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|---|---|---|---|---|---|---|---|---|---|---|---|
417640200 | 41764-02-00 | Fibreoptic examination of pharynx | Fibreoptic examination of pharynx | 5 | Procedures on nose, mouth and pharynx | 416 | Examination procedures on pharynx | null | Nasopharynx | null | Code also when performed:
• biopsy of intranasal space (41761-00-00 [375])
|
300610100 | 30061-01-00 | R/O foreign body pharynx wo incision | Removal of foreign body from pharynx without incision | 5 | Procedures on nose, mouth and pharynx | 417 | Application, insertion or removal procedures on pharynx | Extraction of foreign bodies, under local analgesia, from the hypopharynx using curved instruments placed via the oral cavity guided by a flexible nasendoscope | null | null | null |
417580000 | 41758-00-00 | Division of pharyngeal adhesions | Division of pharyngeal adhesions | 5 | Procedures on nose, mouth and pharynx | 418 | Incision procedures on pharynx | Division adhesions between the back of the tongue and the posterior. pharyngeal | null | null | null |
417700100 | 41770-01-00 | Cricopharyngeal myotomy R/O phrngl pouch | Cricopharyngeal myotomy with removal of pharyngeal pouch | 5 | Procedures on nose, mouth and pharynx | 418 | Incision procedures on pharynx | null | Pharyngeal Pouch | null | null |
417760000 | 41776-00-00 | Cricopharyngeal myotomy | Cricopharyngeal myotomy | 5 | Procedures on nose, mouth and pharynx | 418 | Incision procedures on pharynx | Surgical sectioning of the cricopharyngeus muscle, also known as the upper esophageal sphincter | null | null | null |
417760100 | 41776-01-00 | Cricophrngl myotomy invrsn phrngl pouch | Cricopharyngeal myotomy with inversion of pharyngeal pouch | 5 | Procedures on nose, mouth and pharynx | 418 | Incision procedures on pharynx | null | Pharyngeal Pouch | null | null |
417790000 | 41779-00-00 | Pharyngotomy | Pharyngotomy | 5 | Procedures on nose, mouth and pharynx | 418 | Incision procedures on pharynx | Incision into the pharynx, to remove a tumour or anything that obstructs the passage | null | null | null |
416740200 | 41674-02-00 | Cauterisation or diathermy of pharynx | Cauterisation or diathermy of pharynx | 5 | Procedures on nose, mouth and pharynx | 419 | Destruction procedures on pharynx | null | Nasopharynx | That for Arrest of
Nasal Haemorrhage (See Block [373]) | null |
520350000 | 52035-00-00 | Endosc lasr thrpy upp aerodigestive tr | Endoscopic laser therapy of upper aerodigestive tract | 5 | Procedures on nose, mouth and pharynx | 419 | Destruction procedures on pharynx | Soft, thin scopes are able to travel around angled areas, such as the back of the nose | null | null |
Performed generally for neoplasia, benign vascular lesions or strictures of the nares, nasopharynx, oral cavity, oropharynx, laryngopharynx and larynx
|
417820000 | 41782-00-00 | Partial pharyngectomy | Partial pharyngectomy | 5 | Procedures on nose, mouth and pharynx | 420 | Pharyngectomy | null | Pharyngotomy Approach
| null | null |
417850000 | 41785-00-00 | Partial pharyngectomy w part glossectomy | Partial pharyngectomy with partial glossectomy | 5 | Procedures on nose, mouth and pharynx | 420 | Pharyngectomy | null | Pharyngotomy Approach
| null | null |
417850100 | 41785-01-00 | Partial pharyngectomy total glossectomy | Partial pharyngectomy with total glossectomy | 5 | Procedures on nose, mouth and pharynx | 420 | Pharyngectomy | null | Pharyngotomy Approach
| null | null |
300752600 | 30075-26-00 | Pharyngeal biopsy | Pharyngeal biopsy | 5 | Procedures on nose, mouth and pharynx | 421 | Other excision procedures on pharynx | A procedure in which a sample of pharyngeal tissue is removed (with a needle or during surgery) for examination under a microscope. | Biopsy of Supraglottic Mass | null | null |
302860000 | 30286-00-00 | Excision of branchial cyst | Excision of branchial cyst | 5 | Procedures on nose, mouth and pharynx | 421 | Other excision procedures on pharynx | Series of horizontal incisions, known as a stairstep or stepladder incision, is
