Conservative Dentistry Codes
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- Calvin Reynolds
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1 Conservative Dentistry Codes Code Description 8101 ORAL EXAMINATION 8102 COMPREHENSIVE ORAL EXAMINATION 8104 LIMITED ORAL EXAMINATION 8107 INTRAORAL RADIOGRAPH - PERIAPICAL 8108 INTRAORAL RADIOGRAPHS - COMPLETE SERIES 8109 INFECTION CONTROL/BARRIER TECHNIQUES 8110 STERILIZED INSTRUMENTATION 8112 INTRAORAL RADIOGRAPH - BITEWING 8113 INTRAORAL RADIOGRAPH - OCCLUSAL 8114 EXTRAORAL RADIOGRAPH - HAND-WRIST 8115 EXTRAORAL RADIOGRAPH - PANORAMIC 8116 EXTRAORAL RADIOGRAPH - CEPHALOMETRIC 8117 DIAGNOSTIC MODELS 8118 EXTRAORAL RADIOGRAPH - SKULL/FACIAL BONE 8119 DIAGNOSTIC MODELS MOUNTED 8121 ORAL AND/OR FACIAL IMAGE (DIGITAL/CONVENTIONAL) 8129 OFFICE/HOSPITAL VISIT AFTER REGULARLY SCHEDULED HOURS 8131 EMERGENCY DENTAL TREATMENT 8132 PULP REMOVAL (PULPECTOMY) 8136 ACCESS THROUGH A PROSTHETIC CROWN OR INLAY TO FACILITATE ROOT CANAL TREATMENT 8140 HOUSE/EXTENDED CARE FACILITY/HOSPITAL CALL 8141 INHALATION SEDATION - FIRST 15 MINUTES OR PART THEREOF 8143 INHALATION SEDATION - EACH ADDNL 15 MINUTES 8145 LOCAL ANAESTHETIC - PER VISIT 8147 MONITORING EQUIPMENT FOR INTRAVENOUS SEDATION 8151 ORAL HYGIENE INSTRUCTION 8155 POLISHING - COMPLETE DENTITION 8159 PROPHYLAXIS - COMPLETE DENTITION 8161 TOPICAL APPLICATION OF FLUORIDE - CHILD 8162 TOPICAL APPLICATION OF FLUORIDE - ADULT 8163 DENTAL SEALANT 8165 SEDATIVE FILLING 8166 APPLICATION OF DESENSITISING RESIN, PER TOOTH 8167 APPLICATION OF DESENSITISING MEDICAMENT, PER VISIT 8169 OCCLUSAL GUARD 8171 MOUTH PROTECTOR 8176 PERIODONTAL SCREENING 8179 POLISHING - COMPLETE DENTITION (PERIODONTALLY COMPROMISED PATIENT) 8180 PROPHYLAXIS - COMPLETE DENTITION (PERIODONTALLY COMPROMISED PATIENT) 8190 CONSULTATION - SECOND OPINION OR ADVICE 8201 EXTRACTION - TOOTH OR EXPOSED TOOTH ROOTS (FIRST PER QUADRANT) 8202 EXTRACTION - EACH ADDITIONAL TOOTH OR EXPOSED TOOTH ROOTS 8220 COST OF SUTURE MATERIAL 8231 COMPLETE DENTURES - MAXILLARY AND MANDIBULAR 8232 COMPLETE DENTURE - MAXILLARY OR MANDIBULAR 8233 PARTIAL DENTURE - RESIN BASE - ONE TOOTH 8234 PARTIAL DENTURE - RESIN BASE - TWO TEETH
2 8235 PARTIAL DENTURE - RESIN BASE - THREE TEETH 8236 PARTIAL DENTURE - RESIN BASE - FOUR TEETH 8237 PARTIAL DENTURE - RESIN BASE - FIVE TEETH 8238 PARTIAL DENTURE - RESIN BASE - SIX TEETH 8239 PARTIAL DENTURE - RESIN BASE - SEVEN TEETH 8240 PARTIAL DENTURE - RESIN BASE - EIGHT TEETH 8241 PARTIAL DENTURE - RESIN BASE - NINE OR MORE TEETH 8244 IMMEDIATE DENTURE - MAXILLARY 8245 IMMEDIATE DENTURE - MANDIBULAR 8259 REBASE COMPLETE OR PARTIAL