EMPLOYEE GROUP INSURANCE RENEWALS/LONG TERM DISABILITY, MEDICAL, DENTAL, VISION, EMPLOYEE ASSISTANCE, GROUP LIFE/ ACCIDENTAL DEATH/DISMEMBERMENT - 2014

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Surgical extractions (includes local anesthesia, suturing, if needed, and routine postoperative care) D7210 Surgical removal of erupted tooth requiring removal of bone and /or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated D7220 Removal of impacted tooth — soft tissue D7230 Removal of impacted tooth — partially bony D7240 Removal of impacted tooth — completely bony D7241 Removal of impacted tooth — completely bony, with unusual surgical complications D7250 Surgical removal of residual tooth roots (cutting procedure) Other surgical procedures D7260 Oroantral fistual closure D7261 Primary closure of a sinus perforation D7270 Tooth reimplantation and /or stabilization of accidentally evulsed or displaced tooth D7272 Tooth transplantation (includes reimplantation from one site to another and splinting and /or stabilization) D7280 Surgical access of an unerupted tooth D7282 Mobilization of erupted or malpositioned tooth to aid eruption D7283 Placement of device to facilitate eruption of impacted tooth D7285 Incisional biopsy of oral tissue — hard (bone, tooth) D7286 Incisional biopsy of oral tissue — soft D7287 Exfoliative cytological sample collection D7288 Brush biopsy — transepithelial sample collection D7290 Surgical repositioning of teeth D7291 Transseptal fiberotomy /supra crestal fiberotomy, by report D7292 Placement of temporary anchorage device [screw retained plate] requiring surgical flap; includes device removal D7293 Placement of temporary anchorage device requiring surgical flap; includes device removal D7294 Placement of temporary anchorage device without surgical flap; includes device removal Alveoloplasty — surgical preparation of ridge for dentures D7310 Alveoloplasty in conjunction with extractions — four or more teeth or tooth spaces, per quadrant D7311 Alveoloplasty in conjunction with extractions — one to three teeth or tooth spaces, per quadrant D7320 Alveoloplasty not in conjunction with extractions — four or more teeth or tooth spaces, per quadrant D7321 Alveoloplasty not in conjunction with extractions — one to three teeth or tooth spaces, per quadrant Vestibuloplasty D7340 Vestibuloplasty — ridge extension (secondary epithelialization) D7350 Vestibuloplasty — ridge extension (including soft tissue grafts, muscle reattachment, revision of soft tissue attachment and management of hypertrophied and hyperplastic tissue) Surgical excision of of soft tissue lesions D7410 Excision of benign lesion up to 1.25 cm D7411 Excision of benign lesion greater than 1.25 cm D7412 Excision of benign lesion, complicated D7413 Excision of malignant lesion up to 1.25 cm D7414 Excision of malignant lesion greater than 1.25 cm D7415 Excision of malignant lesion complicated D7465 Destruction of lesion(s) by physical or chemical method, by report CDT2015 (Eff. 01- 01 -15)