	FALSE	TRUE	FALSE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D8695	Removal of fixed orthodontic appliances for reasons other than completion of treatment	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D8999	Unspecified orthodontic procedure, by report	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D9110	Palliative (emergency) treatment of dental pain – minor procedure	FALSE	FALSE	FALSE	TRUE	FALSE	FALSE	99201/99211/99212/99281	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D9120	Fixed partial denture sectioning	TRUE	FALSE	TRUE	TRUE	FALSE	FALSE	–	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D9130	Temporomandibular joint dysfunction – non-invasive physical therapies	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	97010/97014/97026/97028/98943
D9210	Local anesthesia not in conjunction with operative or surgical procedures	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	64400/64402
D9211	Regional block anesthesia	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	64400/64402/64505
D9212	Trigeminal division block anesthesia	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	64400
D9215	Local anesthesia in conjunction with operative or surgical procedures	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	20550
D9219	Evaluation for moderate sedation, deep sedation or general anesthesia	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D9222	Deep sedation/general anesthesia – first 15 minutes	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	00170/00190
D9223	Deep sedation/general anesthesia – each subsequent 15 minute increment	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	00170	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D9230	Inhalation of nitrous oxide / anxiolysis, analgesia	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	01991
D9239	Intravenous moderate (conscious) sedation/analgesia- first 15 minutes	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	00190/99151/99152/99153/99155/99156/99157
D9243	Intravenous moderate (conscious) sedation/analgesia – each subsequent 15 minute increment	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	00190/99151/99152/99153/99155/99156/99157
D9248	Non-intravenous conscious sedation	FALSE	FALSE	FALSE	TRUE	FALSE	FALSE	99140/00190/99151/99152/99153/99155/99156/99157	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D9310	Consultation – diagnostic service provided by dentist or physician other than requesting dentist or	FALSE	FALSE	FALSE	TRUE	FALSE	FALSE	76140/99241/99242/99243/99244/99245/99251/99252/99253/99254/99255	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D9311	Consultation with a medical health care professional	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99367
D9410	House/extended care facility call	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99324/99325/99326/99327/99328/99334/99335/99336/99337/99341/99342/99343/99344/99345/99347/99348/99349/99350/99377/99378
D9420	Hospital or ambulatory surgical center call	FALSE	FALSE	FALSE	TRUE	FALSE	FALSE	99201/99202/99203/99204/99205/99211/99212/99213/99214/99215/99218/99219/99220/99221/99222/99231/99232/99233/99238/99239/99251/99252/99253	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D9430	Office visit for observation (during regularly scheduled hours) – no other services performed	FALSE	FALSE	FALSE	TRUE	FALSE	FALSE	99201/99202/99203/99204/99205/99211/99212/99213/99214/99215	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D9440	Office visit – after regularly scheduled hours	FALSE	FALSE	FALSE	TRUE	FALSE	FALSE	99201/99202/99203/99204/99205/99211/99212/99213/99214/99215	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D9450	Case presentation, detailed and extensive treatment planning	FALSE	FALSE	FALSE	TRUE	FALSE	FALSE	99214/99215	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D9610	Therapeutic parenteral drug, single administration	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	20550/96372/96375	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D9612	Therapeutic parenteral drugs, two or more administrations, different medications	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	20550/96372/96375	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D9613	Infiltration of sustained release therapeutic drug – single or multiple sites	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D9630	Drugs or medicaments dispensed in the office for home use	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	99070	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D9910	Application of desensitizing medicament	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99070
D9911	Application of desensitizing resin for cervical and/or root surface, per tooth	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D9920	behavior management, by report	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D9930	Treatment of complications (post-surgical) – unusual circumstances, by report	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	41899	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D9932	Cleaning and inspection of removable complete denture, maxillary	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D9933	Cleaning and inspection of removable complete denture, mandibular	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D9934	Cleaning and inspection of removable partial denture, maxillary	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D9935	Cleaning and inspection of removable partial denture, mandibular	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D9941	Fabrication of athletic mouthguard	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	21089
D9942	Repair and/or reline of occlusal guard	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D9943	Occlusal guard adjustment	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D9944	Occlusal guard – hard appliance, full arch	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D9945	Occlusal guard – soft appliance, full arch	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D9946	Occlusal guard – hard appliance, partial arch	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D9950	Occlusion analysis – mounted case	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D9951	Occlusal adjustment – limited	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D9952	Occlusal adjustment – complete	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D9970	Enamel microabrasion	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D9971	Odontoplasty 1 – 2 teeth; includes removal of enamel projections	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D9972	External bleaching – per arch – performed in office	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D9973	External bleaching – per tooth	TRUE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D9974	Internal bleaching – per tooth	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D9975	External bleaching for home application, per arch; includes materials and fabrication of custom tray	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	41899
D9961	Duplicate/copy patient's records	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D9985	Sales tax	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D9986	Missed appointment	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D9987	Cancelled appointment	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D9990	Certified translation or sign-language services – per visit	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D9999	Unspecified adjunctive procedure, by report	FALSE	FALSE	FALSE	TRUE	TRUE	FALSE	NA	https://writer.zoho.com/writer/open/go4ri0d7765a6eb7e488980ee212c7688a471
D9991	Dental case management – addressing appointment compliance barriers	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D9992	Dental case management – care coordination	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D9993	Dental case management – motivational interviewing	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D9994	Dental case management – patient education to improve oral health literacy	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	–
D9995	Teledentistry – synchronous; real-time encounter	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99444
D9996	Teledentistry – asynchronous; information stored and forwarded to dentist for subsequent review	FALSE	FALSE	FALSE	FALSE	FALSE	FALSE	99444