DENTURE (LABORATORY) 8261 REMODEL COMPLETE OR PARTIAL DENTURE 8263 RELINE COMPLETE OR PARTIAL DENTURE (CHAIR-SIDE) 8265 TISSUES CONDITIONING PER ARCH (INCLUDING SOFT SELF-CURE RELINE) 8267 RELINE COMPLETE OR PARTIAL DENTURE (LABORATORY) 8269 REPAIR DENTURE OR OTHER INTRA-ORAL APPLIANCE 8273 IMPRESSION TO REPAIR OR MODIFY A DENTURE OR OTHER INTRA-ORAL APPLIANCE 8275 ADJUST COMPLETE OR PARTIAL DENTURE 8304 RUBBER DAM PER ARCH 8307 PULP AMPUTATION (PULPOTOMY) 8328 ROOT CANAL OBTURATION - ANTERIORS AND PREMOLARS - EACH ADDITIONAL CANAL 8329 ROOT CANAL THERAPY - ANTERIORS AND PREMOLARS - EACH ADDITIONAL CANAL 8330 REMOVAL OF ROOT CANAL OBSTRUCTION 8332 ROOT CANAL PREPARATORY VISIT - SINGLE CANAL TOOTH 8333 ROOT CANAL PREPARATORY VISIT - MULTI CANAL TOOTH 8334 RE-TREATMENT OF PREVIOUSLY COMPLETED ROOT CANAL THERAPY, PER CANAL 8335 ROOT CANAL OBTURATION - ANTERIORS AND PREMOLARS - FIRST CANAL 8336 ROOT CANAL OBTURATION - POSTERIORS - FIRST CANAL 8337 ROOT CANAL OBTURATION - POSTERIORS - EACH ADDITIONAL CANAL 8338 ROOT CANAL THERAPY - ANTERIORS AND PREMOLARS - FIRST CANAL 8339 ROOT CANAL THERAPY - POSTERIORS - FIRST CANAL 8340 ROOT CANAL THERAPY - POSTERIORS - EACH ADDITIONAL CANAL 8341 AMALGAM - ONE SURFACE 8342 AMALGAM - TWO SURFACES 8343 AMALGAM - THREE SURFACES 8344 AMALGAM - FOUR OR MORE SURFACES 8345 PREFABRICATED POST RETENTION, PER POST (IN ADDITION TO RESTORATION) 8347 PIN RETENTION - FIRST PIN (IN ADDITION TO RESTORATION) 8348 PIN RETENTION - EACH ADDITIONAL PIN (IN ADDITION TO RESTORATION) 8349 CARVE RESTORATION TO ACCOMMODATE EXISTING REMOVABLE PROSTHESIS 8350 RESIN CROWN - ANTERIOR PRIMARY TOOTH (DIRECT) 8351 RESIN - ONE SURFACE, ANTERIOR 8352 RESIN - TWO SURFACES, ANTERIOR 8353 RESIN - THREE SURFACES, ANTERIOR 8354 RESIN - FOUR OR MORE SURFACES, ANTERIOR 8355 VENEER - RESIN (CHAIR-SIDE) 8367 RESIN - ONE SURFACE, POSTERIOR 8368 RESIN - TWO SURFACES, POSTERIOR 8369 RESIN - THREE SURFACES, POSTERIOR 8370 RESIN - FOUR OR MORE SURFACES, POSTERIOR
3 8376 CORE BUILD-UP WITH PREFABRICATED POSTS 8379 COST OF PREFABRICATED POSTS 8398 CORE BUILD-UP WITH PINS 8533 IMPLANT SUPPORTED REMOVABLE COMPLETE OVERDENTURE 8534 IMPLANT SUPPORTED REMOVABLE PARTIAL OVERDENTURE 8551 OCCLUSAL ADJUSTMENT - MAJOR 8553 OCCLUSAL ADJUSTMENT - MINOR 8635 APEXIFICATION/APEXOGENESIS/RECALCIFICATION PER VISIT 8640 REMOVAL OF FRACTURED ROOT CANAL INSTRUMENT 8652 OVERDENTURE - COMPLETE 8653 OVERDENTURE - PARTIAL 8654 IMPLANT SUPPORTED FIXED-DETACHABLE COMPLETE OVERDENTURE 8655 IMPLANT SUPPORTED FIXED-DETACHABLE PARTIAL OVERDENTURE 8811 TRACING AND ANALYSIS OF EXTRA-ORAL FILM 8839 DIAGNOSTIC SETUP 8850 TREATMENT OF MPDS - FIRST