Page 451 - Standard Dental
P. 451

 1 SNODENT ID
SNODENT TERM
SYNONYM ID
SYNONYM TERM
SD ID
SD TERM
mesial/distal wedge procedure, single tooth (when not performed in conjunction with surgical procedures in the same anatomical area)
non-autogenous connective tissue graft (including recipient site and donor material) first tooth, implant, or edentulous tooth position in graft
combined connective tissue and double pedicle graft, per tooth
free soft tissue graft procedure (including recipient and donor surgical sites) first tooth, implant or edentulous tooth position
in graft
free soft tissue graft procedure (including recipient and donor surgical sites) each additional contiguous tooth, implant or edentulous tooth position in same graft site
autogenous connective tissue graft procedure (including donor and recipient surgical sites)
– each additional contiguous tooth, implant or edentulous tooth position in same graft site
non-autogenous connective tissue graft procedure (including recipient surgical site and donor material) – each additional contiguous tooth, implant or edentulous tooth position in same graft site
CDT ID
CDT TERMI
mesial/distal wedge procedure, single tooth (when not performed in conjunction with surgical procedures in the same anatomical area)
non-autogenous connective tissue graft (including recipient site and donor material) first tooth, implant, or edentulous tooth position in graft
combined connective tissue and double pedicle graft, per tooth
free soft tissue graft procedure (including recipient and donor surgical sites) first tooth, implant or edentulous tooth position in graft
free soft tissue graft procedure (including recipient and donor surgical sites) each additional contiguous tooth, implant or edentulous tooth position in same graft site
autogenous connective tissue graft procedure (including donor and recipient surgical sites) – each additional contiguous tooth, implant or edentulous tooth position in same graft site
non-autogenous connective tissue graft procedure (including recipient surgical site and donor material) – each additional contiguous tooth, implant or edentulous tooth position in same graft site
CD-10 TM IDI
CD-10 TM Term
10601
10602
10603
10604
10605
10606
10607
TX4274
TX4275
TX4276
TX4277
TX4278
TX4283
TX4285
D4274
D4275
D4276
D4277
D4278
D4283
D4285
236-73-71
Free soft tissue graft procedure(including recipient and donor surgical sites)
STANDARD DENTAL 449 DATA SET

















































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