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D0100-D0999 DIAGNOSTIC
D1000-D1999 PREVENTIVE
D2000-D2999 RESTORATIVE
D3000-D3999 ENDODONTICS
D4000-D4999 PERIODONTICS
D5000-D5899 PROSTHODONTICS (REMOVABLE)
D5900-D5999 MAXILLOFACIAL PROSTHETICS
D6000-D6199 IMPLANT SERVICES
D6200-D6999 PROSTHODONTICS, FIXED
D7000-D7999 ORAL AND MAXILLOFACIAL SURGERY
D8000-D8999 ORTHODONTICS
D9000-D9999 ADJUNCTIVE GENERAL SERVICES

D0100-D0999 DIAGNOSTIC

CLINICAL ORAL EVALUATIONS
D0120 Periodic oral evaluation
D0140 Limited oral evaluation-problem focused
D0150 Comprehensive oral evaluation-new or established patient
D0160 Detailed and extensive oral evaluation-problem focused, by report
D0170 Re-evaluation-limited, problem focused (established patient; not post-operative visit)
D0180 Comprehensive periodontal evaluation-new or established patient

RADIOGRAPHS/DIAGNOSTIC IMAGING
D0210 Intraoral-complete series (including bitewings)
D0220 Intraoral-periapical-first film
D0230 Intraoral-periapical-each additional film
D0240 Intraoral-occlusal film
D0250 Extraoral-first film
D0260 Extraoral-each additional film
D0270 Bitewing-single film
D0272 Bitewings-two films
D0274 Bitewings-four films
D0277 Vertical bitewings-7 to 8 films
D0290 Posterior-anterior or lateral skull and facial bone survey film
D0310 Sialography
D0320 Temporomandibular joint arthrogram including injection
D0321 Other temporomandibular joint films, by report
D0322 Tomographic survey
D0330 Panoramic film
D0340 Cephalometric film
D0350 Oral/facial photographic images

TESTS AND EXAMINATIONS
D0415 Collection of microorganisms for culture and sensitivity
D0416 Viral culture
D0421 Genetic test for susceptibility to oral disease
D0425 Caries susceptibility tests
D0431 Adjunctive pre-diagnostic test that aids in detection of mucosal abnormalities including
premalignant and malignant lesions, not to include cytology or biopsy procedures
D0460 Pulp vitality tests
D0470 Diagnostic casts

ORAL PATHOLOGY LABORATORY (USE CODES D0472-D0474)
D0472 Accession of tissue, gross examination, preparation and transmission of written report
D0473 Accession of tissue, gross and microscopic examination, preparation and transmission of written report D0474 Accession of tissue, gross and microscopic examination, including assessment of surgical margins for presence of disease, preparation and transmission of written report
D0475 Decalcification procedure
D0476 Special stains for microorganisms
D0477 Special stains, not for microorganisms
D0478 Immunohistochemical stains
D0479 Tissue in-situ hybridization, including interpretation
D0480 Processing and interpretation of exfoliative cytologic smears, including the preparation and transmission of written report
D0481 Electron microscopy – diagnostic
D0482 Direct immunofluorescence
D0483 Indirect immunofluorescence
D0484 Consultation on slides prepared elsewhere
D0485 Consultation, including preparation of slides from biopsy material supplied by referring
source
D0502 Other oral pathology procedures, by report
D0999 Unspecified diagnostic procedure, by report


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D1000-D1999 PREVENTIVE  

DENTAL PROPHYLAXIS
D1110 Prophylaxis-adult
D1120 Prophylaxis-child

TOPICAL FLUORIDE TREATMENT (OFFICE PROCEDURE)
D1201 Topical application of fluoride (including prophylaxis)-child
D1203 Topical application of fluoride (prophylaxis not included)-child
D1204 Topical application of fluoride (prophylaxis not included)-adult
D1205 Topical application of fluoride (including prophylaxis)-adult

OTHER PREVENTIVE SERVICES
D1310 Nutritional counseling for control of dental disease
D1320 Tobacco counseling for the control and prevention of oral disease
D1330 Oral hygiene instructions
D1351 Sealant-per tooth

SPACE MAINTENANCE (PASSIVE APPLIANCES)
D1510 Space maintainer-fixed-unilateral
D1515 Space maintainer-fixed-bilateral
D1520 Space maintainer-removable-unilateral
D1525 Space maintainer-removable-bilateral
D1550 Re-cementation of space maintainer