VISIT 8851 TREATMENT OF MPDS - SUBSEQUENT VISIT 8852 OCCLUSAL ORTHOTIC APPLIANCE 8855 CONSULTATION - CLEFT PALATE THERAPY (HOUSE OR HOSPITAL) 9301 CASTING AND TRIMMING OF MODEL IN PLASTER (YELLOW/WHITE), PER MODEL 9303 CASTING AND TRIMMING OF MODEL IN SUPER-HARD STONE (DIE-STONE) PER MODEL 9305 CASTING AND TRIMMING OF STUDY MODEL, PER MODEL 9307 CASTING AND TRIMMING OF GNATHOSTATIC MODEL, PER MODEL NEW TRIMMED BASE TO SUPPLIED MODEL, PER MODEL 9311 TRIMMING OF SUPPLIED MODEL, PER MODEL 9313 DUPLICATING MODEL, PER MODEL 9314 REFRACTORY MODEL, PER UNIT 9320 INDEXED OR MODEL TRAY PER DIE (NOT MORE THAN 9319) 9321 OCCLUSION BLOCK, PER BLOCK 9323 OCCLUSION BLOCK ON BASEPLATE, PER BLOCK INFECTION CONTROL PER IMPRESSION, DENTURE (WAX OR ACRYLIC) OR ANY ITEM IN 9327 CONTACT WITH BODY FLUIDS 9329 FIT AND SUPPLY OF DISPOSABLE ARTICULATOR 9330 DELIVERY / COLLECTION FEE PER COMPLETED PROCEDURE (MAXIMUM 4) 9331 FULL UPPER AND LOWER DENTURES 9333 FULL UPPER OR LOWER DENTURE 9335 SET-UP AND WAXING OF FULL UPPER AND LOWER DENTURES 9337 SET-UP AND WAXING OF FULL UPPER OR LOWER DENTURE 9339 WAXING AND FINISHING OF FULL UPPER AND LOWER DENTURES 9341 WAXING AND FINISHING OF FULL UPPER OR LOWER DENTURE ADDITIONAL FEE FOR DENTURES ON FULLY ADJUSTABLE ARTICULATOR AT REQUEST OF 9343 DENTIST 9345 ADDITIONAL FEE FOR IMMEDIATE DENTURES, OR TOOTH SOCKETED 9346 ADDITIONAL FEE FOR IMMEDIATE DENTURES, PER TOOTH NOT SOCKETED. ADDITIONAL FEE FOR EACH RETRY FROM THE THIRD AND UPWARDS AT AN AGREED 9347 QUANTUM OF TIME TO BE CALCULATED AT HOURLY RATE 9351 SET-UP AND FINISH OF ONE-TOOTH DENTURE 9352 SET-UP AND FINISH OF TWO-TOOTH DENTURE 9353 SET-UP AND FINISH OF THREE-TOOTH DENTURE
4 9354 SET-UP AND FINISH OF FOUR-TOOTH DENTURE 9355 SET-UP AND FINISH OF FIVE-TOOTH DENTURE 9356 SET-UP AND FINISH OF SIX-TOOTH DENTURE 9357 SET-UP AND FINISH OF SEVEN-TOOTH DENTURE 9358 SET-UP AND FINISH OF EIGHT-TOOTH DENTURE 9359 SET-UP AND FINISH NINE OR MORE TOOTH DENTURE 9361 SET-UP AND WAXING OF ONE-TOOTH DENTURE 9362 SET-UP AND WAXING OF TWO-TOOTH DENTURE 9363 SET-UP AND WAXING OF THREE-TOOTH DENTURE 9364 SET-UP AND WAXING OF FOUR-TOOTH DENTURE 9365 SET-UP AND WAXING OF FIVE-TOOTH DENTURE 9366 SET-UP AND WAXING OF SIX-TOOTH DENTURE 9367 SET-UP AND WAXING OF SEVEN-TOOTH DENTURE 9368 SET-UP AND WAXING OF EIGHT-TOOTH DENTURE 9369 SET-UP AND WAXING OF NINE OR MORE TOOTH DENTURE 9371 WAXING AND FINISHING OF ONE-TOOTH DENTURE 9372 WAXING AND FINISHING OF TWO-TOOTH DENTURE 9373 WAXING AND FINISHING OF THREE-TOOTH DENTURE 9374 WAXING AND FINISHING OF FOUR-TOOTH DENTURE 9375 WAXING AND FINISHING OF FIVE-TOOTH DENTURE 9376 WAXING AND FINISHING OF SIX-TOOTH