Page 449 - Standard Dental
P. 449

 1 SNODENT ID
SNODENT TERM
SYNONYM ID
SYNONYM TERM
SD ID
SD TERM
surgical procedure for isolation of tooth with rubber dam
hemisection (including any root removal), not including root canal therapy
canal preparation and fitting of preformed dowel or post
unspecified endodontic procedure, by report
gingivectomy or gingivoplasty - four or more contiguous teeth or tooth bounded spaces per quadrant
gingivectomy or gingivoplasty - one to three contiguous teeth or tooth bounded spaces per quadrant
gingivectomy or gingivoplasty to allow access for restorative procedure, per tooth
anatomical crown exposure – four or more contiguous teeth or tooth bounded spaces per quadrant
anatomical crown exposure
– one to three teeth or tooth bounded spaces per quadrant
gingival flap procedure, including root planing - four or more contiguous teeth or tooth bounded spaces per quadrant
gingival flap procedure, including root planing - one to three contiguous teeth or tooth bounded spaces per quadrant
apically positioned flap
CDT ID
CDT TERMI
surgical procedure for isolation of tooth with rubber dam
hemisection (including any root removal), not including root canal therapy
canal preparation and fitting of preformed dowel or post
unspecified endodontic procedure, by report
gingivectomy or gingivoplasty - four or more contiguous teeth or tooth bounded spaces per quadrant
gingivectomy or gingivoplasty - one to three contiguous teeth or tooth bounded spaces per quadrant
gingivectomy or gingivoplasty to allow access for restorative procedure, per tooth
anatomical crown exposure – four or more contiguous teeth or tooth bounded spaces per quadrant
anatomical crown exposure
– one to three teeth or tooth bounded spaces per quadrant
gingival flap procedure, including root planing - four or more contiguous teeth or tooth bounded spaces per quadrant
gingival flap procedure, including root planing - one to three contiguous teeth or tooth bounded spaces per quadrant
apically positioned flap
CD-10 TM IDI
238-72-90
238-72-84
238-72-99
CD-10 TM Term
Surgical procedure for isolation oftooth with rubber dam
Hemisection (including any root removal), not including root canal therapy
Unspecified endodontic procedure
10578
10579
10580
10581
10582
10583
10584
10585
10586
10587
10588
10589
TX3910
TX3920
TX3950
TX3999
TX4210
TX4211
TX4212
TX4230
TX4231
TX4240
TX4241
TX4245
D3910
D3920
D3950
D3999
D4210
D4211
D4212
D4230
D4231
D4240
D4241
D4245
Apically positioned flap
STANDARD DENTAL 447 DATA SET



















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