Finding accurate dental codes for procedures is one of the critical tasks indeed. Not everyone can do it or have the time to spend on dental coding books. Getting familiar with the dental codes is equal to gaining tremendous knowledge in dental coding. At the same time, healthcare professionals need to be particularly aware of dental coding errors. Sometimes there might be a change in dental codes, or a few might be exchanged with the alternate regulations by deleting the older ones. To learn about dental coding, you require correct guidance and attention to follow them better.
Related Service : Dental Billing & Coding
In this article let’s learn about the final set of dental codes that provides an overall understanding of when and where to use them.
Dental Codes Part-3:
- D1120Prophylaxis-Child [Removal of plaque, calculus, and stains from the tooth structures and implants in the primary and transitional dentition. It is intended to control local irritational factors].
- D1206 Topical application of fluoride varnish [Application of topical fluoride varnish, delivered in a single visit and involving the entire oral cavity. Not to be used for desensitization].
- D1208Topical application of fluoride-excluding varnish
- D1310 Nutritional counseling for control of the dental disease [Counseling on food selection and dietary habit as a part of treatment and control of periodontal disease and caries]
- D1320 Tobacco counseling for the control and prevention of oral disease [Tobacco prevention and cessation services reduce patient risks of developing tobacco-related oral disease and conditions and improves the prognosis for certain dental therapies].
- D1321 Counseling for the control and prevention of adverse oral, behavioral, and systemic health effects associated with high-risk substance use (Effective 01/01/2021)
- D1330 Oral hygiene instructions [This may include instructions for home care. Examples include tooth brushing technique, flossing, and use of special oral hygiene aids].
- D1351Sealant-per tooth [Mechanically and/or chemically prepared enamel surface sealed to prevent decay].
- D1353 Sealant repair-per tooth
- D1354 Interim caries arresting medicament application
- D1355 Caries preventive medicament application – per tooth (Effective 01/01/2021)
- D1516 Fixed bilateral space maintainer, maxillary
- D1517 Fixed bilateral space maintainer, mandibular
- D1526 Remove bilateral space maintainer, maxillary
- D1527 Remove bilateral space maintainer, mandibular
- D1556 Removal of fixed unilateral space maintainer-per quadrant
- D1557 Removal of fixed bilateral space maintainer-maxillary
- D1558 Removal of fixed bilateral space maintainer-mandibular
- 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
- 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) [Incisal angle to be defined as one of the angles formed by the junction of the incisal and the mesial or distal surface of an anterior tooth].
- D2390 Resin-based composite crown, anterior [Full resin-based composite coverage of tooth].
- D2391 Resin-based composite-one surface-posterior [Used to restore a carious lesion into the dentin or a deeply eroded area into the dentin. Not a preventive procedure].
- D2392 Resin-based composite-two surfaces-posterior
- D2393 Resin-based composite-three surfaces-posterior
- D2394 Resin-based composite-four or more surfaces-posterior
- D2410 Gold foil-one surface
- D2420 Gold foil-two surfaces
- D2430 Gold foil-three surfaces
- D2510Inlay-metallic-one surface
- D2520 Inlay-metallic-two surfaces
- D2530 Inlay-metallic-three or more surfaces
- D2542Onlay-metallic-two surfaces
- D2543Onlay-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
- D2643Onlay-porcelain/ceramic-three surfaces
- D2644Onlay-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 surfaces
- 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
- D2751Crown-porcelain fused to the predominantly base metal
- D2752 Crown-porcelain fused to noble metal
- D2753Crown-porcelain fused to titanium and titanium alloys
- D2780 Crown-3/4 cast high noble metal
- D2781 Crown-3/4 cast predominantly base metal
- D2782 Crown-3/4 cast noble metal
- D2783Crown-3/4 porcelain/ceramic
- D2790Crown-full cast high noble metal
- D2791 Crown-full cast predominantly base metal
- D2792 Crown-full cast noble metal
- D2794 Crown-titanium and titanium alloys
- D2799 Provisional crown-further treatment or completion of diagnosis necessary prior to final impression [Crown utilized as an interim restoration of at least six months duration during restorative treatment to allow adequate time for healing or completion of other procedures. This includes, but is not limited to changing vertical dimension, completing periodontal therapy, or cracked-tooth syndrome. This is not to be used as a temporary crown for a routine prosthetic restoration].
