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D7286

Incisional 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

$

D7292

Surgical placement of temporary anchorage device [screw retained plate] requiring flap; includes device removal

$

D7293

Surgical placement of temporary anchorage device requiring flap; includes device removal

$

D7294

Surgical placement of temporary anchorage device without flap; includes device removal

$

D7295

Harvest of bone for use in autogenous grafting procedure

$

D7310

Alveoloplasty in conjunction with extractions – four or more teeth or tooth spaces, per quadrant

$

D7311

Alveoloplasty in conjunction with extractions – one to three teeth or tooth spaces, per quadrant

$

D7320

Alveoloplasty not in conjunction with extractions – four or more teeth or tooth spaces, per quadrant

$

D7321

Alveoloplasty not in conjunction with extractions – one to three teeth or tooth spaces, per quadrant

$

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)

$

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

$

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

$

D7465

Destruction of lesion(s) by physical or chemical method, by report

$

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

$

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

$

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

$

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

$

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

$

D7881

Occlusal orthotic device adjustment

$

D7899

Unspecified TMD therapy, by report

$

D7910

Suture of recent small wounds up to 5 cm

$

D7911

Complicated suture – up to 5 cm

$

D7912

Complicated suture – greater than 5 cm

$

D7920

Skin graft (identify defect covered, location and type of graft)

$

D7921

Collection and application of autologous blood concentrate product

$

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

$

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 retrusion) – without bone graft

$

D7949

LeFort II or LeFort III – with bone graft

$

D7950

Osseous, osteoperiosteal, or cartilage graft of the mandible or maxilla – autogenous or nonautogenous, by report

$

D7951

Sinus augmentation with bone or bone substitutes via a lateral open approach

$

D7952

Sinus augmentation via a vertical approach

$

D7953

Bone replacement graft for ridge preservation – per site

$

D7955

Repair of maxillofacial soft and/or hard tissue defect

$

D7960

Frenulectomy – also known as frenectomy or frenotomy – separate procedure not incidental to another procedure

$

D7963

Frenuloplasty

$

D7970

Excision of hyperplastic tissue – per arch

$

D7971

Excision of pericoronal gingiva

$

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

$

D7998

Intraoral placement of a fixation device not in conjunction with a fracture

$

D7999

Unspecified oral surgery procedure, by report

$

XI. ORTHODONTICS

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

$

D8050

Interceptive orthodontic treatment of the primary dentition

$

D8060

Interceptive orthodontic treatment of the transitional dentition

$

D8070

Comprehensive orthodontic treatment of the transitional dentition

$

D8080

Comprehensive orthodontic treatment of the adolescent dentition

$

D8090

Comprehensive orthodontic treatment of the adult dentition

$

D8210

Removable appliance therapy

$

D8220

Fixed appliance therapy

$

D8660

Pre-orthodontic treatment examination to monitor growth and development

$

D8670

Periodic orthodontic treatment visit

$

D8680

Orthodontic retention (removal of appliances, construction and placement of retainer(s))

$

D8681

Removable orthodontic retainer adjustment

$

D8690

Orthodontic treatment (alternative billing to a contract fee)

$

D8691

Repair of orthodontic appliance

$

D8692

Replacement of lost or broken retainer

$

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