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D2000-D2999 RESTORATIVE

AMALGAM RESTORATIONS (INCLUDING POLISHING)
D2140 Amalgam-one surface, primary or permanent
D2150 Amalgam-two surfaces, primary or permanent
D2160 Amalgam-three surfaces, primary or permanent
D2161 Amalgam-four or more surfaces, primary or permanent

RESIN-BASED COMPOSITE RESTORATIONS DIRECT
D2330 Resin-based composite-one surface, anterior
D2331 Resin-based composite-two surfaces, anterior
D2332 Resin-based composite-three surfaces, anterior
D2335 Resin-based composite-four or more surfaces or involving incisal angle (anterior)
D2390 Resin-based composite crown-anterior
D2391 Resin-based composite-one surface, posterior
D2392 Resin-based composite-two surfaces, posterior
D2393 Resin-based composite-three surfaces, posterior
D2394 Resin-based composite-four or more surfaces, posterior

GOLD FOIL RESTORATIONS
D2410 Gold foil-one surface
D2420 Gold foil-two surfaces
D2430 Gold foil-three surfaces

INLAY/ONLAY RESTORATIONS
D2510 Inlay-metallic-one surface
D2520 Inlay-metallic-two surfaces
D2530 Inlay-metallic-three or more surfaces
D2542 Onlay-metallic-two surfaces
D2543 Onlay-metallic-three surfaces
D2544 Onlay-metallic-four or more surfaces
D2610 Inlay-porcelain/ceramic-one surface
D2620 Inlay-porcelain/ceramic-two surfaces
D2630 Inlay-porcelain/ceramic-three or more surfaces
D2642 Onlay-porcelain/ceramic-two surfaces
D2643 Onlay-porcelain/ceramic-three surfaces
D2644 Onlay-porcelain/ceramic-four or more surfaces
D2650 Inlay-resin-based composite-one surface
D2651 Inlay-resin-based composite-two surfaces
D2652 Inlay-resin-based composite-three or more surfaces
D2662 Onlay-resin-based composite-two surfaces
D2663 Onlay-resin-based composite-three surfaces
D2664 Onlay-resin-based composite-four or more surfacess

CROWNS SINGLE RESTORATIONS ONLY
D2710 Crown-resin-based composite (indirect)
D2712 Crown-3/4 resin-based composite (indirect)
D2720 Crown-resin with high noble metal
D2721 Crown-resin with predominantly base metal
D2722 Crown-resin with noble metal
D2740 Crown-porcelain/ceramic substrate
D2750 Crown-porcelain fused to high noble metal
D2751 Crown-porcelain fused to predominantly base metal
D2752 Crown-porcelain fused to noble metal
D2780 Crown-3/4 cast high noble metal
D2781 Crown-3/4 cast predominantly base metal
D2782 Crown-3/4 cast noble metal
D2783 Crown-3/4 porcelain/ceramic
D2790 Crown-full cast high noble metal
D2791 Crown-full cast predominantly base metal
D2792 Crown-full cast noble metal
D2794 Crown-titanium
D2799 Provisional crown

OTHER RESTORATIVE SERVICES
D2910 Recement inlay, onlay or partial coverage restoration
D2915 Recement cast or prefabricated post and core
D2920 Recement crown
D2930 Prefabricated stainless steel crown-primary tooth
D2931 Prefabricated stainless steel crown-permanent tooth
D2932 Prefabricated resin crown
D2933 Prefabricated stainless steel crown with resin window
D2934 Prefabricated esthetic coated stainless steel crown-primary tooth
D2940 Sedative filling
D2950 Core buildup, including any pins
D2951 Pin retention-per tooth, in addition to restoration
D2952 Cast post and core in addition to crown
D2953 Each additional cast post - same tooth
D2954 Prefabricated post and core in addition to crown
D2955 Post removal (not in conjunction with endodontic therapy)
D2957 Each additional prefabricated post - same tooth
D2960 Labial veneer (resin laminate)-chairside
D2961 Labial veneer (resin laminate)-laboratory
D2962 Labial veneer (porcelain laminate)-laboratory
D2971 Additional procedures to construct new crown under existing partial denture framework
D2975 Coping
D2980 Crown repair, by report
D2999 Unspecified restorative procedure, by report

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D3000-D3999 ENDODONTICS  

PULP CAPPING
D3110 Pulp cap-direct (excluding final restoration)
D3120 Pulp cap-indirect (excluding final restoration)

