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Code
Type
Clinical Procedure
Unit
73511
- IMPLANT - ORAL&MAX SURG
- Alveolar Ridge, Reconstruction
- per sextant, with Autogenous Bone
73521
- IMPLANT - ORAL&MAX SURG
- Alveolar Ridge, Reconstruction
- per sextant, with Alloplastic Material
74111
- ORAL & MAXILLOFACIAL SURG
- Benign, SurgExcision, Tumour
- Scar Tissue - 1 cm and under
74112
- ORAL & MAXILLOFACIAL SURG
- Benign, SurgExcision, Tumour
- Scar Tissue - 1 - 2 cm
74121
- ORAL & MAXILLOFACIAL SURG
- Benign, SurgExcision, Tumour
- Bone Tissue - 1 cm and under
74122
- ORAL & MAXILLOFACIAL SURG
- Benign, SurgExcision, Tumour
- Bone Tissue - 1 - 2 cm
74401
- IMPLANT - ORAL&MAX SURG
- Hard Tissue Grafts to the Jaw
- Autograft-Maxilla or Mandible, Per site
74402
- IMPLANT - ORAL&MAX SURG
- Hard Tissue Grafts to the Jaw
- Allograft-Maxilla or Mandible, Per site
74403
- IMPLANT - ORAL&MAX SURG
- Hard Tissue Grafts to the Jaw
- Per site, Xenograft-Maxilla or Mandible
74611
- ORAL & MAXILLOFACIAL SURG
- Cysts/Granul, Surgical Excision
- Enucleation - 1 cm and under
74612
- ORAL & MAXILLOFACIAL SURG
- Cysts/Granul, Surgical Excision
- Enucleation - 1 - 2 cm
74631
- ORAL & MAXILLOFACIAL SURG
- Cysts/Granul, Surgical Excision
- Exision of Cyst-1 cm and under
74632
- ORAL & MAXILLOFACIAL SURG
- Cysts/Granul, Surgical Excision
- Exision of Cyst - 1 - 2 cm
74633
- ORAL & MAXILLOFACIAL SURG
- Cysts/Granul, Surgical Excision
- Exision of Cyst - 2 - 3 cm
75111
- ORAL & MAXILLOFACIAL SURG
- Intra, Surgical Incision/Drain
- Soft Tissue Exploration
75112
- ORAL & MAXILLOFACIAL SURG
- Intra, Surgical Incision/Drain
- Soft Tissue Abscess
75121
- ORAL & MAXILLOFACIAL SURG
- Intra, Surgical Incision/Drain
- Hard Tissue Trephination
75122
- ORAL & MAXILLOFACIAL SURG
- Intra, Surgical Incision/Drain
- HardTiss, Surgical Exploration
76911
- ORAL & MAXILLOFACIAL SURG
- Fractures, Reduce Alveolar
- Debride, Teeth Removd-3cm less
76921
- ORAL & MAXILLOFACIAL SURG
- Fractures, Reduction
- Alveolar, Closed, w/Tth-3cm or less