DENTURE 9377 WAXING AND FINISHING OF SEVEN-TOOTH DENTURE 9378 WAXING AND FINISHING OF EIGHTH-TOOTH DENTURE 9379 WAXING AND FINISHING OF NINE OR MORE TOOTH DENTURE 9383 ADDITIONAL FEE FOR FINISHING DENTURE IN TOOTH COLOUR MATERIAL, PER TOOTH 9385 ADDITIONAL FEE FOR SUPPLYING FINISHED DENTURE ON DUPLICATE MODEL BASIC CHARGE WHICH INCLUDES REPAIR OF ONE FRACTURE, OR ADDITION OF ONE TOOTH, 9391 OR ADDITION OF ONE CLASP 9393 ADDITIONAL CHARGE FOR EACH ADDITIONAL FRACTURE, OR TOOTH, OR CLASP 9395 ADDITIONAL FEE FOR USING WIRE STRENGTHENER 9397 ADDITIONAL FEE FOR USING PRE-FORMED STRENGTHENER 9398 ADDITIONAL FEE FOR USING MESH STRENGTHENER IN REPAIR PROCEDURE 9403 DOX GRINDING OF UPPER AND LOWER DENTURES 9407 HEKA BASE TECHNIQUE PER UPPER OR LOWER DENTURE 9409 FREGO FRAME 9411 TEMPLATE PER UPPER OR LOWER DENTURE 9413 RELINE/REBASE OF SINGLE DENTURE 9415 REMODEL OF SINGLE DENTURE 9417 SOFT BASE RELINE PER DENTURE 9419 SOFT BASE TO NEW DENTURE, PER DENTURE 9423 LINGUAL OR PALATAL BAR 9425 CLEANING AND POLISHING OF EXISTING DENTURE, PER DENTURE 9427 MESH STRENGTHENER 9429 THEATRE/ CONSULTATION OUT OF LABORATORY PER HOUR OR PART THEREOF 9431 SPECIAL TRAY, ACRYLIC, EACH 9432 SPECIAL TRAY LIGHT CURE, EACH 9433 SPECIAL TRAY IN BASE PLATE MATERIAL, EACH 9435 PROVISION OF SINGLE ARM CLASP, TO PARTIAL DENTURE 9437 PROVISION OF DOUBLE ARM CLASP, TO PARTIAL DENTURE
5 9439 PROVISION OF SINGLE ARM CLASP WITH REST, TO PARTIAL DENTURE 9441 PROVISION OF DOUBLE ARM CLASP WITH REST, TO PARTIAL DENTURE 9443 PROVISION OF PREFORMED ROACH CLASP, TO PARTIAL DENTURE 9445 PROVISION OF REST ONLY TO PARTIAL DENTURE 9447 CAST CLASP CASTING AND TRIMMING OF MODEL FROM IMPRESSION INSIDE OCCLUSION BLOCK OR WAX 9448 TRY IN 9450 FINISHING OF ACRYLIC WORK ON ANY CHROME COBALT OR GOLD PROSTHESIS BASIC FEE FOR THE REPAIRING OF OR ADDITION TO ANY APPLIANCE NECESSITATING THE 9495 CASTING OF A MODEL (9301) BASIC FEE IF A NEW SECTION IS TO BE FABRICATED AND WHERE ITEM 9495 DOES NOT APPLY 9497 (9301) 9571 BASIC CHARGE WHICH INCLUDES ACRYLIC BASE 9576 ADDITIONAL FEE FOR FULL ACLUSAL BITE PLATE 9577 ADDITIONAL FEE FOR BITE PLATE ANTERIOR 9578 ADDITIONAL FEE FOR BITE PLATE POSTERIOR 9581 ADDITIONAL FEE FOR FLAT OR INCLINED PLANE 9587 ADDITIONAL FEE FOR BALL CLASP 9607 ADDITIONAL FEE FOR FITTING FLAPPER OR T -SPRING 9700 DIATORICS 1 X 6/ DIATORICS, ODDS, ANTERIOR 9704 DIATORICS, ODDS, POSTERIOR 9720 SOFT BASE MATERIAL PER DENTURE 9722 ACRYLIC PER DENTURE 9726 PREFORMED BALL OR ROACH CLASP 9728 COST OF LINGUAL / PALATAL BAR 9729 COST OF MESH STRENGTHENER 9738 COST OF PREFORMED STRENGTHENER
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