PULPOTOMY
D3220 Therapeutic pulpotomy (excluding final restoration)-removal of pulp coronal to the
dentinocemental junction and application of medicament
D3221 Pulpal debridement, primary and permanent teeth

ENDODONTIC THERAPY ON PRIMARY TEETH
D3230 Pulpal therapy (resorbable filling)-anterior, primary tooth (excluding final restoration)
D3240 Pulpal therapy (resorbable filling)-posterior, primary tooth (excluding final restoration)

ENDODONTIC THERAPY (INCLUDING TREATMENT PLAN, CLINICAL PROCEDURES AND
FOLLOW-UP CARE)
D3310 Anterior (excluding final restoration)
D3320 Bicuspid (excluding final restoration)
D3330 Molar (excluding final restoration)
D3331 Treatment of root canal obstruction; non-surgical access
D3332 Incomplete endodontic therapy; inoperable, unrestorable or fractured tooth
D3333 Internal root repair of perforation defects

ENDODONTIC RETREATMENT
D3346 Retreatment of previous root canal therapy-anterior
D3347 Retreatment of previous root canal therapy-bicuspid
D3348 Retreatment of previous root canal therapy-molar

APEXIFICATION/RECALCIFICATION PROCEDURES
D3351 Apexification/recalcification-initial visit (apical closure/calcific repair of perforations, root
resorption, etc.)
D3352 Apexification/recalcification-interim medication replacement (apical closure/calcific repair
of perforations, root resorption, etc.)
D3353 Apexification/recalcification-final visit (includes completed root canal therapy-apical
closure/calcific repair of perforations, root resorption, etc.)

APICOECTOMY/PERIRADICULAR SERVICES
D3410 Apicoectomy/periradicular surgery-anterior
D3421 Apicoectomy/periradicular surgery-bicuspid (first root)
D3425 Apicoectomy/periradicular surgery-molar (first root)
D3426 Apicoectomy/periradicular surgery (each additional root)
D3430 Retrograde filling-per root
D3450 Root amputation-per root
D3460 Endodontic endosseous implant
D3470 Intentional reimplantation (including necessary splinting)

OTHER ENDODONTIC PROCEDURES
D3910 Surgical procedure for isolation of tooth with rubber dam
D3920 Hemisection (including any root removal), not including root canal therapy
D3950 Canal preparation and fitting of preformed dowel or post
D3999 Unspecified endodontic procedure, by report

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D4000-D4999 PERIODONTICS

SURGICAL SERVICES (INCLUDING USUAL POSTOPERATIVE CARE)
D4210 Gingivectomy or gingivoplasty-four or more contiguous teeth or bounded teeth spaces per quadrant
D4211 Gingivectomy or gingivoplasty-one to three contiguous teeth or bounded teeth spaces per
quadrant
D4240 Gingival flap procedure, including root planing-four or more contiguous teeth or bounded
teeth spaces per quadrant
D4241 Gingival flap procedure, including root planing-one to three contiguous teeth or bounded
teeth spaces per quadrant
D4245 Apically positioned flap
D4249 Clinical crown lengthening-hard tissue
D4260 Osseous surgery (including flap entry and closure)-four or more contiguous teeth or
bounded teeth spaces per quadrant
D4261 Osseous surgery (including flap entry and closure)-one to three contiguous teeth or
bounded teeth spaces per quadrant
D4263 Bone replacement graft-first site in quadrant
D4264 Bone replacement graft-each additional site in quadrant
D4265 Biologic materials to aid in soft and osseous tissue regeneration
D4266 Guided tissue regeneration-resorbable barrier, per site
D4267 Guided tissue regeneration-nonresorbable barrier, per site (includes membrane removal)
D4268 Surgical revision procedure, per tooth
D4270 Pedicle soft tissue graft procedure
D4271 Free soft tissue graft procedure (including donor site surgery)
D4273 Subepithelial connective tissue graft procedures, per tooth
D4274 Distal or proximal wedge procedure (when not performed in conjunction with surgical
procedures in the same anatomical area
D4275 Soft tissue allograft
D4276 Combined connective tissue and double pedicle graft, per tooth

NON-SURGICAL PERIODONTAL SERVICES
D4320 Provisional splinting-intracoronal
D4321 Provisional splinting-extracoronal
D4341 Periodontal scaling and root planing-four or more teeth per quadrant
D4342 Periodontal scaling and root planing-one to three teeth, per quadrant
D4355 Full mouth debridement to enable comprehensive evaluation and diagnosis
D4381 Localized delivery of antimicrobial agents via a controlled release vehicle into diseased
crevicular tissue, per tooth, by report

