CHAPTER 6 Dental Services

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1 CHAPTER 6 Dental Services Propunere noua clasificare proceduri folosind codificarea ICD-10-AM versiunea 3, 30 martie 2004 BLOCK 450 Dental examination Periodic oral examination Limited oral examination Dental consultation Comprehensive oral examination Dental consultation, extended Written report, dental Letter of referral, dental BLOCK 451 Dental radiological examination and interpretation Tomography of skull, or part of skull Intra-oral occlusal radiography, per film Intra-oral periapical or bitewing radiography, per film BLOCK 452 Other dental diagnostic services Dental histopathological examination of tissue Dental culture examination and identification Dental antibiotic sensitivity test Periodontal disease screening test Blood sample, for dental diagnosis Dental bacteriological examination Photographic records, intra-oral Electromyographic analysis Tooth-jaw size prediction analysis Caries activity screening test Photographic records, extra-oral Caries susceptibility test Preparation of diagnostic model, per model Dental haematological examination Dental cytological investigation Cephalometric analysis and interpretation Pulp testing Dental non invasive specimen collection for pathology examination BLOCK 453 Dental prophylaxis and bleaching Enamel micro-abrasion, per tooth Bleaching, home application, per arch Recontouring of pre-existing restoration Removal of plaque or stain Bleaching, internal, per tooth Bleaching, external, per tooth Removal of calculus from surfaces of teeth 1 din 7

2 BLOCK 454 Topical fluoride application Topical fluoride, home application Topical application of fluoride, 1 treatment BLOCK 455 Other preventative dental service Provision of mouthguard, indirect Bimaxillary mouthguard, indirect Odontoplasty, per tooth Application of concentrated fluoride to single tooth Oral hygiene instruction Application of desensitising agent to dentine Dental dietary advice Fissure sealing, per tooth BLOCK 456 Periodontic interventions Periodontal flap surgical procedure per eight teeth or less Clinical periodontal analysis and recording Treatment of acute periodontal infection Alveolar osseous surgical procedure, per eight teeth or less Alveolar osseous graft Gingival graft, per tooth or implant Guided tissue regeneration, per tooth or implant Guided tissue regeneration, membrane removal Gingivectomy, per eight teeth or less Tooth root resection, per root Non surgical periodontal treatment, not elsewhere classified Periodontal flap surgical procedure for crown lengthening, per tooth Periodontal surgical procedure involving 1 tooth or implant Root planing with subgingival curettage, per eight teeth or less BLOCK 457 Non surgical removal of tooth Removal of tooth or part(s) thereof Sectional removal of tooth BLOCK 458 Surgical removal of tooth Surgical removal of unerupted or partly erupted tooth, without removal of bone or tooth division Surgical removal of two or more erupted teeth Surgical removal of unerupted tooth completely encased by bone Surgical removal of one erupted tooth Surgical removal of tooth fragment involving soft tissue Surgical removal of unerupted or partly erupted tooth, with removal of bone or tooth division Surgical removal of tooth fragment involving bone BLOCK 459 Surgery for prosthetics Reduction of flabby ridge, per segment Removal of hyperplastic tissue 2 din 7

3 Repositioning of oral muscle attachment Alveolectomy, per segment BLOCK 460 General surgical dental procedure Dental treatment involving removal or repair of soft tissue, not elsewhere classified Marsupialisation of cyst in oral cavity BLOCK 461 Other dental surgical procedure Surgery to isolate and preserve neurovascular tissue Incision and drainage of abscess or cyst in oral cavity Insertion of oral suture Minor soft tissue dental surgical procedure Surgical exposure of unerupted tooth with stimulation and packing Transplantation of tooth or tooth bud Replantation and splinting of tooth Suture of nerve trunk in conjunction with dental procedure Surgical exposure of unerupted tooth with attachment of device for orthodontic traction Repositioning and splinting of displaced tooth/teeth Surgical repositioning of unerupted tooth BLOCK 462 Pulp treatment Extirpation of pulp or debridement of root canal, emergency procedure Pulpectomy and root canal filling of deciduous teeth Root canal obturation, each additional canal Root canal obturation, 1st canal Complete chemomechanical preparation of root canal, 1st canal Pulpotomy Direct pulp capping Complete chemomechanical preparation of root canal, each additional canal BLOCK 463 Periradicular surgery Periapical curettage Apicectomy, per root Retrograde root filling, per root Treatment of external root resorption and repair Hemisection of multi rooted tooth Surgical sealing of tooth root perforation BLOCK 464 Other endodontic service Obturation of resorption defect or perforation Irrigation and dressing of root canal system Removal or bypass of fractured endodontic instrument Removal of post or post crown Removal of root filling, per canal Exploration for canal in calcified root, per canal Interim therapeutic root filling 3 din 7