made to fully dissect out the occasionally tortuous path of the branchial cleft cysts | null | null | null |
302890000 | 30289-00-00 | Excision of branchial fistula | Excision of branchial fistula | 5 | Procedures on nose, mouth and pharynx | 421 | Other excision procedures on pharynx | Procedure involves an incision across the side of the neck | null | null | null |
314000000 | 31400-00-00 | Exc lesion upp aerodigestive tract | Excision of lesion of upper aerodigestive tract | 5 | Procedures on nose, mouth and pharynx | 421 | Other excision procedures on pharynx | Excision of lesion of the nose, the throat, the voice box, the windpipe, the lungs and the swallowing tube | null | null | Performed generally for squamous cell carcinomas involving overlapping sites of the nares, nasopharynx, oral cavity, oropharynx, laryngopharynx or larynx (where the lesion is confined to one of these specific sites, the excision code for the specific site should be assigned instead)
Code also when performed:
• tracheostomy (41880-00-00, 41881-00-00 [536])
|
314090000 | 31409-00-00 | Exc parapharyngeal lesion cervical appr | Excision of parapharyngeal lesion by cervical approach | 5 | Procedures on nose, mouth and pharynx | 421 | Other excision procedures on pharynx | Excision of bulge develops in the palate or sidewall of the throat near the tonsils | null | null | null |
314120000 | 31412-00-00 | Exc rec/persistent parapharyngeal lesion | Excision of recurrent or persistent parapharyngeal lesion by cervical approach | 5 | Procedures on nose, mouth and pharynx | 421 | Other excision procedures on pharynx | null | Parapharyngeal Lesion
by Cervical Approach | null | null |
417670000 | 41767-00-00 | R/O lesion nasophrynx | Removal of lesion of nasopharynx | 5 | Procedures on nose, mouth and pharynx | 421 | Other excision procedures on pharynx | null | Transnasal Approach
Transpalatal
| null | null |
417700000 | 41770-00-00 | R/O pharyngeal pouch | Removal of pharyngeal pouch | 5 | Procedures on nose, mouth and pharynx | 421 | Other excision procedures on pharynx | Removal of small bulge or pocket, like a hernia | null | That by Endoscopy (41773-00-00 [421])
That with Cricopharyngotomy (41770-01-00 [418])
| null |
417730000 | 41773-00-00 | Endoscopic resection pharyngeal pouch | Endoscopic resection of pharyngeal pouch | 5 | Procedures on nose, mouth and pharynx | 421 | Other excision procedures on pharynx | null | Dohlman's Procedure | null | null |
418040100 | 41804-01-00 | R/O lateral pharyngeal bands | Removal of lateral pharyngeal bands | 5 | Procedures on nose, mouth and pharynx | 421 | Other excision procedures on pharynx | Surgical procedure of removing tumours or cancerous growths from the lateral wall of the pharynx | null | null | null |
418130100 | 41813-01-00 | R/O pharyngeal cyst | Removal of pharyngeal cyst | 5 | Procedures on nose, mouth and pharynx | 421 | Other excision procedures on pharynx | Incision and drainage of pharyngeal cyst | null | null | null |
901490000 | 90149-00-00 | Excision of other lesion of pharynx | Excision of other lesion of pharynx | 5 | Procedures on nose, mouth and pharynx | 421 | Other excision procedures on pharynx | Excision of other lesion of pharynx | null | null | null |
901470000 | 90147-00-00 | Other procedures on pharynx | Other procedures on pharynx | 5 | Procedures on nose, mouth and pharynx | 422 | Other procedures on pharynx | Specified procedures on pharynx | null | null | null |
970110000 | 97011-00-00 | Comp oral exam | Comprehensive oral examination | 6 | Dental services | 450 | Dental examination | A complete inspection of oral cavity – tooth, gingiva, oral mucosa, submandibular and sublingual salivary glands and all structures inclusive in the definition of oral cavity. Applies for both natural dentition and prostheses. | office visit for observation and no other service (treatment) is performed, only examination visit. | null | 97011-00-00 Cannot be claimed earlier than 2 years from previous claim for the same item. |
