Page 487 - Standard Dental Data Set v1

INSTITUTE OF DENTISTRY 485
1
11524
SYNONYM ID
SYNONYM TERM
SNODENT ID
TX4275
SNODENT TERM
non-autogenous connective tissue graft (including recipient site and donor material) first tooth, implant, or edentulous tooth position in graft
CDT ID
D4275
CDT TERMI
non-autogenous connective tissue graft (including recipient site and donor material) first tooth, implant, or edentulous tooth position in graft
CD-10 TM IDI
CD-10 TM Term
11525
TX4276
combined connective tissue and double pedicle graft, per tooth
D4276
combined connective tissue and double pedicle graft, per tooth
11526
TX4277
free soft tissue graft procedure (including recipient and donor surgical sites) first tooth, implant or edentulous tooth position in graft
D4277
free soft tissue graft procedure (including recipient and donor surgical sites) first tooth, implant or edentulous tooth position in graft
236-73-71
Free soft tissue graft procedure (including recipient and donor surgical sites)
11527
TX4278
free soft tissue graft procedure (including recipient and donor surgical sites) each additional contiguous tooth, implant or edentulous tooth position in same graft site
D4278
free soft tissue graft procedure (including recipient and donor surgical sites) each additional contiguous tooth, implant or edentulous tooth position in same graft site
11528
TX4283
autogenous connective tissue graft procedure (including donor and recipient surgical sites) – each additional contiguous tooth, implant or edentulous tooth position in same graft site
D4283
autogenous connective tissue graft procedure (including donor and recipient surgical sites) – each additional contiguous tooth, implant or edentulous tooth position in same graft site
11529
TX4285
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
D4285
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
11530
TX4320
provisional splinting - intracoronal
D4320
provisional splinting - intracoronal
238-73-10
Provisional splinting - intracoronal
11531
TX4321
provisional splinting - extracoronal
D4321
provisional splinting - extracoronal
238-73-11
Provisional splinting - extracoronal
11532
TX4341
periodontal scaling and root planing - four or more teeth per quadrant
D4341
periodontal scaling and root planing - four or more teeth per quadrant
11533
TX4342
periodontal scaling and root planing - one to three teeth per quadrant
D4342
periodontal scaling and root planing - one to three teeth per quadrant
11534
TX4346
scaling in presence of generalized moderate or severe gingival inflammation – full mouth, after oral evaluation
D4346
scaling in presence of generalized moderate or severe gingival inflammation – full mouth, after oral evaluation