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CodeProcedure DescriptionD0364CONE BEAM CT CAPTURE AND INTERPRETATION WITH LIMITED FIELD OF VIEW - LESS THAN ONE WHOLE JAWD1510SPACE MAINTAINER - FIXED - UNILATERALD1515SPACE MAINTAINER - FIXED - BILATERALD1525SPACE MAINTAINER - REMOVABLE - BILATERALD1550RE-CEMENT OR RE-BOND SPACE MAINTAINERD4210GINGIVECTOMY OR GINGIVOPLASTY - FOUR OR MORE CONTIGUOUS TEETH OR TOOTH BOUNDED SPACES PER QUADRANTD4211GINGIVECTOMY OR GINGIVOPLASTY - 1 TO 3 CONTIGUOUS TEETH OR TOOTH BOUNDED SPACES PER QUADRANTD4240GINGIVAL FLAP PROCEDURE, INCLUDING ROOT PLANING - 4 OR MORE CONTIGUOUS TEETH/TOOTH BOUNDED SPACES PER QUADRANTD4270PEDICLE SOFT TISSUE GRAFT PROCEDURED4341* Periodontal Scaling and Root Planing Four or more contiguous teeth per QuadrantD4342*Periodontal Scaling and Root Planing One to three teeth, per QuadrantD5510REPAIR BROKEN COMPLETE DENTURE BASED5610REPAIR RESIN DENTURE BASED5620REPAIR CAST FRAMEWORKD5630REPAIR OR REPLACE BROKEN CLASPD5660ADD CLASP TO EXISTING PARTIAL DENTURED5899UNSPECIFIED REMOVABLE PROSTHODONTIC PROCEDURE, BY REPORTD7260OROANTRAL FISTULA CLOSURED7285INCISIONAL BIOPSY OF ORAL TISSUE HARD (BONE, TOOTH)D7286INCISIONAL BIOPSY OF ORAL TISSUE SOFTD7295HARVEST OF BONE FOR USE IN AUTOGENOUS GRAFTING PROCEDURED7310*Alveoloplasty in Conjunction with Extractions – per QuadrantD7311*Alveoloplasty in Conjunction with Extractions, 1-3 Teeth per QuadrantD7320*Alveoloplasty not in Conjunction with Extractions – per QuadrantD7340VESTIBULOPLASTY - RIDGE EXTENSION (SECONDARY EPITHELIALIZATION)D7350VESTIBULOPLASTY-RIDGE EXTENSION (INCLUD.SOFT TISSUE GRAFTS,MUSCLE RE-ATTACHMENTS,REVISION *SEE BOOKD7410EXCISION OF BENIGN LESION UP TO 1.25 CMD7411EXCISION OF BENIGN LESION GREATER THAN 1.25 CMD7412EXCISION OF BENIGN LESION, COMPLICATEDD7413EXCISION OF MALIGNANT LESION UP TO 1.25 CMD7414EXCISION OF MALIGNANT LESION GREATER THAN 1.25 CMD7415EXCISION OF MALIGNANT LESION, COMPLICATEDD7440EXCISION OF MALIGNANT TUMOR -LESION DIAMETER UP TO 1.25CMD7441EXCISION OF MALIGNANT TUMOR - LESION DIAMETER GREATER THAN 1.25 CMD7460REMOVAL OF BENIGN NON-ODONTOGENIC CYST OR TUMOR - LESION DIAMETER UP TO 1.25 CMD7461REMOVAL OF BENIGN NON-ODONTOGENIC CYST OR TUMOR- LESION DIAMETER GREATER THAN 1.25 CMD7465DESTRUCTION OF LESION(S) BY PHYSICAL OR CHEMICAL METHOD, BY REPORTD7471REMOVAL OF LATERAL EXOSTOSIS (MAXILLA OR MANDIBLE)D7473REMOVAL OF TORUS MANDIBULARISD7485SURGICAL REDUCTION OSSEOUS TUBEROSITYD7510INCISION AND DRAINAGE OF ABSCESS,INTRAORAL SOFT TISSUED7560MAXILLARY SINUSOTOMY FOR REMOVAL OF TOOTH FRAGMENT OR FOREIGN BODYD7880OCCLUSAL ORTHOTIC DEVICE, BY REPORTD7910SUTURE OF RECENT SMALL WOUNDS, UP TO 5 CMD7911COMPLICATED SUTURE- UP TO 5 CMD7912COMPLICATED SUTURE- GREATER THAN 5 CMD7960FRENULECTOMY - ALSO KNOWN AS FRENECTOMY OR FRENOTOMY - SEPARATE PROCEDURE NOT INCIDENTAL TO ANOTHER PROCEDURED7972SURGICAL REDUCTION OF FIBROUS TUBEROSITYD7999UNSPECIFIED ORAL SURGERY PROCEDURE, BY REPORTD8210REMOVABLE APPLIANCE THERAPYD8220FIXED APPLIANCE THERAPYD8692REPLACEMENT OF LOST OR BROKEN RETAINERD8999UNSPECIFIED ORTHODONTIC PROCEDURE, BY REPORTD9110PALLIATIVE (EMERGENCY) TREATMENT OF DENTAL PAIN - MINOR PROCEDURESD9940OCCLUSAL GUARDS, BY REPORTD9999UNSPECIFIED ADJUNCTIVE PROCEDURE, BY REPORT ................
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