4 BLOCK 465 Metallic restoration, direct Metallic restoration of tooth, 2 surfaces Metallic restoration of tooth, 1 surface Metallic restoration of tooth, >= 3 surfaces BLOCK 466 Tooth coloured adhesive restoration, direct Adhesive restoration of anterior tooth, 1 surface Adhesive restoration of posterior tooth, >= 3 surfaces Adhesive restoration of posterior tooth, 2 surfaces Adhesive restoration of posterior tooth, 1 surface Adhesive restoration of anterior tooth, >= 3 surfaces Adhesive restoration of non carious cervical lesion Adhesive restoration of anterior tooth, 2 surfaces BLOCK 468 Inlay, Onlay, indirect Tooth coloured inlay/onlay, 2 surfaces Metallic inlay/onlay, 2 surfaces Tooth coloured inlay/onlay, 1 surface Tooth coloured inlay/onlay, >= 3 surfaces Metallic inlay/onlay, 1 surface Metallic inlay/onlay, >= 3 surfaces BLOCK 469 Other restorative dental service Temporary crown Temporary restoration of cavity Stainless steel crown Recementing of inlay/onlay Restoration of incisal corner of anterior tooth Post - cast, preformed or wrought Temporary restoration of tooth using metal band Bonded facing, direct Removal of inlay/onlay Pin retention, per pin Full coronal reconstruction, metallic, direct Full coronal reconstruction, tooth coloured adhesive restorative, direct Cusp capping, per cusp Temporary bridge Bonded facing, indirect BLOCK 470 Crown Full crown, non metallic, indirect Full crown, veneered, indirect Full crown, metallic, indirect Three-quarter crown, indirect Core for crown including post, indirect Preliminary restoration for crown, direct 4 din 7

5 Post and root cap, indirect BLOCK 471 Bridge Retainer for bonded bridge, indirect, per tooth Bridge pontic, direct, per pontic Bridge pontic, indirect, per pontic Semifixed attachment Precision or magnetic attachment, bridge BLOCK 472 Other dental service on crown and bridge Repair of crown, bridge or splint, direct Repair of crown, bridge or splint, indirect Removal of bridge or splint Recementing bridge or splint, per abutment Removal of crown Recementing crown or veneer BLOCK 473 Implant prosthesis Removal and re-attachment of prosthesis fixed to implant, per implant Provision of surgical implant guide Fitting of bar for denture Surgical removal of dental implant Prosthesis with metal frame attached to implants, per tooth BLOCK 474 Denture or denture component Provision of partial mandibular denture, cast metal framework Provision of retainer to partial denture Provision of occlusal rest to partial denture Provision of tooth to partial denture, each tooth Overlay, per tooth Precision or magnetic attachment, denture Immediate replacement of tooth, per tooth Provision of metal palate or plate Provision of partial maxillary denture, cast metal framework Provision of complete mandibular denture Provision of complete maxillary denture Resilient lining Provision of partial maxillary denture, resin base Provision of connecting bar of wrought metal Provision of partial mandibular denture, resin base Provision of complete mandibular and maxillary dentures BLOCK 475 Denture maintenance Relining of complete denture, direct Relining of complete denture, processed Relining of partial denture, processed 5 din 7

6 Cleaning and polishing of pre-existing denture Remodelling of partial denture Adjustment of pre-existing denture Modification of denture base Remodelling of complete denture Relining of partial denture, direct BLOCK 476 Denture repair Replacement of clasp on denture Re-attachment of pre-existing tooth or clasp to denture Repair or addition to metal casting Repair of broken base of complete denture Repair of broken base of partial denture Replacement of tooth on denture Adding tooth to partial denture to replace lost tooth, per tooth BLOCK 477 Other prosthodontic service Metallic inlay for denture tooth Provision of metal splint, indirect Impression for denture repair Tissue conditioning preparatory to impressions, per application Denture identification Provision of resin splint, indirect Provision of obturator Characterisation of denture base BLOCK 479 Removable orthodontic appliance Provision of passive removable appliance, maxillary arch Provision of active removable appliance, maxillary arch Provision of functional orthopaedic appliance Provision of passive removable appliance, mandibular arch Provision of active removable appliance, mandibular arch BLOCK 480 Fixed orthodontic appliance Partial banding for intermaxillary elastics Provision of maxillary expansion appliance Insertion of fixed palatal or lingual arch appliance Full arch banding, per arch Provision of fixed space maintainer Partial banding, per arch BLOCK 481 Extraoral appliance Provision of extraoral appliance BLOCK 482 Orthodontic attachment Bonding of attachment for application of orthodontic force BLOCK 483 Other orthodontic service 6 din 7

7 Repair of removable appliance, resin base Adjustment of fixed or removable orthodontic appliance Repair clasp or spring on removable appliance BLOCK 484 Dental emergency Palliative dental care After hours dental emergency service BLOCK 485 Dental drug therapy Construction of individually made mandibular or maxillary tray for self application of medicament Provision of medication/medicament for dental procedure Intravenous cannulation and establishment of infusion for dental procedure BLOCK 489 Occlusal therapy Registration and mounting of model for occlusal analysis Provision of occlusal splint Clinical occlusal analysis with muscle and joint palpation Minor occlusal adjustment Adjustment of pre-existing occlusal splint Pantographic tracing Occlusal adjustment following occlusal analysis Adjunctive dental physical therapy for temporomandibular joint and associated structures Repair/addition of occlusal splint BLOCK 490 Miscellaneous dental services Postoperative dental care, not elsewhere classified Splinting and stabilisation of tooth, direct Enamel stripping of tooth Provision of oral appliance for diagnosed snoring and obstructive sleep apnoea 7 din 7

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