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oral pathology laboratory <br />D0472 Accession of tissue, gross examination, preparatlon and transmission of written report <br />D0473 Accession of tissue, gross and microscopic examinatlon, preparation and transmission <br />of written report <br />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 Decatclflcatlon procedure <br />D0476 Special stains for microorganisms <br />D0477 Special stains, not for microorganisms <br />D0478 Immunohlstochemical stains <br />D0479 Tissue In-situ hybridization, Including Interpretation <br />D0480 Accession of exfollative 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 />D3000 - 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 Nutritional counseling for control of dental disease <br />D1320 Tobacco counseling for the control and prevention of oral disease <br />D1330 Oral hygiene Instructions <br />D1351 Sealant - per tooth <br />D1352 Preventive resin restoration in a moderate to high caries risk patient - permanent <br />tooth <br />D1354 Interim caries arresting medicament application - per tooth <br />Space maintenance (passive appliances) <br />D1510 <br />Space maintainer - fixed - unilateral <br />D1515 <br />Space maintainer - fixed - bilateral <br />01520 <br />Space maintainer - removable - unilateral <br />01525 <br />Space malrtainer - removable - bllateral <br />D1550 <br />Re -cement or re -bond space maintainer <br />D1555 <br />Removal of fixed space maintalner <br />D1575 <br />Distal shoe space maintainer - fixed - unilateral <br />CDT20LS (Eff. 01-01.18) <br />25C-77 <br />