OTHER PERIODONTAL SERVICES
D4910 Periodontal maintenance
D4920 Unscheduled dressing change (by someone other than treating dentist)
D4999 Unspecified periodontal procedure, by report

COMPLETE DENTURES (INCLUDING ROUTINE POST-DELIVERY CARE)
D5110 Complete denture, maxillary
D5120 Complete denture, mandibular
D5130 Immediate denture, maxillary
D5140 Immediate denture, mandibular

PARTIAL DENTURES (INCLUDING ROUTINE POST-DELIVERY CARE)
D5211 Maxillary partial denture-resin base (including any conventional clasps, rests and teeth)
D5212 Mandibular partial denture-resin base (including any conventional clasps, rests and teeth)
D5213 Maxillary partial denture-cast metal framework with resin denture bases (including any
conventional clasps, rests and teeth)
D5214 Mandibular partial denture-cast metal framework with resin denture bases (including any
conventional clasps, rests and teeth)
D5225 Maxillary partial denture-flexible base (including any clasps, rests and teeth)
D5226 Mandibular partial denture-flexible base (including any clasps, rests and teeth)
D5281 Removable unilateral partial denture-one piece cast metal (including clasps and teeth)

ADJUSTMENTS TO DENTURES
D5410 Adjust complete denture, maxillary
D5411 Adjust complete denture, mandibular
D5421 Adjust partial denture, maxillary
D5422 Adjust partial denture, mandibular

REPAIRS TO COMPLETE DENTURES
D5510 Repair broken complete denture base
D5520 Replace missing or broken teeth-complete denture (each tooth)

REPAIRS TO PARTIAL DENTURES
D5610 Repair resin denture base
D5620 Repair cast framework
D5630 Repair or replace broken clasp
D5640 Replace broken teeth-per tooth
D5650 Add tooth to existing partial denture
D5660 Add clasp to existing partial denture
D5670 Replace all teeth and acrylic on cast metal framework (maxillary)
D5671 Replace all teeth and acrylic on cast metal framework (mandibular)

DENTURE REBASE PROCEDURES
D5710 Rebase complete maxillary denture
D5711 Rebase complete mandibular denture
D5720 Rebase maxillary partial denture
D5721 Rebase mandibular partial denture

DENTURE RELINE PROCEDURES
D5730 Reline complete maxillary denture (chairside)
D5731 Reline complete mandibular denture (chairside)
D5740 Reline maxillary partial denture (chairside)
D5741 Reline mandibular partial denture (chairside)
D5750 Reline complete maxillary denture (laboratory)
D5751 Reline complete mandibular denture (laboratory)
D5760 Reline maxillary partial denture (laboratory)
D5761 Reline mandibular partial denture (laboratory)

INTERIM PROSTHESIS
D5810 Interim complete denture (maxillary)
D5811 Interim complete denture (mandibular)
D5820 Interim partial denture (maxillary)
D5821 Interim partial denture (mandibular)

OTHER REMOVABLE PROSTHETIC SERVICES
D5850 Tissue conditioning, maxillary
D5851 Tissue conditioning, mandibular
D5860 Overdenture-complete, by report
D5861 Overdenture-partial, by report
D5862 Precision attachment, by report
D5867 Replacement of replaceable part of semi-precision or precision attachment (male or
female component)
D5875 Modification of removable prosthesis following implant surgery
D5899 Unspecified removable prosthodontic procedure, by report

D6010 Surgical placement of implant body: endosteal implant
D6040 Surgical placement: eposteal implant
D6050 Surgical placement: transosteal implant