970120000 | 97012-00-00 | Periodic oral examination | Periodic oral examination | 6 | Dental services | 450 | Dental examination | Comprehensive or Limited oral cavity examination done in a periodic basis like once in 6 months or a year. Not considered periodic, if not recurrent. the dentist must have met the patient (or individual) earlier or scheduled for a later visit. Otherwise coded as Comprehensive or Limited based on definition. | office visit for observation and no other service (treatment) is performed, only examination visit. | null | 97012-00-00 Cannot be claimed earlier than 6 months from previous claim for the same item or item 97011-00-00. |
970130000 | 97013-00-00 | Limited oral examination | Limited oral examination | 6 | Dental services | 450 | Dental examination | A single tooth (crown, root, periodontal ligament) examination or examination of a region or affected tooth, gums, tongue, oral mucosa, palate, periodontal structures, alveolar bone, floor of mouth or any other region limited to the definition of oral cavity. Applies to natural or prosthesis examination with respect to the above definition. | office visit for observation and no other service (treatment) is performed, only examination visit. | null | 97013-00-00 Limit of 4 per year, and cannot be claimed within 3 months from previous claim for items 97011-00-00 or 97012-00-00. |
970110010 | 97011-00-10 | Oral exam; post operative re-evaluation | Oral examination; post operative re-evaluation | 6 | Dental services | 450 | Dental examination | Post operative examination initiated after suture removal or any complications related to the surgery. This item should not be used to code diseases, infections, fracture, haemorrhage not associated with surgery. Instead use 97011-00-00 or 97013-00-00. | null | null | Used for a complication post surgery |
970110020 | 97011-00-20 | Comp orthodontic exam treatment | Comprehensive oral examination for orthodontic treatment | 6 | Dental services | 450 | Dental examination | Involves examining teeth and other oral tissues, identifying the problem, and ensuring that the teeth are caries-free and fit for the treatment | treatment planning | null | null |
970110030 | 97011-00-30 | Re-eval limited problem focused | Re-evaluation - limited, problem focused (established patient; not post-operative visit) | 6 | Dental services | 450 | Dental examination | A detailed and extensive problem focused evaluation entails extensive diagnostic and cognitive modalities based on the findings of a comprehensive oral evaluation. Integration of more extensive diagnostic modalities to develop a treatment plan for a specific problem is required. the condition requiring this type of evaluation should be described and documented.
Examples of conditions requiring this type of evaluation may include dentofacial anomalies, complicated perio-prosthetic conditions, complex temporomandibular dysfunction, facial pain of unknown origin, conditions requiring multidisciplinary consultation, etc. | null | null | Examination only |
970110040 | 97011-00-40 | Oral eval; under three years age | Oral evaluation for a patient under three years of age and counselling with primary caregiver | 6 | Dental services | 450 | Dental examination | Diagnostic services performed for a child under the age of three, preferably within the first six months of the eruption of the first primary tooth, including recording the oral and physical health history, evaluation of caries susceptibility, development of an appropriate preventive oral health regimen and communication with and counselling of the child’s parent, legal guardian and/or primary caregiver. | null | null | Examination only |
970140000 | 97014-00-00 | Dental consult | Dental consultation | 6 | Dental services | 450 | Dental examination | A consultation to seek advice or discuss treatment options regarding a specific dental or oral condition. | null | null | This code applies for face-to-face visits and if telephonic, code 97014-00-14.