- D2910Re-cement or re-bond inlay, onlay, veneer, or partial coverage restoration
- D2915 Re-cement or re-bond indirectly fabricated or prefabricated post and core dental Services: CDT Codes UnitedHealthcare Medicare Advantage Policy Appendix: Applicable Code List approval 12/09/2020 Proprietary Information of UnitedHealthcare. Copyright 2021 United HealthCare Services, Inc.
- D2920Re-cement or re-bond crown
- D2921 Reattachment of tooth fragment, incisal edge, or cusp
- D2928 Prefabricated porcelain/ceramic crown – permanent tooth (Effective 01/01/2021)
- D2929 Prefabricated porcelain/ceramic crown-primary tooth
- D2930 Prefabricated stainless-steel crown-primary tooth
- D2931 Prefabricated stainless-steel crown-permanent tooth
- D2932 Prefabricated resin crown
- D2933Prefabricated stainless-steel crown with resin window [Open-face stainless steel crown with aesthetic resin facing or veneer].
- D2934 Prefabricated esthetic coated stainless steel crown-primary tooth
- D2940 Protective restoration [Temporary restoration intended to relieve pain. Not to be used as a base or liner under a restoration].
- D2941Interim therapeutic restoration-primary dentition
- D2949 Restorative foundation for an indirect restoration
- D2950 Core buildup, including any pins, when required, [Refers to building up of anatomical crown when restorative crown will be placed, whether or not pins are used. A material is placed in the tooth preparation for a crown when there is insufficient tooth strength and retention for the crown procedure. This should not be reported when the procedure only involves a filler to eliminate any undercut, box form, or concave irregularity in the preparation].
- D2951 Pin retention-per tooth, in addition to restoration
- D2952Post and core in addition to the crown, indirectly fabricated [Post and core are customs fabricated as a single unit].
- D2953 For this dental code, each additional indirectly fabricated post-same tooth
- D2954 Prefabricated post and core in addition to crown [Core is built around a prefabricated post. This procedure includes the core material].
- D2955 Post removal [For removal of posts (e.g., fractured posts) not to be used in conjunction with endodontic retreatment (D3346, D3347, D3348)].
- D2957Each additional prefabricated post-same tooth
- D2960 Labial veneer (resin laminate) direct
- D2961 Labial veneer (resin laminate) indirect [Refers to labial/facial indirect resin bonded veneers].
- D2962 Labial veneer (porcelain laminate) indirect [Refers also to facial veneers that extend interproximally and/or cover the incisal edge. Porcelain/ceramic veneers presently include all-ceramic and porcelain veneers].
- D2971 Additional procedures to construct new crown under existing partial denture framework
- D2975Coping [A thin covering of the remaining portion of a tooth, usually fabricated of metal and devoid of anatomic contour. This is to be used as a definitive restoration].
- D2980Crown repair necessitated by restorative material failure [Includes removal of crown, if necessary].
- D2981Inlay repair necessitated by restorative material failure
- D2982 Onlay repair necessitated by restorative material failure
- D2983Veneer repair necessitated by restorative material failure
- D2990 Resin infiltration of incipient smooth surface lesions
- D3110 Pulp cap-direct (excluding final restoration) [Procedure in which the exposed pulp is covered with a dressing or cement that protects the pulp and promotes healing and repair].
- D3120Pulp cap-indirect (excluding final restoration) [Procedure in which the nearly exposed pulp is covered with a protective dressing to protect the pulp from additional injury and to promote healing and repair via formation of secondary dentin].