IMPLANT SUPPORTED PROSTHETICS
D6053 Implant/abutment supported removable denture for completely edentulous arch
D6054 Implant/abutment supported removable denture for partially edentulous arch
D6055 Dental implant supported connecting bar
D6056 Prefabricated abutment-includes placement
D6057 Custom abutment-includes placement
D6058 Abutment supported porcelain/ceramic crown
D6059 Abutment supported porcelain fused to metal crown (high noble metal)
D6060 Abutment supported porcelain fused to metal crown (predominantly base metal)
D6061 Abutment supported porcelain fused to metal crown (noble metal)
D6062 Abutment supported cast metal crown (high noble metal)
D6063 Abutment supported cast metal crown (predominantly base metal)
D6064 Abutment supported cast metal crown (noble metal)
D6094* Abutment supported crown-titanium
*Procedure code not in numerical order
D6065 Implant supported porcelain/ceramic crown
D6066 Implant supported porcelain fused to metal crown (titanium, titanium alloy, high noble
metal)
D6067 Implant supported metal crown (titanium, titanium alloy, high noble metal)
D6068 Abutment supported retainer for porcelain/ceramic FPD
D6069 Abutment supported retainer for porcelain fused to metal FPD (high noble metal)
D6070 Abutment supported retainer for porcelain fused to metal FPD (predominantly base metal)
D6071 Abutment supported retainer for porcelain fused to metal FPD (noble metal)
D6072 Abutment supported retainer for cast metal FPD (high noble metal)
D6073 Abutment supported retainer for cast metal FPD (predominantly base metal)
D6074 Abutment supported retainer for cast metal FPD (noble metal)
D6194* Abutment supported retainer crown for FPD-titanium
*Procedure code not in numerical order
D6075 Implant supported retainer for ceramic FPD
D6076 Implant supported retainer for porcelain fused to metal FPD (titanium, titanium alloy, or
high noble metal)
D6077 Implant supported retainer for cast metal FPD (titanium, titanium alloy, or high noble
metal)
D6078 Implant/abutment supported fixed denture for completely edentulous arch
D6079 Implant/abutment supported fixed denture for partially edentulous arch

OTHER IMPLANT SERVICES
D6080 Implant maintenance procedures, including removal of prosthesis, cleansing of prosthesis
and abutments and reinsertion of prosthesis
D6090 Repair implant supported prosthesis, by report
D6095 Repair implant abutment, by report
D6100 Implant removal, by report
D6190 Radiographic/surgical implant index, by report
D6199 Unspecified implant procedure, by report

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D6200-D6999 PROSTHODONTICS, FIXED

FIXED PARTIAL DENTURE PONTICS
D6205 Pontic-indirect resin based composite
D6210 Pontic-cast high noble metal
D6211 Pontic-cast predominantly base metal
D6212 Pontic-cast noble metal
D6214 Pontic-titanium
D6240 Pontic-porcelain fused to high noble metal
D6241 Pontic-porcelain fused to predominantly base metal
D6242 Pontic-porcelain fused to noble metal
D6245 Pontic-porcelain/ceramic
D6250 Pontic-resin with high noble
D6251 Pontic-resin with predominantly base metal
D6252 Pontic-resin with noble metal
D6253 Provisional pontic

FIXED PARTIAL DENTURE RETAINERS INLAYS/ONLAYS
D6545 Retainer-cast metal for resin bonded fixed prosthesis
D6548 Retainer-porcelain/ceramic for resin bonded fixed prosthesis
D6600 Inlay-porcelain/ceramic, two surfaces
D6601 Inlay-porcelain/ceramic, three or more surfaces
D6602 Inlay-cast high noble metal, two surfaces
D6603 Inlay-cast high noble metal, three or more surfaces
D6604 Inlay-cast predominantly base metal, two surfaces
D6605 Inlay-cast predominantly base metal, three or more surfaces
D6606 Inlay-cast noble metal, two surfaces
D6607 Inlay-cast noble metal, three or more surfaces
D6624* Inlay-titanium
*Procedure code not in numerical order
D6608 Onlay-porcelain/ceramic, two surfaces
D6609 Onlay-porcelain/ceramic, three or more surfaces
D6610 Onlay-cast high noble metal, two surfaces
D6611 Onlay-cast high noble metal, three or more surfaces
D6612 Onlay-cast predominantly base metal, two surfaces
D6613 Onlay-cast predominantly base metal, three or more surfaces
D6614 Onlay-cast noble metal, two surfaces
D6615 Onlay-cast noble metal, three or more surfaces
D6634 Onlay-titanium

FIXED PARTIAL DENTURE RETAINERS CROWNS
D6710 Crown-indirect resin based composite
D6720 Crown-resin with high noble metal
D6721 Crown-resin with predominantly base metal
D6722 Crown-resin with noble metal
D6740 Crown-porcelain/ceramic
D6750 Crown-porcelain fused to high noble metal
D6751 Crown-porcelain fused to predominantly base metal
D6752 Crown-porcelain fused to noble metal
D6780 Crown-3/4 cast high noble metal
D6781 Crown-3/4 cast predominantly base metal
D6782 Crown-3/4 cast noble metal
D6783 Crown-3/4 porcelain/ceramic
D6790 Crown-full cast high noble metal
D6791 Crown-full cast predominantly base metal
D6792 Crown-full cast noble metal
D6794* Crown-titanium
*Procedure code not in numerical order
D6793 Provisional retainer crown