If the consultant converts to be the rendering physician, then definition of consultation does not apply. Code as per definition (Comprehensive, limited) 97011-00-00 or 97013-00-00 |
970140010 | 97014-00-10 | Dental consult via telephone | Dental consultation via telephone | 6 | Dental services | 450 | Dental examination | A consultation to seek advice or discuss treatment options regarding a specific dental or oral condition via telephone. | null | null | Consultation not involving a face-to-face consultation, via telephone only. |
970150000 | 97015-00-00 | Dental consultation extended | Dental consultation, extended | 6 | Dental services | 450 | Dental examination | Dental consultation only beyond 45 minutes (without any other service like preparation for treatment or any other prophylaxis) | null | null | null |
970140020 | 97014-00-20 | Analysis & interpretation of radiological report | Analysis and interpretation of a radiological report | 6 | Dental services | 450 | Dental examination | null | null | null | Excludes that undertaken with any imaging in the same facility and interpreted by other than treating physician. |
970140030 | 97014-00-30 | Glucose strip test in dental office | Glucose strip test in office, for emergency dental procedure | 6 | Dental services | 450 | Dental examination | Use of a glucometer to monitor a patient's blood sugar before a dental procedure | null | null | null |
970140040 | 97014-00-40 | Hba1c in-office point of service testing | Hba1c (hemoglobin a1c) in-office point of service testing | 6 | Dental services | 450 | Dental examination | null | null | null | null |
970140050 | 97014-00-50 | Consult on slides prepared elsewhere | Consultation on slides prepared elsewhere | 6 | Dental services | 450 | Dental examination | A service provided in which microscopic slides of a biopsy specimen prepared at another laboratory are evaluated to aid in the diagnosis of a difficult case or to offer a consultative opinion at the patient’s request. the findings are delivered by written report. | null | null | null |
970140060 | 97014-00-60 | Consult include prepar slides bx mat | Consultation, including preparation of slides from biopsy material (supplied by referring physician) | 6 | Dental services | 450 | Dental examination | A service that requires the consulting pathologist to prepare the slides as well as render a written report. the slides are evaluated to aid in the diagnosis of a difficult case or to offer a consultative opinion at the patient’s request. | null | null | null |
970590010 | 97059-00-10 | Comp cancer exam & risk assessment; head & neck | Comprehensive cancer examination and risk assessment of head and neck by a dental surgeon | 6 | Dental services | 450 | Dental examination | A comprehensive visual and tactile examination and assessment of extraoral and intraoral tissues used for the detection and diagnosis of any disease or tissue abnormality. This may aid in the detection of early indications of oral or tonsillar cancer, allowing for prompt diagnosis and treatment. A pre-diagnostic test that helps with the detection of mucosal abnormalities, including premalignant and malignant lesions, and does not include cytology or biopsy procedures. | null | null | null |
970390010 | 97039-00-10 | CBCT jaw; limited; less than 1 jaw | Cone beam computerised tomography of jaw, limited view (less than a jaw) ; each jaw | 6 | Dental services | 451 | Dental radiological examination and interpretation | null | null | null | null |
970390020 | 97039-00-20 | CBCT 1 jaw w or w/o cranium | Cone beam computerised tomography of single jaw (maxilla or mandible); with or without cranium | 6 | Dental services | 451 | Dental radiological examination and interpretation | null | null | null | null |
970220010 | 97022-00-10 | Intraoral periapical radiography per exp | Intraoral periapical radiography, per exposure | 6 | Dental services | 451 | Dental radiological examination and interpretation | Capture and interpretation of a radiograph made with the film inside the mouth. | null | null | null |
970220020 | 97022-00-20 | Intraoral bitewing radiography per exp | Intraoral bitewing radiography, per exposure | 6 | Dental services | 451 | Dental radiological examination and interpretation | Capture and interpretation of a radiograph made with the film inside the mouth. | null | null | null |