- D3220 Therapeutic pulpotomy (excluding final restoration)-removal of pulp coronal to the dentinocemental junction and application of medicament [Pulpotomy is the surgical removal of a portion of the pulp with the aim of maintaining the vitality of the remaining portion by means of an adequate dressing. To be performed on primary or permanent teeth. This is not to be construed as the first stage of root canal therapy. Not to be used for Apexogenesis].
- D3221 Pulpal debridement, primary and permanent teeth [Pulpal debridement for the relief of acute pain prior to conventional root canal therapy. This procedure is not to be used when endodontic treatment is completed on the same day].
- D3222 Partial pulpotomy for an abiogenesis-permanent tooth with incomplete root development [Removal of a portion of the pulp and application of a medicament with the aim of maintaining the vitality of the remaining portion to encourage continued physiological development and formation of the root. This procedure is not to be construed as the first stage of root canal therapy].
- D3230 Pulpal therapy (resorbable filling)-anterior, primary tooth (excluding final restoration) [Primary incisors and cuspids].
- D3240 Pulpal therapy (resorbable filling)-posterior, primary tooth (excluding final restoration) [Primary first and second molars].
- D3310 Endodontic therapy, an anterior tooth (excluding final restoration)
- D3320 Endodontic therapy, a bicuspid tooth (excluding final restoration)
- D3330 Endodontic therapy, molar (excluding final restoration)
- D3331Treatment of root canal obstruction; non-surgical access [In lieu of surgery, for the formation of a pathway to achieve an apical seal without surgical intervention because of a non-negotiable root canal blocked by foreign bodies, including but not limited to separated instruments, broken posts or calcification of 50% or more of the length of the tooth root].
- D3332 Incomplete endodontic therapy; inoperable, unrestorable or fractured tooth [Considerable time is necessary to determine the diagnosis and/or provide initial treatment before the fracture makes the tooth unretainable].
- D3333 Internal root repair of perforation defects [Non-surgical seal of perforation caused by resorption and/or decay but not iatrogenic by provider filing claim].
- D3346 Retreatment of previous root canal therapy-anterior
- D3347 Retreatment of previous root canal therapy-bicuspid
- D3348 Retreatment of previous root canal therapy-molar
- D3351Apexification/recalcification-initial visit (apical closure/calcific repair of perforations, root resorption, pulp space disinfection, etc.) [Includes opening tooth, pulpectomy, preparation of canal spaces, first placement of the medication, and necessary radiographs. (This procedure includes the first phase of complete root canal therapy.)]
- D3352 Apexification/recalcification-interim medication replacement (apical closure/calcific repair of perforations, root resorption, pulp space disinfection, etc.) [For visits in which the intra-canal medication is replaced with new medication and necessary radiographs. There may be several of these visits].
- D3353 Apexification/recalcification-final visit (apical closure/calcific repair of perforations, root resorption, pulp space disinfection, etc.) [Includes removal of intra-canal medication and procedures necessary to place final root canal filling material including necessary radiographs. (This procedure includes the last phase of complete root canal therapy)].
- D3355 Pulpal regeneration-initial visit
- D3356 Pulpal regeneration-interim medication replacement
- D3357 Pulpal regeneration-completion of treatment
- D3410 Apicoectomy/periradicular surgery-anterior [For surgery on the root of an anterior tooth. Does not include placement of retrograde filling material].
- D3421Apicoectomy/periradicular surgery-bicuspid (first root) For surgery on one root of a bicuspid. Does not include placement of retrograde filling material. If more than one root is treated, see D3426].
- D3425Apicoectomy/periradicular surgery-molar (first root) [For surgery on one root of a molar tooth. Does not include placement of retrograde filling material. If more than one root is treated, see D3426].
- D3426 Apicoectomy/periradicular surgery (each additional root) [Typically used for bicuspids and molar surgeries when more than one root is treated during the same procedure. This does not include retrograde filling material placement].