OTHER FIXED PARTIAL DENTURE SERVICES
D6920 Connector bar
D6930 Recement fixed partial denture
D6940 Stress breaker
D6950 Precision attachment
D6970 Cast post and core in addition to fixed partial denture retainer
D6971 Cast post as part of fixed partial denture retainer
D6972 Prefabricated post and core in addition to fixed partial denture retainer
D6973 Core build up for retainer, including any pins
D6975 Coping-metal
D6976 Each additional cast post-same tooth
D6977 Each additional prefabricated post-same tooth
D6980 Fixed partial denture repair, by report
D6985 Pediatric partial denture, fixed
D6999 Unspecified fixed prosthodontic procedure, by report

EXTRACTIONS (INCLUDES LOCAL ANESTHESIA, SUTURING, IF NEEDED, AND ROUTINE POSTOPERATIVE CARE)
D7111 Extraction, coronal remnants-deciduous tooth
D7140 Extraction, erupted tooth or exposed root (elevation and/or forceps removal)

SURGICAL EXTRACTIONS (INCLUDES LOCAL ANESTHESIA, SUTURING, IF NEEDED, AND ROUTINE POSTOPERATIVE CARE)
D7210 Surgical removal of erupted tooth requiring elevation of mucoperiosteal flap and removal
of bone and/or section of tooth
D7220 Removal of impacted tooth-soft tissue
D7230 Removal of impacted tooth-partially bony
D7240 Removal of impacted tooth-completely bony
D7241 Removal of impacted tooth-completely bony, with unusual surgical complications
D7250 Surgical removal of residual tooth roots (cutting procedure)

OTHER SURGICAL PROCEDURES
D7260 Oroantral fistula closure
D7261 Primary closure of a sinus perforation
D7270 Tooth reimplantation and/or stabilization of accidentally evulsed or displaced tooth
D7272 Tooth transplantation (includes reimplantation from one site to another and splinting
and/or stabilization)
D7280 Surgical access of an unerupted tooth
D7282 Mobilization of erupted or malpositioned tooth to aid eruption
D7283 Placement of device to facilitate eruption of impacted tooth
D7285 Biopsy of oral tissue-hard (bone, tooth)
D7286 Biopsy of oral tissue-soft
D7287 Exfoliative cytological sample collection
D7288 Brush biopsy-transepithelial sample collection
D7290 Surgical repositioning of teeth
D7291 Transseptal fiberotomy/supra crestal fiberotomy, by report

ALVEOLOPLASTY SURGICAL PREPARATION OF RIDGE FOR DENTURES
D7310 Alveoloplasty in conjunction with extractions-per quadrant
D7311 Alveoloplasty in conjunction with extractions-one to three teeth or tooth spaces, per
quadrant
D7320 Alveoloplasty not in conjunction with extractions-per quadrant
D7321 Alveoloplasty not in conjunction with extractions-one to three teeth or tooth spaces, per
quadrant

VESTIBULOPLASTY
D7340 Vestibuloplasty-ridge extension (secondary epithelialization)
D7350 Vestibuloplasty-ridge extension (including soft tissue grafts, muscle reattachment, revision
of soft tissue attachment and management of hypertrophied and hyperplastic tissue)

SURGICAL EXCISION OF SOFT TISSUE LESIONS
D7410 Excision of benign lesion up to 1.25 cm
D7411 Excision of benign lesion greater than 1.25 cm
D7412 Excision of benign lesion, complicated
D7413 Excision of malignant lesion up to 1.25 cm
D7414 Excision of malignant lesion greater than 1.25 cm
D7415 Excision of malignant lesion, complicated
D7465* Destruction of lesion(s) by physical or chemical methods, by report
*Procedure code not in numerical order

SURGICAL EXCISION OF INTRA-OSSEOUS LESIONS
D7440 Excision of malignant tumor-lesion diameter up to 1.25 cm
D7441 Excision of malignant tumor-lesion diameter greater than 1.25 cm
D7450 Removal of benign odontogenic cyst or tumor-lesion diameter up to 1.25 cm
D7451 Removal of benign odontogenic cyst or tumor-lesion diameter greater than 1.25 cm
D7460 Removal of benign nonodontogenic cyst or tumor-lesion diameter up to 1.25 cm
D7461 Removal of benign nonodontogenic cyst or tumor-lesion diameter greater than 1.25 cm

EXCISION OF BONE TISSUE
D7471 Removal of lateral exostosis (maxilla or mandible)
D7472 Removal of torus palatinus
D7473 Removal of torus mandibularis
D7485 Surgical reduction of osseous tuberosity
D7490 Radical resection of maxilla or mandible

SURGICAL INCISION
D7510 Incision and drainage of abscess-intraoral soft tissue
D7511 Incision and drainage of abscess-intraoral soft tissue-complicated (includes drainage of
multiple fascial spaces)
D7520 Incision and drainage of abscess-extraoral soft tissue
D7521 Incision and drainage of abscess-extraoral soft tissue-complicated (includes drainage of
multiple fascial spaces)
D7530 Removal of foreign body from mucosa, skin, or subcutaneous alveolar tissue
D7540 Removal of reaction producing foreign bodies, musculoskeletal system
D7550 Partial ostectomy/sequestrectomy for removal of non-vital bone
D7560 Maxillary sinusotomy for removal of tooth fragment or foreign body

TREATMENT OF FRACTURES SIMPLE
D7610 Maxilla-open reduction (teeth immobilized if present)
D7620 Maxilla-closed reduction (teeth immobilized if present)
D7630 Mandible-open reduction (teeth immobilized if present)
D7640 Mandible-closed reduction (teeth immobilized if present)
D7650 Malar and/or zygomatic arch-open reduction
D7660 Malar and/or zygomatic arch-closed reduction
D7670 Alveolus-closed reduction may include stabilization of teeth
D7671 Alveolus-open reduction may include stabilization of teeth
D7680 Facial bones-complicated reduction with fixation and multiple surgical approaches

TREATMENT OF FRACTURES COMPOUND
D7710 Maxilla-open reduction
D7720 Maxilla-closed reduction
D7730 Mandible-open reduction
D7740 Mandible-closed reduction
D7750 Malar and/or zygomatic arch-open reduction
D7760 Malar and/or zygomatic arch-closed reduction
D7770 Alveolus-open reduction stabilization of teeth
D7771 Alveolus-closed reduction stabilization of teeth
D7780 Facial bones-complicated reduction with fixation and multiple surgical approaches

REDUCTION OF DISLOCATION AND MANAGEMENT OF OTHER TEMPOROMANDIBULAR JOINT DYSFUNCTIONS
D7810 Open reduction of dislocation
D7820 Closed reduction of dislocation
D7830 Manipulation under anesthesia
D7840 Condylectomy
D7850 Surgical discectomy, with/without implant
D7852 Disc repair
D7854 Synovectomy
D7856 Myotomy
D7858 Joint reconstruction
D7860 Arthrotomy
D7865 Arthroplasty
D7870 Arthrocentesis
D7871 Non-arthroscopic lysis and lavage
D7872 Arthroscopy-diagnosis with or without biopsy
D7873 Arthroscopy-surgical: lavage and lysis of adhesions
D7874 Arthroscopy-surgical: disc repositioning and stabilization
D7875 Arthroscopy-surgical: synovectomy
D7876 Arthroscopy-surgical: discectomy
D7877 Arthroscopy-surgical: debridement
D7880 Occlusal orthotic device, by report
D7899 Unspecified TMD therapy, by report

REPAIR OF TRAUMATIC WOUNDS
D7910 Suture of recent small wounds up to 5 cm

COMPLICATED SUTURING (RECONSTUCTION REQUIRING DELICATE HANDLING OF TISSUES AND WIDE UNDERMINING FOR METICULOUS CLOSURE)
D7911 Complicated suture-up to 5 cm
D7912 Complicated suture-greater than 5 cm

