ADA CDT-4 Codes corresponding to PreViser's Treatment References
| Preventive Treatment | description | Specific CDT-4 codes included | |
| Prophylaxis/Maintenance | # procedures |
1110, 1120, 1201, 1205, 4910 | |
| Sealants | # teeth |
1351 | |
| Topical fluoride | # procedures |
1201, 1203, 1204, 1205 | |
| Oral hygiene instruction | # times |
1330 | |
| Therapeutic oral rinse | # weeks |
** | |
| Nutritional counseling/referral | # times |
1310 | |
| Tobacco counseling/referral | # times |
1320 | |
| Medical condition referral | # times |
** | |
| Occlusal adjustment | # procedures |
9951, 9952 | |
| Oral habit instruction | # times |
9920 | |
| Bite Guard (Night guard) | # procedures |
9940 | |
| Related
to Teeth |
|||
| Restorations |
# teeth |
2140, 2150, 2160, 2161, 2330, 2331, 2332, 2335, 2390, 2391, 2392, 2393, 2394, 2410, 2420, 2430, 2510, 2520, 2530, 2542, 2543, 2544, 2610, 2620, 2630, 2642, 2643, 2644, 2650, 2651, 2652, 2662, 2663, 2664, 2710, 2720, 2721, 2722, 2740, 2750, 2751, 2752, 2780, 2781, 2782, 2783, 2790, 2791, 2792, 2930, 2931, 2932, 2933, 2960, 2961, 2962 | |
| Endodontics |
# teeth |
3230, 3240, 3310, 3320, 3330, 3346, 3347, 3348, 3351, 3352, 3353, 3410, 3421, 3425, 3426 | |
| Related
to Periodontium |
|||
| Systemic chemotherapy |
# weeks |
||
| Local delivery
- chemotherapy |
# sites |
4381 | |
| Scaling and
root planing |
# quadrants |
4341, 4342 | |
| Surgery-pockets,vertical
bone,furcas |
# quadrants |
3450, 3920, 4210, 4211, 4240, 4241, 4245, 4260, 4261, 4263, 4264, 4265, 4266, 4267, 4268, 4274 | |
| Surgery-crown
length, recession |
# procedures |
4249, 4270, 4271, 4273, 4275, 4276 | |
| Related
to Tooth Replacement |
|||
| Extractions |
# teeth |
7140, 7210, 7250 | |
| Single tooth
replacement - implants |
# implants |
6058, 6059, 6060, 6061, 6062, 6063, 6064, 6065, 6066, 6067 | |
| Fixed prosthesis |
# prostheses |
||
|
# teeth | 6545, 6548, 6600, 6601, 6602, 6603, 6604, 6605, 6606, 6607, 6608, 6609, 6610, 6611, 6612, 6613, 6614, 6615, 6720, 6721, 6722, 6740, 6750, 6751, 6752, 6780, 6781, 6782, 6783, 6790, 6791, 6792 | |
|
# implants |
6068, 6069, 6070, 6071, 6072, 6073, 6074, 6075, 6076, 6077, 6078, 6079 | |
|
# pontics |
6210, 6211, 6212, 6240, 6241, 6242, 6245, 6251, 6252 | |
| Removable
prosthesis |
# prostheses |
5110, 5120, 5130, 5140, 5211, 5212, 5213, 5214, 5281, 5860, 5861, 6053, 6054 | |
|
# implants |
6020 |
|
| Provisional
splinting |
# teeth and
pontics |
4320, 4321 | |
| **Logic
to calculate from dental management system or insurance claims: |
|||
| # procedures |
# CDT-4 codes
in corresponding row |
||
| # teeth |
# unique teeth
for which # CDT-4 codes in corresponding row >0 |
||
| # prescriptions |
No CDT-4 codes
exist allowing for this calculation |
||
| # times |
# CDT-4 codes
in corresponding row |
||
| # sites |
# CDT-4 codes
in corresponding row |
||
| # quadrants |
# unique quadrants
for which # CDT-4 codes in corresponding row >0, where quadrants correspond
to teeth #1-8, 9-16, 17-24, and 25-32 |
||
| # procedures |
# CDT-4 codes
in corresponding row |
||
| # implants |
# CDT-4 codes
in corresponding row |
||
| # prostheses |
# CDT-4 codes
in corresponding row |
||
| # pontics |
# CDT-4 codes
in corresponding row |
||
| # teeth and
pontics |
CDT-4 codes
are not sufficiently specific for this calculation |
||