CHAPTER 6 Dental Services Propunere noua clasificare proceduri folosind codificarea ICD-10-AM versiunea 3, 30 martie 2004 BLOCK 450 Dental examination 97012-00 Periodic oral examination 97013-00 Limited oral examination 97014-00 Dental consultation 97011-00 Comprehensive oral examination 97015-00 Dental consultation, extended 97018-00 Written report, dental 97019-00 Letter of referral, dental BLOCK 451 Dental radiological examination and interpretation 97039-00 Tomography of skull, or part of skull 97025-00 Intra-oral occlusal radiography, per film 97022-00 Intra-oral periapical or bitewing radiography, per film BLOCK 452 Other dental diagnostic services 97052-00 Dental histopathological examination of tissue 97042-00 Dental culture examination and identification 97043-00 Dental antibiotic sensitivity test 97046-00 Periodontal disease screening test 97055-00 Blood sample, for dental diagnosis 97041-00 Dental bacteriological examination 97072-00 Photographic records, intra-oral 97086-00 Electromyographic analysis 97082-00 Tooth-jaw size prediction analysis 97047-00 Caries activity screening test 97073-00 Photographic records, extra-oral 97048-00 Caries susceptibility test 97071-00 Preparation of diagnostic model, per model 97056-00 Dental haematological examination 97053-00 Dental cytological investigation 97081-00 Cephalometric analysis and interpretation 97061-00 Pulp testing 97044-00 Dental non invasive specimen collection for pathology examination BLOCK 453 Dental prophylaxis and bleaching 97116-00 Enamel micro-abrasion, per tooth 97119-00 Bleaching, home application, per arch 97113-00 Recontouring of pre-existing restoration 97111-00 Removal of plaque or stain 97117-00 Bleaching, internal, per tooth 97118-00 Bleaching, external, per tooth 97114-00 Removal of calculus from surfaces of teeth 1 din 7
BLOCK 454 Topical fluoride application 97122-00 Topical fluoride, home application 97121-00 Topical application of fluoride, 1 treatment BLOCK 455 Other preventative dental service 97151-00 Provision of mouthguard, indirect 97153-00 Bimaxillary mouthguard, indirect 97171-00 Odontoplasty, per tooth 97182-00 Application of concentrated fluoride to single tooth 97141-00 Oral hygiene instruction 97165-00 Application of desensitising agent to dentine 97131-00 Dental dietary advice 97161-00 Fissure sealing, per tooth BLOCK 456 Periodontic interventions 97232-00 Periodontal flap surgical procedure per eight teeth or less 97221-00 Clinical periodontal analysis and recording 97213-00 Treatment of acute periodontal infection 97233-00 Alveolar osseous surgical procedure, per eight teeth or less 97234-00 Alveolar osseous graft 97235-00 Gingival graft, per tooth or implant 97236-00 Guided tissue regeneration, per tooth or implant 97237-00 Guided tissue regeneration, membrane removal 97231-00 Gingivectomy, per eight teeth or less 97241-00 Tooth root resection, per root 97225-00 Non surgical periodontal treatment, not elsewhere classified 97238-00 Periodontal flap surgical procedure for crown lengthening, per tooth 97245-00 Periodontal surgical procedure involving 1 tooth or implant 97222-00 Root planing with subgingival curettage, per eight teeth or less BLOCK 457 Non surgical removal of tooth 97311-00 Removal of tooth or part(s) thereof 97314-00 Sectional removal of tooth BLOCK 458 Surgical removal of tooth 97322-00 Surgical removal of unerupted or partly erupted tooth, without removal of bone or tooth division 97321-01 Surgical removal of two or more erupted teeth 97324-00 Surgical removal of unerupted tooth completely encased by bone 97321-00 Surgical removal of one erupted tooth 97325-00 Surgical removal of tooth fragment involving soft tissue 97323-00 Surgical removal of unerupted or partly erupted tooth, with removal of bone or tooth division 97326-00 Surgical removal of tooth fragment involving bone BLOCK 459 Surgery for prosthetics 97338-00 Reduction of flabby ridge, per segment 97341-00 Removal of hyperplastic tissue 2 din 7
