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D0474 Accession of tissue, gross and microscopic examination, including assessment of <br />surgical margins for presence of disease, preparation and transmission of written <br />report <br />D0475 Decalcification procedure <br />D0476 Special stains for microorganisms <br />D0477 Special stains, not for microorganisms <br />D0478 Immunohistochemical stains <br />D0479 Tissue in -situ hybridization, including interpretation <br />D0480 Accession of exfoliative cytologic smears, microscopic examination, preparation and <br />transmission of written report <br />D0481 Electron microscopy - diagnostic <br />D0482 Direct immunofluorescence <br />D0483 Indirect immunofluorescence <br />D0484 Consultation on slides prepared elsewhere <br />D0485 Consultation, including preparation of slides from biopsy material supplied by referring <br />source <br />D0486 Accession of brush biopsy sample, microscopic examination, preparation and <br />transmission of written report <br />D0502 Other oral pathology procedures, by report <br />D0601 Caries risk assessment and documentation, with a finding of low risk <br />D0602 Caries risk assessment and documentation, with a finding of moderate risk <br />D0603 Caries risk assessment and documentation, with a finding of high risk <br />D0999 Unspecified diagnostic procedure, by report <br />D1000 - D1999 PREVENTIVE <br />Dental prophylaxis <br />D1110 Prophylaxis — adult <br />D1120 Prophylaxis — child through age 13 <br />Topical fluoride treatment (office procedure) <br />D1206 Topical application of fluoride varnish <br />D1208 Topical application of fluoride - excluding varnish <br />Other preventive services <br />D1310 <br />Nutritional counseling for control of dental disease <br />D1320 <br />Tobacco counseling for the control and prevention of oral <br />D1330 <br />Oral hygiene instructions <br />D1351 <br />Sealant — per tooth <br />D1352 <br />Preventive resin restoration in a moderate to high caries <br />D1555 <br />tooth <br />Space maintenance (passive appliances) <br />D1510 <br />Space maintainer — fixed — unilateral <br />D1515 <br />Space maintainer — fixed — bilateral <br />D1520 <br />Space maintainer — removable — unilateral <br />D1525 <br />Space maintainer — removable — bilateral <br />D1550 <br />Re- cement or re -bond space maintainer <br />D1555 <br />Removal of fixed space maintainer <br />disease <br />risk patient - permanent <br />D2000 - D2999 RESTORATIVE <br />Amalgam restorations (including polishing) <br />D2140 Amalgam — one surface, primary or permanent <br />D2150 Amalgam — two surfaces, primary or permanent <br />D2160 Amalgam — three surfaces, primary or permanent <br />D2161 Amalgam — four or more surfaces, primary or permanent <br />CDT2015 (Eff. 01- 01 -15) <br />