- D3427 Periradicular surgery without apicoectomy (Deleted 12/31/2020)
- D3428 Bone graft in conjunction with periradicular surgery-per tooth, single site
- D3429 Bone graft in conjunction with periradicular surgery-each additional contiguous tooth in the same surgical site
- D3430 Retrograde filling-per root [For placement of retrograde filling material during periradicular surgery procedures. If more than one filling is placed in one root report as D3999 and describe].
- D3431 Biologic materials to aid in soft and osseous tissue regeneration in conjunction with periradicular surgery
- D3432 Guided tissue regeneration, resorbable barrier, per site, in conjunction with periradicular surgery Basic
- D3450 Root amputation-per root [Root resection of a multi-rooted tooth while leaving the crown. If the crown is sectioned, see D3920].
- D3470 Intentional reimplantation (including necessary splinting) [For the intentional removal, inspection, and treatment of the root and replacement of a tooth into its own socket. This does not include necessary retrograde filling material placement].
- D3471 Surgical repair of root resorption – anterior (Effective 01/01/2021)
- D3472 Surgical repair of root resorption – premolar (Effective 01/01/2021)
- D3473 Surgical repair of root resorption – molar (Effective 01/01/2021)
- D3501 Surgical exposure of root surface without apicoectomy or repair of root resorption – anterior (Effective 01/01/2021)
- D3502 Surgical exposure of root surface without apicoectomy or repair of root resorption – premolar (Effective 01/01/2021)
- D3503 Surgical exposure of root surface without apicoectomy or repair of root resorption – molar (Effective 01/01/2021)
- D3910 Surgical procedure for the isolation of tooth with a rubber dam
- D3920 Hemisection (including any root removal), not including root canal therapy [Includes separation of a multi-rooted tooth into separate sections containing the root and the overlying portion of the crown. It may also include the removal of one or more of those sections].
- D3950 Canal preparation and fitting of preformed dowel or post
- D4230 Anatomical crown exposure-four or more contiguous teeth per quadrant
- D4231 Anatomical crown exposure-one to three teeth per quadrant
- D4240 Gingival flap procedure, including root planing-four or more contiguous teeth or tooth bounded spaces per quadrant
- D4241 Gingival flap procedure, including root planing-one to three contiguous teeth or tooth bounded spaces per quadrant [A soft tissue flap is reflected or resected to allow debridement of the root surface and the removal of granulation tissue. Osseous recontouring is not accomplished in conjunction with this procedure. May include open flap curettage, reverse bevel flap surgery, modified Kirkland flap procedure, and modified Widman surgery. This procedure is performed in the presence of moderate to deep probing depths, loss of attachment; need to maintain esthetics, need for increased access to the root surface and alveolar bone, or to determine the presence of a cracked tooth, fractured root, or external root resorption. Other procedures may be required concurrent to D4240 and should be reported separately using their own unique codes].
- D4245 Apically positioned flap
- D4249 Clinical crown lengthening-hard tissue [This procedure is employed to allow restorative procedure or crown with little or no tooth structure exposed to the oral cavity. Crown lengthening requires reflection of a flap and is performed in a healthy periodontal environment, as opposed to osseous surgery, which is performed in the presence of periodontal disease. Where there are adjacent teeth, the flap design may involve a larger surgical area].
- D4261 Osseous surgery (including elevation of a full-thickness flap and closure)-one to three contiguous teeth or tooth bounded spaces per quadrant [This procedure modifies the bony support of the teeth by reshaping the alveolar process to achieve a more physiologic form. This may include the removal of supporting bone (ostectomy) and/or non-supporting bone (osteoplasty). Other procedures may be required concurrent to D4260, D4261 and should be reported using their own unique codes].
- D4265 Biologic materials to aid in soft and osseous tissue regeneration [Biologic materials may be used alone or with other regenerative substrates such as bone and barrier membranes, depending upon their formulation and the presentation of the periodontal defect. This procedure does not include surgical entry and closure, wound debridement, osseous contouring, or the placement of graft materials and /or barrier membranes. Other separate procedures may be required concurrent to D4265 and should be reported using their own unique codes].