OTHER REPAIR PROCEDURES
D7920 Skin graft (identify defect covered, location and type of graft)
D7940 Osteoplasty-for orthognathic deformities
D7941 Osteotomy-mandibular rami
D7943 Osteotomy-mandibular rami with bone graft; includes obtaining the graft
D7944 Osteotomy-segmented or subapical-per sextant or quadrant
D7945 Osteotomy-body of mandible
D7946 LeFort I (maxilla-total)
D7947 LeFort I (maxilla-segmented)
D7948 LeFort II or LeFort III (osteoplasty of facial bones for midface hypoplasia or retusion)-
without bone graft
D7949 LeFort II or LeFort III-with bone graft
D7950 Osseous, osteoperiosteal or cartilage graft of the mandible or facial bones-autogenous or nonautogenous, by report
D7953 Bone replacement graft for ridge preservation-per site
D7955 Repair of maxillofacial soft and/or hard tissue defect
D7960 Frenulectomy (frenectomy or frenotomy)-separate procedure
D7963 Frenuloplasty
D7970 Excision of hyperplastic tissue-per arch
D7971 Excision of pericoronal gingival
D7972 Surgical reduction of fibrous tuberosity
D7980 Sialolithotomy
D7981 Excision of salivary gland, by report
D7982 Sialodochoplasty
D7983 Closure of salivary fistula
D7990 Emergency tracheotomy
D7991 Coronoidectomy
D7995 Synthetic graft-mandible or facial bones, by report
D7996 Implant-mandible for augmentation purposes (excluding alveolar ridge), by report
D7997 Appliance removal (not by dentist who placed appliance), includes removal of archbar
D7999 Unspecified oral surgery procedure, by report

LIMITED ORTHODONTIC TREATMENT
D8010 Limited orthodontic treatment of the primary dentition
D8020 Limited orthodontic treatment of the transitional dentition
D8030 Limited orthodontic treatment of the adolescent dentition
D8040 Limited orthodontic treatment of the adult dentition

INTERCEPTIVE ORTHODONTIC TREATMENT
D8050 Interceptive orthodontic treatment of the primary dentition
D8060 Interceptive orthodontic treatment of the transitional dentition

COMPREHENSIVE ORTHODONTIC TREATMENT
D8070 Comprehensive orthodontic treatment of the transitional dentition
D8080 Comprehensive orthodontic treatment of the adolescent dentition
D8090 Comprehensive orthodontic treatment of the adult dentition

MINOR TREATMENT TO CONTROL HARMFUL HABITS
D8210 Removable appliance therapy
D8220 Fixed appliance therapy

OTHER ORTHODONTIC SERVICES
D8660 Pre-orthodontic treatment visit
D8670 Periodic orthodontic treatment visit (as part of contract)
D8680 Orthodontic retention (removal of appliances, construction and placement of retainer(s))
D8690 Orthodontic treatment (alternative billing to a contract fee)
D8691 Repair of orthodontic appliance
D8692 Replacement of lost or broken retainer
D8999 Unspecified orthodontic procedure, by report

UNCLASSIFIED TREATMENT
D9110 Palliative (emergency) treatment of dental pain-minor procedures

ANESTHESIA
D9210 Local anesthesia not in conjunction with operative or surgical procedures
D9211 Regional block anesthesia
D9212 Trigeminal division block anesthesia
D9215 Local anesthesia
D9220 Deep sedation/general anesthesia-first 30 minutes
D9221 Deep sedation/general anesthesia-each additional 15 minutes
D9230 Analgesia, anxiolysis, inhalation of nitrous oxide
D9241 Intravenous conscious sedation/analgesia-first 30 minutes
D9242 Intravenous conscious sedation/analgesia-each additional 15 minutes
D9248 Non-intravenous conscious sedation

PROFESSIONAL CONSULTATION
D9310 Consultation (diagnostic service provided by dentist or physician other than practitioner
providing treatment)

PROFESSIONAL VISITS
D9410 House/extended care facility call
D9420 Hospital call
D9430 Office visit for observation (during regularly scheduled hours)-no other services performed
D9440 Office visit-after regularly scheduled hours
D9450 Case presentation, detailed and extensive treatment planning

DRUGS
D9610 Therapeutic drug injection, by report
D9630 Other drugs and/or medicaments, by report

MISCELLANEOUS SERVICES
D9910 Application of desensitizing medicament
D9911 Application of desensitizing resin for cervical and/or root surface, per tooth
D9920 Behavior management, by report
D9930 Treatment of complications (postsurgical)-unusual circumstances, by report
D9940 Occlusal guard, by report
D9941 Fabrication of athletic mouthguard
D9942 Repair and/or reline of occlusal guard
D9950 Occlusion analysis-mounted case
D9951 Occlusal adjustment-limited
D9952 Occlusal adjustment-complete
D9970 Enamel microabrasion
D9971 Odontoplasty 1-2 teeth; includes removal of enamel projections
D9972 External bleaching-per arch
D9973 External bleaching-per tooth
D9974 Internal bleaching-per tooth
D9999 Unspecified adjunctive procedure, by report

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