Bill Duncan American Dental Association; see www.ada.org/dentalcode Alan Ruttenberg This annotation is used for the labels of the CDT codes provided by the American Dental Association. editor note billing code D2140: amalgam - one surface, primary or permanent amalgam - one surface, primary or permanent D2140 billing code D2150: amalgam - two surfaces, primary or permanent D2150 amalgam - two surfaces, primary or permanent billing code D2160: amalgam - three surfaces, primary or permanent D2160 amalgam - three surfaces, primary or permanent billing code D2161: amalgam - four or more surfaces, primary or permanent D2161 amalgam - four or more surfaces, primary or permanent billing code D2330: resin-based composite - one surface, anterior D2330 resin-based composite - one surface, anterior billing code D2331: resin-based composite - two surfaces, anterior resin-based composite - two surfaces, anterior D2331 billing code D2332: resin-based composite - three surfaces, anterior resin-based composite - three surfaces, anterior D2332 billing code D2335: resin-based composite - four or more surfaces or involving incisal angle (anterior) resin-based composite - four or more surfaces or involving incisal angle (anterior) Incisal angle to be defined as one of the angles formed by the junction of the incisal and the mesial or distal surface of an anterior tooth. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 D2335 billing code D2390: resin-based composite crown, anterior Full resin-based composite coverage of tooth. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 resin-based composite crown, anterior D2390 billing code D2391: resin-based composite - one surface, posterior D2391 Used to restore a carious lesion into the dentin or a deeply eroded area into the dentin. Not a preventive procedure. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 resin-based composite - one surface, posterior billing code D2392: resin-based composite - two surfaces, posterior resin-based composite - two surfaces, posterior D2392 billing code D2393: resin-based composite - three surfaces, posterior D2393 resin-based composite - three surfaces, posterior billing code D2394: resin-based composite - four or more surfaces, posterior D2394 resin-based composite - four or more surfaces, posterior billing code D2410: gold foil - one surface gold foil - one surface D2410 billing code D2420: gold foil - two surfaces D2420 gold foil - two surfaces billing code D2430: gold foil - three surfaces D2430 gold foil - three surfaces billing code D2510: inlay - metallic - one surface inlay - metallic - one surface D2510 billing code D2520: inlay - metallic - two surfaces inlay - metallic - two surfaces D2520 billing code D2530: inlay - metallic - three or more surfaces inlay - metallic - three or more surfaces D2530 billing code D2542: onlay - metallic - two surfaces D2542 onlay - metallic - two surfaces billing code D2543: onlay - metallic - three surfaces D2543 onlay - metallic - three surfaces billing code D2544: onlay - metallic - four or more surfaces onlay - metallic - four or more surfaces D2544 billing code D2610: inlay - porcelain/ceramic - one surface D2610 inlay - porcelain/ceramic - one surface billing code D2620: inlay - porcelain/ceramic - two surfaces inlay - porcelain/ceramic - two surfaces D2620 billing code D2630: inlay - porcelain/ceramic - three or more surfaces D2630 inlay - porcelain/ceramic - three or more surfaces billing code D2642: onlay - porcelain/ceramic - two surfaces D2642 onlay - porcelain/ceramic - two surfaces billing code D2643: onlay - porcelain/ceramic - three surfaces onlay - porcelain/ceramic - three surfaces D2643 billing code D2644: onlay - porcelain/ceramic - four or more surfaces D2644 onlay - porcelain/ceramic - four or more surfaces billing code D2650: inlay - resin-based composite - one surface inlay - resin-based composite - one surface D2650 billing code D2651: inlay - resin-based composite - two surfaces D2651 inlay - resin-based composite - two surfaces billing code D2652: inlay - resin-based composite - three or more surfaces D2652 inlay - resin-based composite - three or more surfaces billing code D2662: onlay - resin-based composite - two surfaces onlay - resin-based composite - two surfaces D2662 billing code D2663: onlay - resin-based composite - three surfaces onlay - resin-based composite - three surfaces D2663 billing code D2664: onlay - resin-based composite - four or more surfaces onlay - resin-based composite - four or more surfaces D2664 billing code D2710: crown - resin-based composite (indirect) D2710 Unfilled or non-reinforced resin crowns should be reported using D2999. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 crown - resin-based composite (indirect) billing code D2712: crown - 3/4 resin-based composite (indirect) crown - 3/4 resin-based composite (indirect) This code does not include facial veneers. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 D2712 billing code D2720: crown - resin with high noble metal crown - resin with high noble metal D2720 billing code D2721: crown - resin with predominantly base metal D2721 crown - resin with predominantly base metal billing code D2722: crown - resin with noble metal crown - resin with noble metal D2722 billing code D2740: crown - porcelain/ceramic substrate crown - porcelain/ceramic substrate D2740 billing code D2750: crown - porcelain fused to high noble metal crown - porcelain fused to high noble metal D2750 billing code D2751: crown - porcelain fused to predominantly base metal D2751 crown - porcelain fused to predominantly base metal billing code D2752: crown - porcelain fused to noble metal D2752 crown - porcelain fused to noble metal billing code D2780: crown - 3/4 cast high noble metal crown - 3/4 cast high noble metal D2780 billing code D2781: crown - 3/4 cast predominantly base metal crown - 3/4 cast predominantly base metal D2781 billing code D2782: crown - 3/4 cast noble metal crown - 3/4 cast noble metal D2782 billing code D2783: crown - 3/4 porcelain/ceramic D2783 crown - 3/4 porcelain/ceramic This code does not include facial veneers. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 billing code D2790: crown - full cast high noble metal crown - full cast high noble metal D2790 billing code D2791: crown - full cast predominantly base metal crown - full cast predominantly base metal D2791 billing code D2792: crown - full cast noble metal D2792 crown - full cast noble metal billing code D2794: crown - titanium D2794 crown - titanium billing code D2799: provisional crown Crown utilized as an interim restoration of at least six months duration during restorative treatment to allow adequate time for healing or completion of other procedures. This includes, but is not limited to changing vertical dimension, completing periodontal therapy or cracked-tooth syndrome. This is not to be used as a temporary crown for a routine prosthetic restoration. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 D2799 provisional crown billing code D2910: recement inlay, onlay, or partial coverage restoration recement inlay, onlay, or partial coverage restoration D2910 billing code D2915: recement cast or prefabricated post and core recement cast or prefabricated post and core D2915 billing code D2920: recement crown recement crown D2920 billing code D2930: prefabricated stainless steel crown - primary tooth prefabricated stainless steel crown - primary tooth D2930 billing code D2931: prefabricated stainless steel crown - permanent tooth D2931 prefabricated stainless steel crown - permanent tooth billing code D2932: prefabricated resin crown prefabricated resin crown D2932 billing code D2933: prefabricated stainless steel crown with resin window Open-face stainless steel crown with aesthetic resin facing or veneer. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 D2933 prefabricated stainless steel crown with resin window billing code D2934: prefabricated esthetic coated stainless steel crown - primary tooth Stainless steel primary crown with exterior esthetic coating. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 D2934 prefabricated esthetic coated stainless steel crown - primary tooth billing code D2940: protective restoration protective restoration Direct placement of a temporary restorative material to protect tooth and/ or tissue form. This procedure may be used to relieve pain, promote healing, or prevent further deterioration. Not to be used for endodontic access closure, or as a base or liner under a restoration. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 D2940 billing code D2950: core buildup, including any pins core buildup, including any pins D2950 Refers to building up of anatomical crown when restorative crown will be placed, whether or not pins are used. A material is placed in the tooth preparation for a crown when there is insufficient tooth strength and retention for the crown procedure. This should not be reported when the procedure only involves a filler to eliminate any undercut, box form, or concave irregularity in the preparation. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 billing code D2951: pin retention - per tooth, in addition to restoration D2951 pin retention - per tooth, in addition to restoration billing code D2952: post and core in addition to crown, indirectly fabricated Post and core are custom fabricated as a single unit. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 post and core in addition to crown, indirectly fabricated D2952 billing code D2953: each additional indirectly fabricated post - same tooth D2953 To be used with D2952. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 each additional indirectly fabricated post - same tooth billing code D2954: prefabricated post and core in addition to crown prefabricated post and core in addition to crown D2954 Core is built around a prefabricated post. This procedure includes the core material. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 billing code D2955: post removal (not in conjunction with endodontic therapy) For removal of posts (e.g., fractured posts); not to be used in conjunction with endodontic retreatment (D3346, D3347, D3348). ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 post removal (not in conjunction with endodontic therapy) D2955 billing code D2957: each additional prefabricated post - same tooth To be used with D2954. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 each additional prefabricated post - same tooth D2957 billing code D2960: labial veneer (resin laminate) - chairside D2960 Refers to labial/facial direct resin bonded veneers. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 labial veneer (resin laminate) - chairside billing code D2961: labial veneer (resin laminate) - laboratory D2961 Refers to labial/facial indirect resin bonded veneers. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 labial veneer (resin laminate) - laboratory billing code D2962: labial veneer (porcelain laminate) - laboratory Refers also to facial veneers that extend interproximally and/or cover the incisal edge. Porcelain/ceramic veneers presently include all ceramic and porcelain veneers. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 labial veneer (porcelain laminate) - laboratory D2962 billing code D2970: temporary crown (fractured tooth) temporary crown (fractured tooth) Usually a preformed artificial crown, which is fitted over a damaged tooth as an immediate protective device. This is not to be used as temporization during crown fabrication. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 D2970 billing code D2971: additional procedures to construct new crown under existing partial denture framework D2971 additional procedures to construct new crown under existing partial denture framework To be reported in addition to a crown code. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 billing code D2975: coping coping D2975 A thin covering of the remaining portion of a tooth, usually fabricated of metal and devoid of anatomic contour. This is to be used as a definitive restoration. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 billing code D2980: crown repair, by report A narrative explaining the treatment provided must be included with a claim submission that uses this code. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 D2980 Includes removal of crown, if necessary. Describe procedure. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 crown repair, by report billing code D2999: unspecified restorative procedure, by report A narrative explaining the treatment provided must be included with a claim submission that uses this code. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 D2999 unspecified restorative procedure, by report Use for procedure that is not adequately described by a code. Describe procedure. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 current dental terminology code A current dental terminology code is a centrally registered identifier that is maintained by the American Dental Association and used for recording dental services provided. It is typically used on the patient record, and when reporting procedures on a paper or electronic submission. billing code for inlay/onlay restorations - resin-based composite inlay/onlay restorations - resin-based composite Resin-based composite inlays/onlays must utilize indirect technique. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 billing code for inlay/onlay restorations inlay/onlay restorations billing code for restorative Local anesthesia is usually considered to be part of Restorative procedures. A one-surface posterior restoration is one in which the restoration involves only one of the five surface classifications (mesial, distal, occlusal, lingual, or facial, including buccal and labial). A two-surface posterior restoration is one in which the restoration extends to two of the five surface classifications. A three-surface posterior restoration is one in which the restoration extends to three of the five surface classifications. A four-or-more surface posterior restoration is one in which the restoration extends to four or more of the five surface classifications. A one-surface anterior proximal restoration is one in which neither the lingual nor the facial margins of the restoration extend beyond the line angle. A two-surface anterior proximal restoration is one in which either the lingual or facial margin of the restoration extends beyond the line angle. A three-surface anterior proximal restoration is one in which both the lingual and facial margins of the restorations extend beyond the line angle. A four-or-more surface anterior restoration is one in which both the lingual and facial margins extend beyond the line angle and the incisal angle is involved. This restoration might also involve all four surfaces of an anterior tooth and not involve the incisal angle. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 restorative billing code for crowns - single restorations only Classification of Materials Classification of Metals (Source: ADA Council on Scientific Affairs) The noble metal classification system has been adopted as a more precise method of reporting various alloys used in dentistry. The alloys are defined on the basis of the percentage of metal content: high noble - Gold (Au), Palladium (Pd), and/or Platinum (Pt) greater than or equql to 60% (with at least 40% Au); titanium and titanium alloys - Titanium (Ti) greater than 85%; noble - Gold (Au), Palladium (Pd), and/or Platinum (Pt) greater than or equal to 25%; predominantly base - Gold (Au), Palladium (Pd), and/or Platinum (Pt) less than 25% Porcelain/ceramic Refers to those non-metal, non-resin inorganic refractory compounds processed at high temperatures (600ºC/1112ºF and above) and pressed, polished or milled - including porcelains, glasses, and glass-ceramics. Resin Refers to any resin-based composite, including fiber or ceramic reinforced polymer compounds. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 crowns - single restorations only billing code for inlay/onlay restorations - porcelain/ceramic inlay/onlay restorations - porcelain/ceramic Porcelain/ceramic inlays/onlays include all indirect ceramic and porcelain type inlays/onlays. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 billing code for gold foil restorations gold foil restorations billing code for amalgam restorations (including polishing) amalgam restorations (including polishing) Tooth preparation, all adhesives (including amalgam bonding agents), liners and bases are included as part of the restoration. If pins are used, they should be reported separately (see D2951). ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 billing code for inlay/onlay restorations - metallic inlay/onlay restorations - metallic billing code for other restorative services other restorative services billing code for resin-based composite restorations - direct resin-based composite restorations - direct Resin-based composite refers to a broad category of materials including but not limited to composites. May include bonded composite, light-cured composite, etc. Tooth preparation, acid etching, adhesives (including resin bonding agents), liners and bases and curing are included as part of the restoration. Glass ionomers, when used as restorations, should be reported with these codes. If pins are used, they should be reported separately (see D2951). ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1