- D4266 Guided tissue regeneration-resorbable barrier, per site [A membrane is placed over the root surfaces or defect area following surgical exposure and debridement. The mucoperiosteal flaps are then adapted over the membrane and sutured. The membrane is placed to exclude epithelium and gingival connective tissue from the healing wound. This procedure may require subsequent surgical procedures to correct the gingival contours. Guided tissue regeneration may also be carried out in conjunction with bone replacement grafts or to correct deformities resulting from inadequate faciolingual bone width in an edentulous area. When guided tissue regeneration is used in association with a tooth, each site on a specific tooth should be reported separately with this code. When no tooth is present, each site should be reported separately. Definition for the term “site” precedes code D4210].
- D4267 Guided tissue regeneration-non-resorbable barrier, per site (includes membrane removal) [This procedure is used to regenerate lost or injured periodontal tissue by directing differential tissue responses. A membrane is placed over the root surfaces or defect area following surgical exposure and debridement. The mucoperiosteal flaps are then adapted over the membrane and sutured. The membrane is placed to exclude epithelium and gingival connective tissue from the healing wound. This procedure requires subsequent surgical procedures to remove the membranes and/or to correct the gingival contours. Guided tissue regeneration may be used in conjunction with bone replacement grafts or to correct deformities resulting from inadequate faciolingual bone width in an edentulous area. When guided tissue regeneration is used in association with a tooth, each site on a specific tooth should be reported separately with this code. When no tooth is present, each site should be reported separately. Definition for the term “site” precedes code D4210].
- D4274 Distal or proximal wedge procedure (when not performed in conjunction) [This procedure is performed in an edentulous area adjacent to a periodontally involved tooth. Gingival incisions are utilized to allow removal of tissue wedge to gain access and correct the underlying osseous defect and to permit close flap adaptation].
- D4275 Soft tissue allograft [Procedure is performed to create or augment the gingiva, with or without root coverage. This may be used to eliminate the pull of the frena and muscle attachments, extend the vestibular fornix, and correct localized gingival recession. There is no donor site].
- D4276 Combined connective tissue and double pedicle graft, per tooth [Advanced gingival recession often cannot be corrected with a single procedure. Combined tissue grafting procedures are needed to achieve the desired outcome].
- D4283 Autogenous connective tissue graft procedure (including donor and recipient surgical sites)-each additional contiguous tooth, implant or edentulous tooth position in the same graft site
- D4285 Non‐autogenous connective tissue graft procedure (including recipient surgical site and donor material)- each additional contiguous tooth, implant or edentulous tooth position in the same graft site
- D4320 This dental code is for Provisional splinting-intracoronal
- D4321 Provisional splinting-extracoronal [This is an interim stabilization of mobile teeth. A variety of methods and appliances may be employed for this purpose].
- D4341 Periodontal scaling and root planing-four or more teeth per quadrant
- D4342 Periodontal scaling and root planing-one to three teeth per quadrant [This procedure involves instrumentation of the crown and root surfaces of the teeth to remove plaque and calculus from these surfaces. It is indicated for patients with periodontal disease and is therapeutic, not prophylactic, in nature. Root planing is the definitive procedure designed for the removal of cementum and dentin that is rough, and/or permeated by calculus or contaminated with toxins or microorganisms. Some soft tissue removal occurs. This procedure may be used as a definitive treatment in some stages of periodontal disease and/or as a part of pre-surgical procedures in others].
- D4346 Scaling in presence of generalized moderate or severe gingival inflammation-full mouth, after oral evaluation
- D4910 Periodontal maintenance [This procedure is instituted following periodontal therapy and continues at varying intervals, determined by the clinical evaluation of the dentist, for the life of the dentition or any implant replacements. It includes removal of the bacterial plaque and calculus from supragingival and subgingival regions, site-specific scaling and root planing where indicated and polishing the teeth. If the new or recurring periodontal disease appears, additional diagnostic and treatment procedures must be considered].