97343-00 Repositioning of oral muscle attachment 97331-00 Alveolectomy, per segment BLOCK 460 General surgical dental procedure 97377-00 Dental treatment involving removal or repair of soft tissue, not elsewhere classified 97379-00 Marsupialisation of cyst in oral cavity BLOCK 461 Other dental surgical procedure 97389-01 Surgery to isolate and preserve neurovascular tissue 97392-00 Incision and drainage of abscess or cyst in oral cavity 97399-00 Insertion of oral suture 97398-00 Minor soft tissue dental surgical procedure 97381-00 Surgical exposure of unerupted tooth with stimulation and packing 97388-00 Transplantation of tooth or tooth bud 97387-00 Replantation and splinting of tooth 97395-00 Suture of nerve trunk in conjunction with dental procedure 97382-00 Surgical exposure of unerupted tooth with attachment of device for orthodontic traction 97386-00 Repositioning and splinting of displaced tooth/teeth 97385-00 Surgical repositioning of unerupted tooth BLOCK 462 Pulp treatment 97419-00 Extirpation of pulp or debridement of root canal, emergency procedure 97421-00 Pulpectomy and root canal filling of deciduous teeth 97418-00 Root canal obturation, each additional canal 97417-00 Root canal obturation, 1st canal 97415-00 Complete chemomechanical preparation of root canal, 1st canal 97414-00 Pulpotomy 97411-00 Direct pulp capping 97416-00 Complete chemomechanical preparation of root canal, each additional canal BLOCK 463 Periradicular surgery 97431-00 Periapical curettage 97432-00 Apicectomy, per root 97434-00 Retrograde root filling, per root 97437-00 Treatment of external root resorption and repair 97438-00 Hemisection of multi rooted tooth 97436-00 Surgical sealing of tooth root perforation BLOCK 464 Other endodontic service 97457-00 Obturation of resorption defect or perforation 97455-00 Irrigation and dressing of root canal system 97453-00 Removal or bypass of fractured endodontic instrument 97452-00 Removal of post or post crown 97451-00 Removal of root filling, per canal 97445-00 Exploration for canal in calcified root, per canal 97458-00 Interim therapeutic root filling 3 din 7
BLOCK 465 Metallic restoration, direct 97512-00 Metallic restoration of tooth, 2 surfaces 97511-00 Metallic restoration of tooth, 1 surface 97513-00 Metallic restoration of tooth, >= 3 surfaces BLOCK 466 Tooth coloured adhesive restoration, direct 97537-00 Adhesive restoration of anterior tooth, 1 surface 97533-00 Adhesive restoration of posterior tooth, >= 3 surfaces 97532-00 Adhesive restoration of posterior tooth, 2 surfaces 97531-00 Adhesive restoration of posterior tooth, 1 surface 97539-00 Adhesive restoration of anterior tooth, >= 3 surfaces 97529-00 Adhesive restoration of non carious cervical lesion 97538-00 Adhesive restoration of anterior tooth, 2 surfaces BLOCK 468 Inlay, Onlay, indirect 97568-00 Tooth coloured inlay/onlay, 2 surfaces 97555-00 Metallic inlay/onlay, 2 surfaces 97567-00 Tooth coloured inlay/onlay, 1 surface 97569-00 Tooth coloured inlay/onlay, >= 3 surfaces 97554-00 Metallic inlay/onlay, 1 surface 97556-00 Metallic inlay/onlay, >= 3 surfaces BLOCK 469 Other restorative dental service 97573-00 Temporary crown 97572-00 Temporary restoration of cavity 97576-00 Stainless steel crown 97596-00 Recementing of inlay/onlay 97578-00 Restoration of incisal corner of anterior tooth 97597-00 Post - cast, preformed or wrought 97574-00 Temporary restoration of tooth using metal band 97582-01 Bonded facing, direct 97595-00 Removal of inlay/onlay 97575-00 Pin retention, per pin 97598-00 Full coronal reconstruction, metallic, direct 97599-00 Full coronal reconstruction, tooth coloured adhesive restorative, direct 97577-00 Cusp capping, per cusp 97579-00 Temporary bridge 97583-01 Bonded facing, indirect BLOCK 470 Crown 97613-00 Full crown, non metallic, indirect 97615-00 Full crown, veneered, indirect 97618-00 Full crown, metallic, indirect 97620-00 Three-quarter crown, indirect 97625-00 Core for crown including post, indirect 97627-00 Preliminary restoration for crown, direct 4 din 7
97629-00 Post and root cap, indirect BLOCK 471 Bridge 97649-00 Retainer for bonded bridge, indirect, per tooth 97642-00 Bridge pontic, direct, per pontic 97643-00 Bridge pontic, indirect, per pontic 97644-00 Semifixed attachment 97645-00 Precision or magnetic attachment, bridge BLOCK 472 Other dental service on crown and bridge 97659-00 Repair of crown, bridge or splint, direct 97658-00 Repair of crown, bridge or splint, indirect 97656-00 Removal of bridge or splint 97652-00 Recementing bridge or splint, per abutment 97655-00 Removal of crown 97651-00 Recementing crown or veneer BLOCK 473 Implant prosthesis 97669-00 Removal and re-attachment of prosthesis fixed to implant, per implant 97679-00 Provision of surgical implant guide 97664-00 Fitting of bar for denture 97663-00 Surgical removal of dental implant 97666-00 