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25C - AGMT GROUP INSURANCE
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25C - AGMT GROUP INSURANCE
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Last modified
2/1/2018 7:02:12 PM
Creation date
2/1/2018 7:10:52 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Personnel Services
Item #
25C
Date
2/6/2018
Destruction Year
2023
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D7294 Placement of temporary anchorage device without flap; includes device removal <br />D7296 Corticotomy - one to three teeth or tooth spaces, per quadrant <br />D7297 Corticotomy - four or more teeth or tooth spaces, per quadrant <br />Alveoloplasty - surgical preparation of ridge for dentures <br />D7310 Alveoloplasty In conjunction with extractions - four or more teeth or tooth spaces, per <br />quadrant <br />D7311 Alveoloplasty in conjunction with extractions - one to three teeth or tooth spaces, per <br />quadrant <br />D7320 Alveoloplasty not In conjunction with extractions - four or more teeth or tooth spaces, <br />per quadrant <br />D7321 Alveoloplasty not in conjunction with extractions - one to three teeth or tooth spaces, <br />per quadrant <br />Vestibuloplasty <br />D7340 Vestibuloplasty - ridge extension (secondary epithelialization) <br />D7350 Vestibuloplasty - ridge extension (Including soft tissue grafts, muscle reattachment, <br />revision of soft tissue attachment and management of hypertrophied and hyperplastic <br />tissue) <br />Surgical excision of soft tissue lesions <br />D7410 Excision of benign lesion up to 1.25 cm <br />D7411 Excision of benign lesion greater than 1.25 cm <br />D7412 Excision of benign lesion, complicated <br />D7413 Excision of malignant lesion up to 1.25 cm <br />D7414 Excision of malignant lesion greater than 1.25 cm <br />D7415 Excision of malignant lesion complicated <br />D7465 Destruction of lesions) by physical or chemical method, by report <br />Surgical excision of intra-osseous lesions <br />D7440 Excision of malignant tumor - lesion diameter up to 1.25 cm <br />D7441 Excision of malignant tumor - lesion diameter greater than 1.25 cm <br />D7450 Removal of benign odontogenic cyst or tumor - lesion diameter up to 1.25 cm <br />D7451 Removal of benign odontogenic cyst or tumor - lesion diameter greater than 1.25 cm <br />D7460 Removal of benign nonodontogenic cyst or tumor - lesion diameter up to 1.25 cm <br />D7461 Removal of benign nonodontogenic cyst or tumor - lesion diameter greater than 1.25 <br />cm <br />Excision of bone tissue <br />D7471 Removal of lateral exostosis (maxilla or mandible) <br />D7472 Removal of torus palatinus <br />D7473 Removal of torus manibularis <br />D7485 Reduction of osseous tuberosity <br />D7490 Radical resection of maxilla or mandible <br />Surgical incision <br />D7510 Incision and drainage of abscess - Intraoral soft tissue <br />D7511 Incision and drainage of abscess - intraoral soft tissue - complicated (includes <br />drainage of multiple fascial spaces) <br />D7520 Incision and drainage of abscess - extraoral soft tissue <br />D7521 Incision and drainage of abscess - extraoral soft tissue - complicated (includes <br />drainage of multiple fasclal spaces) <br />D7530 Removal of foreign body from mucosa, skin or subcutaneous alveolar tissue <br />D7540 Removal of reaction -producing foreign bodies, musculoskeletal system <br />D7550 Partial ostectomy/sequestrectomy for removal of non -vital bone <br />D7560 Maxillary sinusotomy for removal of tooth fragment or foreign body <br />12 CDT2018 (Eff. 01-01-18) <br />25C-87 <br />
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