- D4920 Unscheduled dressing change (by other than treating dentist or their staff)
- D4921Gingival irrigation-per quadrant
- D4999 Unspecified periodontal procedure, by the report
- D5110Complete denture-maxillary
- D5120Complete denture-mandibular
- D5130Immediate denture-maxillary
- D5140Immediate denture-mandibular [Includes limited follow-up care only; does not include required future rebasing/relining procedure(s) or a completely new denture].
- D5211Maxillary partial denture-resin base (including retentive/clasping materials, rests and teeth)
- D5212 Mandibular partial denture-resin base (including rests and teeth)
- D5213 Maxillary partial denture-cast metal framework with resin denture bases (including retentive/clasping materials, rests, and teeth)
- D5214 Mandibular partial denture-cast metal framework with resin denture bases (including retentive/clasping materials, rests, and teeth)
- D5221 Immediate maxillary partial denture-resin base (including retentive/clasping materials, rests, and teeth)
- D5222 Immediate mandibular partial denture-resin base (including retentive/clasping materials, rests, and teeth)
- D5223 Immediate maxillary partial denture-cast metal framework with resin denture bases (including retentive/clasping materials, rests, and teeth)
- D5224 Immediate mandibular partial denture-cast metal framework with resin denture bases (including retentive/clasping materials rests and teeth)
- D5225 Maxillary partial denture-flexible base (including retentive/clasping materials, rests, and teeth)
- D5226 Mandibular partial denture-flexible base (including retentive/clasping materials, rests, and teeth)
- D5282 Removable unilateral partial denture-one-piece cast metal (including retentive/clasping materials, rests, and teeth), maxillary
- D5283 Removable unilateral partial denture-one-piece cast metal (including retentive/clasping materials, rests, and teeth), mandibular
- D5284Removable unilateral partial denture-one-piece flexible base (including retentive/clasping materials, rests, and teeth)-per quadrant
- D5286 Removable unilateral partial denture-one-piece resin (including retentive/clasping materials, rests, and teeth)-per quadrant
- D5410 Adjust complete denture-maxillary
- D5411 Adjust complete denture-mandibular
- D5421 Adjust partial denture-maxillary
- D5422 Adjust partial denture-mandibular
- D5511Repair broken complete denture base, mandibular
- D5512 Repair broken complete denture base, maxillary
- D5520 Replace missing or broken teeth-complete denture (each tooth)
- D5611 Repair resin partial denture base, mandibular
- D5612Repair resin partial denture base, maxillary
- D5621 Repair cast partial framework, mandibular
- D5622 Repair cast partial framework, maxillary
- D5630 Repair or replace broken clasp-per tooth
- D5640 Replace broken teeth-per tooth
- D5650 Add tooth to existing partial denture
- D5660 Add clasp to existing partial denture-per tooth
- D5670 Replace all teeth and acrylic on cast metal framework (maxillary)
- D5671 Replace all teeth and acrylic on cast metal framework (mandibular)
- D5710 Rebase complete maxillary denture
- D5711Rebase complete mandibular denture
- D5720 Rebase maxillary partial denture
- D5721 Rebase mandibular partial denture
- D5730 Reline complete maxillary denture (direct)
- D5731Reline complete mandibular denture (direct)
- D5740 Reline maxillary partial denture (direct)
- D5741 Reline mandibular partial denture (direct)
- D5750 Reline complete maxillary denture (indirect)
- D5751 Reline complete mandibular denture (indirect)
- D5760 Reline maxillary partial denture (indirect)
- D5761Reline mandibular partial denture (indirect)
- D5810 Interim complete denture (maxillary)
- D5811 Interim complete denture (mandibular)
Dental codes are obviously huge in number. To have a consistent flow of revenue by preventing dental code errors, outsourcing coding duties is one of the better options. Have a thorough investigation of medical coding outsourcing companies before endorsing your work to them. Best companies will always look for client satisfaction. Click here to read the other parts.
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