Prosthesis with metal frame attached to implants, per tooth BLOCK 474 Denture or denture component 97728-00 Provision of partial mandibular denture, cast metal framework 97731-00 Provision of retainer to partial denture 97732-00 Provision of occlusal rest to partial denture 97733-00 Provision of tooth to partial denture, each tooth 97734-00 Overlay, per tooth 97735-00 Precision or magnetic attachment, denture 97736-00 Immediate replacement of tooth, per tooth 97716-00 Provision of metal palate or plate 97727-00 Provision of partial maxillary denture, cast metal framework 97712-00 Provision of complete mandibular denture 97711-00 Provision of complete maxillary denture 97737-00 Resilient lining 97721-00 Provision of partial maxillary denture, resin base 97738-00 Provision of connecting bar of wrought metal 97722-00 Provision of partial mandibular denture, resin base 97719-00 Provision of complete mandibular and maxillary dentures BLOCK 475 Denture maintenance 97751-00 Relining of complete denture, direct 97743-00 Relining of complete denture, processed 97744-00 Relining of partial denture, processed 5 din 7
97753-00 Cleaning and polishing of pre-existing denture 97746-00 Remodelling of partial denture 97741-00 Adjustment of pre-existing denture 97754-00 Modification of denture base 97745-00 Remodelling of complete denture 97752-00 Relining of partial denture, direct BLOCK 476 Denture repair 97762-00 Replacement of clasp on denture 97761-00 Re-attachment of pre-existing tooth or clasp to denture 97769-00 Repair or addition to metal casting 97763-00 Repair of broken base of complete denture 97764-00 Repair of broken base of partial denture 97765-00 Replacement of tooth on denture 97768-00 Adding tooth to partial denture to replace lost tooth, per tooth BLOCK 477 Other prosthodontic service 97778-00 Metallic inlay for denture tooth 97773-00 Provision of metal splint, indirect 97776-00 Impression for denture repair 97771-00 Tissue conditioning preparatory to impressions, per application 97777-00 Denture identification 97772-00 Provision of resin splint, indirect 97774-00 Provision of obturator 97775-00 Characterisation of denture base BLOCK 479 Removable orthodontic appliance 97811-00 Provision of passive removable appliance, maxillary arch 97821-00 Provision of active removable appliance, maxillary arch 97823-00 Provision of functional orthopaedic appliance 97812-01 Provision of passive removable appliance, mandibular arch 97822-01 Provision of active removable appliance, mandibular arch BLOCK 480 Fixed orthodontic appliance 97842-00 Partial banding for intermaxillary elastics 97843-00 Provision of maxillary expansion appliance 97841-00 Insertion of fixed palatal or lingual arch appliance 97831-00 Full arch banding, per arch 97845-00 Provision of fixed space maintainer 97829-00 Partial banding, per arch BLOCK 481 Extraoral appliance 97851-00 Provision of extraoral appliance BLOCK 482 Orthodontic attachment 97862-00 Bonding of attachment for application of orthodontic force BLOCK 483 Other orthodontic service 6 din 7
97875-00 Repair of removable appliance, resin base 97871-00 Adjustment of fixed or removable orthodontic appliance 97876-00 Repair clasp or spring on removable appliance BLOCK 484 Dental emergency 97911-00 Palliative dental care 97915-00 After hours dental emergency service BLOCK 485 Dental drug therapy 97926-00 Construction of individually made mandibular or maxillary tray for self application of medicament 97927-00 Provision of medication/medicament for dental procedure 97928-00 Intravenous cannulation and establishment of infusion for dental procedure BLOCK 489 Occlusal therapy 97964-00 Registration and mounting of model for occlusal analysis 97965-00 Provision of occlusal splint 97963-00 Clinical occlusal analysis with muscle and joint palpation 97961-00 Minor occlusal adjustment 97966-00 Adjustment of pre-existing occlusal splint 97967-00 Pantographic tracing 97968-00 Occlusal adjustment following occlusal analysis 97971-00 Adjunctive dental physical therapy for temporomandibular joint and associated structures 97972-00 Repair/addition of occlusal splint BLOCK 490 Miscellaneous dental services 97986-00 Postoperative dental care, not elsewhere classified 97981-00 Splinting and stabilisation of tooth, direct 97982-00 Enamel stripping of tooth 97985-00 Provision of oral appliance for diagnosed snoring and obstructive sleep apnoea 7 din 7