970250000 | 97025-00-00 | Intraoral occlusal radiogr per exposure | Intraoral occlusal radiography, per exposure | 6 | Dental services | 451 | Dental radiological examination and interpretation | Capture and interpretation of an occlusal view. This radiograph shows a more extensive view of teeth and maxillary or mandibular bone. | Mandibular view, Maxillary view | null | null |
970390030 | 97039-00-30 | CBCT both jaws w or w/o cranium | Cone beam computerised tomography of both jaws (maxilla and mandible); with or without cranium | 6 | Dental services | 451 | Dental radiological examination and interpretation | null | null | null | null |
970480100 | 97048-01-00 | Bacteriological screening test | Bacteriological screening test | 6 | Dental services | 452 | Other dental diagnostic services | null | Includes Caries susceptibility tests | null | Not to be used for carious dentin staining. |
970480110 | 97048-01-10 | Non-ionizing cavity detection proc | Non-ionizing cavity detection procedure | 6 | Dental services | 452 | Other dental diagnostic services | Non-ionizing diagnostic procedure capable of quantifying, monitoring, and recording changes in structure of enamel, dentin, and cementum | null | null | null |
970480120 | 97048-01-20 | Caries risk assessment | Caries risk assessment | 6 | Dental services | 452 | Other dental diagnostic services | null | Low, moderate, high risk | null | null |
970710000 | 97071-00-00 | Preparation of dental diagnostic cast | Preparation of dental diagnostic cast | 6 | Dental services | 452 | Other dental diagnostic services | the production of a model from an impression or digital data. the model is used for examination and treatment planning procedures. | Waxing up | That for: mouthguards (97151-00-00 [455]), prosthodontic services (see blocks [474] to [477]), trays (97926-00-00 [485]) | This item should not be used to describe a working model. |
970710010 | 97071-00-10 | Diagnostic wax-up | Preparation of diagnostic wax-up | 6 | Dental services | 452 | Other dental diagnostic services | Preparation and waxing up of diagnostic models to facilitate the development of a treatment plan. | Waxing up | That for: mouthguards (97151-00-00 [455]), prosthodontic services (see blocks [474] to [477]), trays (97926-00-00 [485]) | null |
970710020 | 97071-00-20 | 3D simulation dental treatment planning for orthodontic proc | 3D (three-dimensional) simulation dental treatment planning for orthodontic procedures | 6 | Dental services | 452 | Other dental diagnostic services | the use of diagnostic images for simulation of treatment, including, but not limited to, dental implant placement, crown and bridge work, orthognathic surgery and orthodontic tooth movement. | null | null | This item should not be used to describe a working model. |
970730000 | 97073-00-00 | Photographic records extraoral | Photographic records, extraoral | 6 | Dental services | 452 | Other dental diagnostic services | Photographs taken by a camera, extraoral. | null | null | null |
970730010 | 97073-00-10 | 3D photography dental | 3-dimensional photography, dental | 6 | Dental services | 452 | Other dental diagnostic services | null | null | CAD-CAM | This procedure is for dental or maxillofacial diagnostic purposes. Not applicable for a CAD-CAM procedure. |
970830000 | 97083-00-00 | Tomographic survey | Tomographic survey | 6 | Dental services | 452 | Other dental diagnostic services | A radiograph is made of a region using tomographic X-ray equipment that may produce a series of diagnostic images. A cephalostat may be used to standardize the conditions of imaging with interpretation and/or analysis. | null | null | null |
970830020 | 97083-00-20 | CBVT analysis and/or interpret single arch | Cone beam volumetric tomography analysis and/or interpretation (single arch) | 6 | Dental services | 452 | Other dental diagnostic services | null | null | null | null |
970830030 | 97083-00-30 | CBVT analysis and/or interpret both arches | Cone beam volumetric tomography analysis and/or interpretation; both maxillary and mandibular dentition (both arches) | 6 | Dental services | 452 | Other dental diagnostic services | null | null | null | null |
970830040 | 97083-00-40 | CBVT analysis and/or interpret TMJ only | Cone beam volumetric tomography analysis and/or interpretation; temporomandibular joint only | 6 | Dental services | 452 | Other dental diagnostic services | null | null | null | null |
970830050 | 97083-00-50 | CBVT analysis and/or interpret orofacial structures | Cone beam volumetric tomography analysis and/or interpretation; maxillofacial structures | 6 | Dental services | 452 | Other dental diagnostic services | null | Entire face or skull | null | null |
970430000 | 97043-00-00 | Dental antibiotic sensitivity test | Dental antibiotic sensitivity test | 6 | Dental services | 452 | Other dental diagnostic services | A laboratory test where a live culture of a suspected pathogen is challenged with antibiotic samples to determine the sensitivity or resistance of the microorganisms to the antibiotics tested. | null | null | null |
970440000 | 97044-00-00 | Dental noninvas specmn colln path exam | Dental non-invasive specimen (blood, pus, liquid, saliva) collection for pathology examination | 6 | Dental services | 452 | Other dental diagnostic services | the non-surgical collection and preparation for transport of a specimen for a pathology or laboratory examination. | null | Biopsy of tissue (50200-00-01 [1560]) | null |
970520000 | 97052-00-00 | Dental histopathological exam of tissue | Dental histopathological examination of tissue | 6 | Dental services | 452 | Other dental diagnostic services | Microscopic examination of oral soft and hard tissues. | null | null | null |
970610000 | 97061-00-00 | Pulp testing | Pulp vitality test, per tooth | 6 | Dental services | 452 | Other dental diagnostic services | A non-invasive test used to determine the clinical status of the pulp. It involves the application of external stimulation to the pulp to determine tooth vitality. Other teeth are generally tested for comparison. | null | null | This procedure should be coded only once for each visit when pulp testing is performed. |
970720000 | 97072-00-00 | Photographic records intraoral | Photographic records, intraoral | 6 | Dental services | 452 | Other dental diagnostic services | Photographs taken by a camera, intraoral. | null | null | null |
970810000 | 97081-00-00 | Cephalometric analysis & interpretation | Cephalometric analysis and interpretation | 6 | Dental services | 452 | Other dental diagnostic services | null | null | null | This code is for the analysis and interpretation of the cephalometry/cephalography at code 57902-00-00 performed by another physician or in another facility (in cases where a separate facility/clinic might do the imaging and the dentist might just be doing the analysis and interpretation) |
970820000 | 97082-00-00 | Tooth-jaw size prediction analysis | Tooth-jaw size prediction analysis | 6 | Dental services | 452 | Other dental diagnostic services | null | null | null | null |
970860000 | 97086-00-00 | Electromyographic analysis | Electromyographic analysis | 6 | Dental services | 452 | Other dental diagnostic services | null | null | null | null |
970890010 | 97089-00-10 | Unlist oral medicine/oral pathology proc | Unlisted oral medicine/ oral pathology procedure | 6 | Dental services | 452 | Other dental diagnostic services | null | null | null | Used to identify dental procedures which are not described by any other codes. Adequate written description of the service is required. |
971110000 | 97111-00-00 | R/O plaque or stain teeth | Removal of plaque or stain from teeth | 6 | Dental services | 453 | Dental prophylaxis and bleaching | Removal of dental plaque and/or stain from the surfaces of all teeth and/or implants. | Polishing of Tooth | null | null |
971130000 | 97113-00-00 | Recontouring pre-existing restoration(s) | Recontouring of pre-existing restoration(s) | 6 | Dental services | 453 | Dental prophylaxis and bleaching | Reshaping and polishing of a pre-existing restoration. | Repair of composite, amalgam or any previous restoration, polishing for the restoration. | null | null |
971140000 | 97114-00-00 | R/O calculus from surfaces of teeth | Removal of calculus from the surfaces of teeth and/or implants | 6 | Dental services | 453 | Dental prophylaxis and bleaching | Removal of calculus from the surfaces of teeth and/or implants. | Plaque removal if performed, polishing of Tooth | null | Do not code this service along with 97111-00-00 (Plaque removal) which is already inclusive |
971150000 | 97115-00-00 | Rmvl calculus from teeth subseq appt | Removal of calculus from surfaces of teeth – subsequent appointment | 6 | Dental services | 453 | Dental prophylaxis and bleaching | Removal of calculus from the surfaces of teeth and/or implants. | null | null | This code describes procedures in item 97114-00-00 when, because of the extent or degree of calculus, an additional appointment(s) is required to remove deposits from the teeth and/or implants. |
