Page 486 - Standard Dental Data Set v1
P. 486

  484 STANDARD DENTAL DATA SET V 1.0
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11512
                  SYNONYM ID
        SYNONYM TERM
  SNODENT ID
TX4249
                   SNODENT TERM
clinical crown lengthening – hard tissue
   CDT ID
D4249
                   CDT TERMI
clinical crown lengthening – hard tissue
   CD-10 TM IDI
233-73-11
                   CD-10 TM Term
Clinical crown lengthening – hard tissue
            11513
     TX4260
osseous surgery (including elevation of a full thickness flap and closure) – four or more contiguous teeth or tooth bounded spaces per quadrant
    D4260
osseous surgery (including elevation of a full thickness flap and closure) – four or more contiguous teeth or tooth bounded spaces per quadrant
                11514
                    TX4261
 osseous surgery (including elevation of a full thickness flap and closure) – one to three contiguous teeth or tooth bounded spaces per quadrant
            D4261
 osseous surgery (including elevation of a full thickness flap and closure) – one to three contiguous teeth or tooth bounded spaces per quadrant
                              11515
                    TX4263
 bone replacement graft – retained natural tooth – first site in quadrant
            D4263
 bone replacement graft – retained natural tooth – first site in quadrant
            233-73-12
       Bone replacement graft – first site in quadrant
           11516
                    TX4264
 bone replacement graft – retained natural tooth – each additional site in quadrant
            D4264
 bone replacement graft – retained natural tooth – each additional site in quadrant
            233-73-13
       Bone replacement graft – each additional site in quadrant
           11517
                                  TX4265
          biologic materials to aid in soft and osseous tissue regeneration
              D4265
          biologic materials to aid in soft and osseous tissue regeneration
                                     11518
                   TX4266
         guided tissue regeneration, natural teeth – resorbable barrier, per site
     D4266
         guided tissue regeneration, natural teeth – resorbable barrier, per site
     236-73-80
           Guided tissue regeneration - resorbable barrier, per site
        11519
     TX4267
guided tissue regeneration, natural teeth – non-resorbable barrier, per site
    D4267
guided tissue regeneration, natural teeth – non-resorbable barrier, per site
    236-73-81
 Guided tissue regeneration - nonresorbable barrier, per site (includes membrane removal)
           11520
                    TX4268
 surgical revision procedure, per tooth
            D4268
 surgical revision procedure, per tooth
            236-73-54
       Surgical revision procedure - per tooth
           11521
                                  TX4270
          pedicle soft tissue graft procedure
              D4270
          pedicle soft tissue graft procedure
              236-73-70
               Pedicle soft tissue graft procedure
        11522
     TX4273
autogenous connective tissue graft procedure (including donor and recipient surgical sites) first tooth, implant, or edentulous tooth position in graft
    D4273
autogenous connective tissue graft procedure (including donor and recipient surgical sites) first tooth, implant, or edentulous tooth position in graft
                11523
                                  TX4274
          mesial/distal wedge procedure, single tooth (when not performed in conjunction with surgical procedures in the same anatomical area)
              D4274
          mesial/distal wedge procedure, single tooth (when not performed in conjunction with surgical procedures in the same anatomical area)
                                  














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