Browse HCPCS Level II 2020 Edition

HCPCS Level II Table of Contents

D9910 - D9975  Adjunctive General Dental Services - Miscellaneous Services

D9910
Application of desensitizing medicament
shortDent appl desensitizing med
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D9911
Application of desensitizing resin for cervical and/or root surface, per tooth
shortAppl desensitizing resin
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D9920
Behavior management, by report
shortBehavior management
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D9930
treatment of complications (post-surgical) - unusual circumstances, by report
shortTreatment of complications
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0YYY
MUE
LocationValueAjudication IndicatorRationale
PRA1.02 Date of Service Edit: PolicyCode Descriptor / CPT Instruction
OPH1.02 Date of Service Edit: PolicyCode Descriptor / CPT Instruction
D9932
Cleaning and inspection of removable complete denture, maxillary
shortClean & inspect rem dent max
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D9933
Cleaning and inspection of removable complete denture, mandibular
shortClean & inspect rem dent man
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D9934
Cleaning and inspection of removable partial denture, maxillary
shortClean rem part denture max
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D9935
Cleaning and inspection of removable partial denture, mandibular
shortClean rem part denture mand
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D9941
Fabrication of athletic mouthguard
shortFabrication athletic guard
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D9942
Repair and/or reline of occlusal guard
shortRepair/reline occlusal guard
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D9943
Occlusal guard adjustment
shortOcclusal guard adjustment
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D9944
Occlusal guard - hard appliance, full arch
shortOcc guard, hard, full arch
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH2.02 Date of Service Edit: PolicyAnatomic Consideration
D9945
Occlusal guard - soft appliance, full arch
shortOcc guard, soft, full arch
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH2.02 Date of Service Edit: PolicyAnatomic Consideration
D9946
Occlusal guard - hard appliance, partial arch
shortOcc guard, hard, part arch
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH2.02 Date of Service Edit: PolicyAnatomic Consideration
D9950
Occlusion analysis-mounted case
shortOcclusion analysis
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0YYY
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalNature of Service/Procedure
OPH1.03 Date of Service Edit: ClinicalNature of Service/Procedure
D9951
Occlusal adjustment-limited
shortLimited occlusal adjustment
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0YYY
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalNature of Service/Procedure
OPH1.03 Date of Service Edit: ClinicalNature of Service/Procedure
D9952
Occlusal adjustment-complete
shortComplete occlusal adjustment
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0YYY
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalNature of Service/Procedure
OPH1.03 Date of Service Edit: ClinicalNature of Service/Procedure
D9961
Duplicate/copy patient's records
shortDup/copy patient's records
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH0.03 Date of Service Edit: ClinicalCMS Policy
D9970
Enamel microabrasion
shortEnamel microabrasion
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D9971
Odontoplasty 1 - 2 teeth; includes removal of enamel projections
shortOdontoplasty 1-2 teeth
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D9972
External bleaching - per arch - performed in office
shortExtrnl bleaching per arch
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D9973
External bleaching - per tooth
shortExtrnl bleaching per tooth
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D9974
Internal bleaching - per tooth
shortIntrnl bleaching per tooth
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
D9975
External bleaching for home application, per arch; includes materials and fabrication of custom trays
shortExternal bleaching home app
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX