| Code |
Description |
Usage Notes |
| D5862 |
Precision attachment, by report |
|
| D5863 |
Overdenture - complete maxillary |
|
| D5867 |
Replacement of replaceable part of semi-precision or precision attachment (male or female component) |
|
| D5875 |
Modification of removable prosthesis following implant surgery |
|
| D5899 |
Unspecified removable prosthodontic procedure, by report |
|
| D5911 |
Facial moulage (sectional) |
|
| D5912 |
Facial moulage (complete) |
|
| D5916 |
Ocular prosthesis |
|
| D5923 |
Ocular prosthesis, interim |
|
| D5924 |
Cranial prosthesis |
|
| D5937 |
Trismus appliance (not for TMD treatment) |
|
| D5983 |
Radiation carrier |
|
| D5984 |
Radiation shield |
|
| D5985 |
Radiation cone locator |
|
| D5986 |
Fluoride gel carrier |
|
| D5991 |
Vesiculobullous disease medicament carrier |
|
| D5992 |
Adjust maxillofacial prosthetic appliance, by report |
|
| D5993 |
Maintenance and cleaning of a maxillofacial prosthesis (extra- or intra-oral) other than required adjustments, by report |
|
| D5999 |
Unspecified maxillofacial prosthesis, by report |
|
| D6052 |
Semi-precision attachment abutment |
|
| D6057 |
Custom fabricated abutment - includes placement |
|
| D6058 |
Abutment supported porcelain/ceramic crown |
|
| D6059 |
Abutment supported porcelain fused to metal crown (high noble metal) |
|
| D6060 |
Abutment supported porcelain fused to metal crown (predominantly base metal) |
|
| D6061 |
Abutment supported porcelain fused to metal crown (noble metal) |
|
| D6062 |
Abutment supported cast metal crown (high noble metal) |
|
| D6063 |
Abutment supported cast metal crown (predominantly base metal) |
|
| D6064 |
Abutment supported cast metal crown (noble metal) |
|
| D6065 |
Implant supported porcelain/ceramic crown |
|
| D6066 |
Implant supported porcelain fused to metal crown (titanium, titanium alloy, high noble metal) |
|
| D6068 |
Abutment supported retainer for porcelain/ceramic FPD |
|
| D6069 |
Abutment supported retainer for porcelain fused to metal FPD (high noble metal) |
|
| D6070 |
Abutment supported retainer for porcelain fused to metal FPD (predominantly base metal) |
|
| D6071 |
Abutment supported retainer for porcelain fused to metal FPD (noble metal) |
|
| D6072 |
Abutment supported retainer for cast metal FPD (high noble metal) |
|
| D6073 |
Abutment supported retainer for cast metal FPD (predominantly base metal) |
|
| D6074 |
Abutment supported retainer for cast metal FPD (noble metal) |
|
| D6075 |
Implant supported retainer for ceramic FPD |
|
| D6076 |
Implant supported retainer for porcelain fused to metal FPD (titanium, titanium alloy, or high noble metal) |
|
| D6077 |
Implant supported retainer for cast metal FPD (titanium, titanium alloy, or high noble metal) |
|
| D6080 |
Implant maintenance procedures when prostheses are removed and reinserted, including cleansing of prostheses and abutments |
|
| D6090 |
Repair implant supported prosthesis, by report |
|
| D6091 |
Replacement of semi-precision or precision attachment (male or female component) of implant/abutment supported prosthesis, per attachment |
|
| D6092 |
Re-cement or re-bond implant/abutment supported crown |
|
| D6093 |
Re-cement or re-bond implant/abutment supported fixed partial denture |
|
| D6095 |
Repair implant abutment, by report |
|
| D6245 |
Pontic - porcelain/ceramic |
|
| D6545 |
Retainer - cast metal for resin bonded fixed prosthesis |
|
| D6548 |
Retainer - porcelain/ceramic for resin bonded fixed prosthesis |
|
| D6940 |
Stress breaker |
|
| D6950 |
Precision attachment |
|
| D6999 |
Unspecified fixed prosthodontic procedure, by report |
|
| D7880 |
Occlusal orthotic device, by report |
|
| D9940 |
Occlusal guard, by report |
|
| D9941 |
Fabrication of athletic mouthguard |