971160000 | 97116-00-00 | Enamel micro-abrasion per tooth | Enamel micro-abrasion; per tooth | 6 | Dental services | 453 | Dental prophylaxis and bleaching | the chemo-physical removal of discoloured and/or other surface enamel defects resulting from developmental defects, altered mineralisation or decalcification of the superficial enamel layer. | null | null | null |
971170000 | 97117-00-00 | Bleaching internal per tooth | Bleaching, internal; per tooth | 6 | Dental services | 453 | Dental prophylaxis and bleaching | the modification of the colour of the discoloured crown of an endodontically treated tooth using chemical and/ or physical methods applied internally (inside the canal). | null | null | null |
971180000 | 97118-00-00 | Bleaching external per tooth | Bleaching, external; per tooth | 6 | Dental services | 453 | Dental prophylaxis and bleaching | the modification of the colour of a tooth using chemical and/or physical methods applied externally. | null | null | null |
971190000 | 97119-00-00 | Bleaching home application per arch | Bleaching, home application, per arch | 6 | Dental services | 453 | Dental prophylaxis and bleaching | the prescribed use, by a patient at home, of a custom-made tray for the application of bleaching medicaments to the patient’s dentition. | null | null | Code also when performed: provision of tray (97926-00-00 [485]) |
971210100 | 97121-01-00 | Topical application remnrlstn agent 1 Rx | Topical application of remineralisation agent, 1 treatment | 6 | Dental services | 454 | Topical application of remineralisation and/or cariostatic agent | Placement of topical remineralisation agent to support tooth mineralization and the prevention of dental caries. | null | null | null |
971210200 | 97121-02-00 | Top applicn of cariostatic agent 1 Rx | Topical application of cariostatic agent, 1 treatment | 6 | Dental services | 454 | Topical application of remineralisation and/or cariostatic agent | Placement of topical cariostatic agent to support tooth mineralization and the prevention of dental caries. | Activation of agent by laser or other intense light and heat sources | null | null |
971230110 | 97123-01-10 | Applicn concntrt remnrlstn agent per tth | Application of concentrated remineralisation or cariostatic agent, per tooth | 6 | Dental services | 454 | Topical application of remineralisation and/or cariostatic agent | Placement of concentrated remineralisation or cariostatic agent to support tooth mineralization and the prevention of dental caries. | null | null | null |
971310000 | 97131-00-00 | Dental dietary advice | Dental dietary advice | 6 | Dental services | 455 | Other preventative dental service | Analysis of and advice on a patient’s diet to correct any dietary imbalances or deficiencies that may contribute to dental disease. | Dietary analysis | null | null |
971410000 | 97141-00-00 | Oral hygiene instruction | Oral hygiene instruction | 6 | Dental services | 455 | Other preventative dental service | Instruction in techniques for the removal of bacterial plaque. Advice of appropriate toothpaste and medicaments may be included. | null | null | null |
971420010 | 97142-00-10 | Tobacco counselling | Tobacco counselling | 6 | Dental services | 455 | Other preventative dental service | the analysis and assessment of a patient’s tobacco use and advice on the prevention and cessation of the use of tobacco aimed at reducing the patient’s risks of developing tobacco-related oral diseases and conditions. | null | null | null |
971510000 | 97151-00-00 | Mouthguard indirect | Fabrication of mouthguard, indirect | 6 | Dental services | 455 | Other preventative dental service | Construction of a single mouthguard, using a model prepared from an impression of the teeth taken by or under the supervision of the clinician and subsequently inserted. | null | null | null |
971510010 | 97151-00-10 | Removable habit breaking appliance | Insertion of removable habit breaking appliance | 6 | Dental services | 455 | Other preventative dental service | A removable appliance that prevents bad oral habits including tongue thrusting as well as thumb sucking habits. | null | null | null |
971530000 | 97153-00-00 | Bimaxillary mouthguard indirect | Fabrication of bimaxillary mouthguard, indirect | 6 | Dental services | 455 | Other preventative dental service | Construction of a mouthguard for both jaws, using a model prepared from an impression of the teeth taken by or under the supervision of the clinician and subsequently inserted. | null | null | null |
