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D8681 Removable orthodontic retainer adjustment <br />D8690 Orthodontic treatment (alternative billing to a contract fee) <br />D8691 Repair of orthodontic appliance <br />D8692 Replacement of lost or broken retainer <br />D8693 Re -bond or re -cement fixed retainer <br />D8694 Repair of fixed retainers, includes reattachment <br />D8695 Removal of fixed orthodontic appllance(s) - other than at conclusion of treatment <br />D8999 Unspecified orthodontic procedure, by report <br />D9000 - D9999 ADJUNCTIVE GENERAL SERVICES <br />Unclassified treatment <br />D9110 Palliative (emergency) treatment of dental pain - minor procedure <br />D9120 Fixed partial denture sectioning <br />Anesthesia <br />09210 Local anesthesia not in conjunction with operative or surgical procedures <br />D9211 Regional block anesthesia <br />D9212 Trigeminal division block anesthesia <br />D9215 Local anesthesia <br />D9222 Deep sedation/general anesthesia - first 15 minutes <br />D9223 Deep sedation/general anesthesia - each subsequent 15 minute Increment <br />D9230 Analgesia, anxiolysis, inhalation of nitrous oxide <br />D9239 Intravenous moderate (conscious) sedation/analgesla - first 15 minutes <br />D9243 Intravenous moderate (conscious) sedatlon/analgesla - each subsequent 15 minute <br />Increment <br />D9248 Non -Intravenous conscious sedation <br />Professional consultation <br />D9310 Consultation (diagnostic service provided by dentist or physician other than requesting <br />dentist or physician <br />Professional visits <br />D9410 House/extended care facility call <br />D9420 Hospital call <br />D9430 Office visit for observation (during regularly scheduled hours) - no other services <br />performed <br />D9440 Office visit - after regularly scheduled hours <br />D9450 Case presentation, detailed and extensive treatment planning <br />Drugs <br />09610 Therapeutic parenteral drug, single administration <br />D9612 Therapeutic parenteral drugs, two or more administrations, different medications <br />D9630 Drugs or medicaments dispensed in the office for home use <br />Miscellaneous services <br />D9910 Application of desensitizing medicament <br />D9911 Application of desensitizing resin for cervical and/or root surface, per tooth <br />D9920 Behavior management, by report <br />D9930 Treatment of complications (post-surgical) - unusual circumstances, by report <br />D9932 Cleaning and Inspection of removable complete denture, maxillary <br />D9933 Cleaning and Inspection of removable complete denture, mandibular <br />D9934 Cleaning and inspection of removable partial denture, maxillary <br />D9935 Cleaning and inspection of removable partial denture, mandibular <br />D9940 Occlusal guard, by report <br />D9941 Fabrication of athletic mouthguard <br />D9942 Repair and/or reline of occlusal guard <br />D9943 Occlusal guard adjustment . <br />15 CD72018 (Eff. 01-01-18) <br />z5C-90 <br />