Endodontic procedures that we provide listed by insurance codes:
Diagnostic:
D0120 Periodic exam: Periodic oral examination-established patient
D0140 Limited oral exam: Problem focused
D0150 Comprehensive oral exam: Extensive examination, new or established patient
D0160 Detailed and extensive oral evaluation: Problem focused, by report
D0170 Re-evaluation-limited, problem focused: Established patient, re-evaluation, not a post-op visit
D0171 Re-evaluation-post operative office visit: A recheck after a procedure to evaluate healing
D0460 Pulp vitality tests: Pulp testing
D0470 Diagnostic casts: Impressions and pouring up of plaster casts of teeth / dental arch
D9110 Emergency treatment: Palliative (emergency) pain relief – minor procedure
D9430 Office visit: Case follow-up/observation examination (during regular scheduled hours)
X-Rays:
D0210 Intraoral complete series of radiographic images: X rays of all teeth and the whole mouth
D0220 Intraoral periapical-first image: Detects changes/pathology @ root tip
D0230 Intraoral periapical-additional image(s)
D0270 Bitewing-single image: Detects changes/decay between teeth
D0272 Bitewing-two images
D0273 Bitewings-three images
D0274 Bitewings-four images
D0277 Vertical Bitewings: 7-8 bitewing images taken in the portrait orientation
D0330 Panoramic radiographic image: A 2-dimentional image of the whole mouth and teeth
D0364 Cone beam CT capture and interpretation limited view: Less than one whole jaw
D0365 Cone beam CT capture and interpretation limited view: Full lower jaw (mandible)
D0366 Cone beam CT capture and interpretation limited view: Full upper jaw(maxilla)
Interpretation and Report by a Practitioner Not Associated with the Capture: (D0380-D0391)
D0380 Cone beam CT interpretation limited view: Less than one whole jaw
D0381 Cone beam CT interpretation limited view: Full lower jaw (mandible)
D0382 Cone beam CT interpretation limited view: Full upper jaw (maxilla)
D0391 Interpretation of a diagnostic image by a practitioner
Tests and Examinations
D0460 Pulp vitality tests: Tests to determine which tooth (or teeth) are normal or diseased/need RCT or EXT
D0476 Special stains for microorganisms: Gram stains to determine the type of bacteria are present
Preventative
D1110 Prophylaxis-adult: Routine teeth cleaning/polish
D1120 Prophylaxis-child: Routine teeth cleaning/polish
D1206 Topical application of fluoride-varnish: A “paint-on” sticky fluoride application
D1208 Topical application of fluoride-excluding varnish: Gel fluoride application via trays
D1351 Sealant application-per tooth: A flowable acrylic that seals pits and fissures on teeth
D1353 Sealant repair-per tooth: Repair of a previous sealant that has worn or has debonded
Non-Surgical Endodontics:
D3120 Pulp cap (indirect): Removal of decay/site medication to heal pulp
D3220 Therapeutic pulpotomy: Emergency pulp chamber tissue removal for toothache relief
D3221 Gross pulpal debridement: Removal of complete pulpal tissue for toothache relief
D3230 Pulpal therapy (resorbable filling) anterior primary teeth: A root canal on a baby front tooth
D3240 Pulpal therapy (resorbable filling) posterior primary teeth: A root canal on a baby back tooth
D3310 Root canal-anterior: Root canal: front tooth
D3320 Root canal-bicuspid: Root canal: middle tooth
D3330 Root canal-molar: Root canal: back tooth
D3331 Treatment of root canal obstruction: Removal of a separated instrument, finding a Ca+ canal
D3332 Incomplete root canal therapy: Inoperable or fractured tooth, root canal procedure not completed
D3333 Internal root repair: Repair of perforation defects
D3346 Retreatment-anterior: To re-do a failing root canal: front tooth
D3347 Retreatment-bicuspid: To re-do a failing root canal: middle tooth
D3348 Retreatment-molar: To re-do a failing root canal: back tooth
D3351 Apexification-initial: To close/complete root tip development: Visit #1
D3552 Apexification-interim: Multiple visits/dressing change: Visit #2+
D3553 Apexification-final: Completion of root apex closure: Final visit
D3351 Calcification/repair: To induce bone growth to seal root surfaces (i.e. perforations, resorption)
D3355 Pulpal regeneration: Procedures to induce regrowth of pulpal tissue in an immature tooth
D3356 Pulpal regeneration-interim visit: Change of medication
D3357 Pulpal regeneration-completion of treatment: Removal of canal medication and filling of the canal
Endodontic Surgery:
D3410 Apicoectomy-anterior: Root tip surgery: front tooth
D3421 Apicoectomy-bicuspid: Root tip surgery: middle tooth
D3425 Apicoectomy-molar: Root tip surgery: back tooth
D3426 Apicoectomy-additional root: Root tip surgery: extra roots
D3428 Bone graft in conjunction with periapical surgery: Placement of biologics to aid in healing
D3429 Bone graft in conjunction with periapical surgery: Each additional tooth in the same site
D3430 Retrograde filling: A surgically placed root-end filling
D3431 Biologic materials to aid in bone and soft tissue healing
D3432 Guided tissue regeneration: Placement of a resorbable barrier to aid in root surgery
D3450 Root amputation: Removal of one root of a tooth
D3470 Intentional reimplantation: Removing/treating/replacing a tooth into its own socket
D3910 Surgical procedure for the isolation of a tooth: Procedures to help attach a rubber dam
D3920 Hemisection: Sectioning/removal of half of two rooted tooth
D4249 Crown lengthening: Procedures to enhance/expose root for restorative enhancement
D0501 Histopathologic Exam: Sampling and microscopic examination of oral disease
D7111 Extraction of a primary tooth: Removal of the remnants of a “baby” tooth
D7140 Extraction of a permanent tooth: Forceps removal of an “adult” tooth
D7210 Extraction of a permanent tooth: Removal of an adult tooth requiring flap, bone removal
D7270 Reimplantation/splint: Replacing/stabilizing a knocked-out tooth
D7272 Tooth transplantation: Extraction and moving/implanting the tooth to a different site in the mouth
D7285 Biopsy-hard tissue: Sampling and microscopic examination of bone or tooth structure
D7286 Biopsy-soft tissue: Sampling and microscopic examination of surgical soft tissue
D7288 Brush biopsy: Sampling of oral soft tissue using a brush for microscopic examination
D7430 Cystectomy (<1.25cm): Removal of a small cyst
D7431 Cystectomy (>1.25cm): Removal of a large cyst
D7510 Incision and drainage: Lancing a swollen area to relieve infection
D7270 Reimplantation/splint: Replacing/stabilizing a knocked-out tooth
Restorative:
D2140 to 61 Amalgam: Placement of a metal, compactable filling, 1 to 4 surfaces.
D2330 to 94 Composite: Placement/bonding of a plastic tooth colored filling, 1 to 4 surfaces
D2920 Re-cement crown: Reglue a single crown to tooth
D2952 Cast gold post/core: A casted single unit post/core to attach a crown to a root
D2954 Prefabricated post/core: A standard post/core to attach a crown to a root
D2955 Post removal: Using ultrasonics and operating microscope to remove a post
D2970 Temporary crown: To make a temporary crown or “cap”
D2980 Crown repair: To repair a crown necessitated by restorative material failure
D3950 Post space preparation: Removal of a root canal filling for a post
D6930 Re-cement bridge: Reglue multiple, attached crowns to teeth
D9120 Sectioning of a fixed bridge: Cutting apart and removing part of a bridge
Drugs:
D9610 Therapeutic drug: By injection, single administration, one medication
D9612 Therapeutic drugs: By injection, two or more administrations, different medications
Other:
D3960 Internal bleaching initial/subsequent visits: To lighten a single, dark tooth
D3999 Unspecified: Misc., by report
D5410 Adjustment of a complete denture-maxillary (“upper”)
D5411 Adjustment of a complete denture-mandibular (“lower”)
D5421 Adjustment of a partial denture-maxillary (“upper”)
D5422 Adjustment of a partial denture-mandibular (“lower”)
D9910 Desensitizer application: Medication to decrease thermal pain
D9943 Occlusal guard adjustment: Adjustment of a night guard or bruxing splint
D9951 Occlusal adjustment: Selective bite adjustment
Please Note:
Many of the listed procedures do not fall under what is considered “mainstream endodontics” as a specialty, but include procedures typically offered in a general practice or other dental specialties like oral surgery, periodontics, prosthodontics, etc. They are listed because of our experience that many of the patients that we treated under moderate to deep sedation/general anesthesia needed the other non-endodontic procedures performed while they were asleep. Completing these procedures in conjunction with the endodontic treatment would enhance the success of the case, help get the patient out of pain, or prevent another problem “waiting to happen” while the patient was under anesthesia just the one time.
This saves the patient time, money, minimizes risk and promotes a culture of safety.