971610000 | 97161-00-00 | Fissure and/or surface sealing per tooth | Fissure and/or surface sealing; per tooth | 6 | Dental services | 455 | Other preventative dental service | Sealing of non-carious pits, fissures, smooth surfaces or cracks in a tooth with an adhesive material. | Preparation of pits or fissures | null | null |
971650100 | 97165-01-00 | Desensitising procedure dental | Desensitising procedure, dental | 6 | Dental services | 455 | Other preventative dental service | Procedure to diminish or abolish sensitivity and discomfort in exposed dentine Application of desensitising agent to dentine | null | null | null |
971710000 | 97171-00-00 | Odontoplasty per tooth | Odontoplasty per tooth | 6 | Dental services | 455 | Other preventative dental service | A procedure to modify the contour of the crown of a tooth or the anatomy of the fissure of a tooth. | null | null | null |
973100000 | 97310-00-00 | Facilitating eruption malpositioned tooth | Facilitating eruption of a malpositioned tooth; by mobilization | 6 | Dental services | 455 | Other preventative dental service | null | null | null | null |
971790010 | 97179-00-10 | Unlist preventive dental proc | Unlisted preventive dental procedure | 6 | Dental services | 455 | Other preventative dental service | null | null | null | Used to identify dental procedures which are not described by any other codes. Adequate written description of the service is required. |
972210000 | 97221-00-00 | Clinical periodontal analysis & rcrd full mouth | Clinical periodontal analysis and recording (full mouth) | 6 | Dental services | 456 | Periodontic interventions | This is a special examination performed as part of the diagnosis and management of periodontal disease. the procedure consists of assessing and recording a patient’s periodontal condition. | null | null | null |
972210010 | 97221-00-10 | Comp periodontal screening maintenance visit | Comprehensive periodontal screening, maintenance visit | 6 | Dental services | 456 | Periodontic interventions | null | null | null | Done as a follow-up to 97221-00-00 Clinical periodontal analysis and recording (full mouth) |
972320010 | 97232-00-10 | Periodontal flap proc per quadrant | Periodontal flap procedure, per quadrant | 6 | Dental services | 456 | Periodontic interventions | null | Planning of root, removal of calculus | for crown lengthening (97238-00-10 [456]), with reshaping of bone defect or deformity (97233-00-10 [456]) | null |
972330010 | 97233-00-10 | Alveolar osseous procedure <= 8 teeth | Alveolar osseous procedure; per tooth | 6 | Dental services | 456 | Periodontic interventions | null | Incision and detachment of gingival flap, planning of root, removal of calculus reshaping of bone defect or deformity | Alveolar osseous graft 97234-00-10, Bone graft, natural tooth site, per site or tooth or implant 97244-00-00 , that for crown lengthening 97238-00-10 | null |
972370000 | 97237-00-00 | Guided tissue regeneration membrane rmvl | Guided tissue regeneration, membrane removal | 6 | Dental services | 456 | Periodontic interventions | A surgical procedure to remove a previously positioned membrane. | null | null | null |
972370010 | 97237-00-10 | Surg re-entry for barrier rmvl | Surgical re-entry for barrier removal | 6 | Dental services | 456 | Periodontic interventions | null | Guided tissue regeneration, membrane removal | null | null |
972440000 | 97244-00-00 | Bone graft; natural per site/tooth/implant | Bone graft, natural tooth site, per site or tooth or implant | 6 | Dental services | 456 | Periodontic interventions | A surgical procedure in which a block of bone is used for augmentation of a bony ridge, secured by screws or similar devices. | Insertion of screws or similar devices, onlay block grafting for surgical procedure | Particulate bone, synthetic substitute or other matrix used for graft (97234-00-10 [456]) | null |
972440010 | 97244-00-10 | Peri-implant bone graft for rep defect | Peri-implant bone graft for repair of defect without flap entry and closure | 6 | Dental services | 456 | Periodontic interventions | null | Insertion of screws or similar devices | Particulate bone, synthetic substitute or other matrix used for graft (97234-00-10 [456]) | null |
972440020 | 97244-00-20 | Bone graft for implant placement combined proc | Bone graft for implant placement; combined procedure | 6 | Dental services | 456 | Periodontic interventions | Block of bone used for augmentation of a bony ridge
| Insertion of screws or similar devices | Particulate bone, synthetic substitute or other matrix used for graft (97234-00-10 [456]) | null |
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