ADA Code [ R ] Procedures
1550
5731
5751
5750
5730
5741
5761
5740
5760
7240
7230
7220
5510
5630
5610
5640
5520
2394
2332
2393
2331
2392
2330
2391
re-cementation of space maintainer
A space maintainer (a passive appliance used to prevent the movement of teeth) is re-cemented.
reline complete mandibular denture (chairside)
The tissue side of a denture replacing the teeth of the lower jaw is resurfaced with a new base material. This is performed in the dentist's office.
reline complete mandibular denture (laboratory)
The tissue side of a denture replacing the teeth of the lower jaw is resurfaced with a new base material. This is performed in a laboratory.
reline complete maxillary denture (chairside)
The tissue side of a denture replacing the teeth of the upper jaw is resurfaced with a new base material. This is performed in the dentist's office.
reline complete maxillary denture (laboratory)
The tissue side of a denture replacing the teeth of the upper jaw is resurfaced with a new base material. This is performed in a laboratory.
reline mandibular partial denture (chairside)
The tissue side of a denture replacing some of the teeth of the lower jaw is resurfaced with a new base material. This is performed in the dentist's office.
reline mandibular partial denture (laboratory)
The tissue side of a denture replacing some of the teeth of the lower jaw is resurfaced with a new base material. This is performed in a laboratory.
reline maxillary partial denture (chairside)
The tissue side of a denture replacing some of the teeth of the upper jaw is resurfaced with a new base material. This is performed in the dentist's office.
reline maxillary partial denture (laboratory)
The tissue side of a denture replacing some of the teeth of the upper jaw is resurfaced with a new base material. This is performed in a laboratory.
removal of impacted tooth – completely bony
The surgical extraction of an impacted tooth, a tooth that is at least partially unerupted and whose position makes it unlikely to wholly erupt. Bone covers most or all of the crown. Mucoperiosteal flap elevation and bone removal are needed. Local anesthesia, necessary suturing, and care following the procedure are included.
removal of impacted tooth – partially bony
The surgical extraction of an impacted tooth, a tooth that is at least partially unerupted and whose position makes it unlikely to wholly erupt. Bone covers part of the crown. Mucoperiosteal flap elevation and bone removal are needed. Local anesthesia, necessary suturing, and care following the procedure are included.
removal of impacted tooth – soft tissue
The surgical extraction of an impacted tooth, a tooth that is at least partially unerupted and whose position makes it unlikely to wholly erupt. Soft tissue covers the tooth's occlusal surface. Mucoperiosteal flap elevation is needed. Local anesthesia, necessary suturing, and care following the procedure are included.
repair broken complete denture base
The base of a complete denture (a synthetic substitute for teeth of the lower or upper jaw and their adjoining tissue) is repaired.
repair or replace broken clasp
A repair to a partial denture in which a broken clasp is either fixed or replaced.
repair resin denture base
A procedure in which the resin denture base of a partial denture (prosthetic device replacing missing teeth) is repaired.
replace broken teeth – per tooth
A repair to a partial denture in which a broken tooth is replaced. (reported per tooth)
replace missing or broken teeth – complete denture (each tooth)
A repair to a complete denture in which a missing or broken tooth is replaced. (reported per tooth)
resin-based composite – four or more surfaces, posterior
Restoration, which could include a ride range of materials, including composites. The preparation of the tooth, acid etching, adhesives, liners and bases and curing are included. At least four of the five surface classifications are involved in the restoration.
resin-based composite – three surfaces, anterior
Restoration, which could include a wide range of materials, including composites. The preparation of the tooth, acid etching, adhesives, and liners, bases, and curing are included. The lingual and facial margins of the restoration go beyond the line angle.
resin-based composite – three surfaces, posterior
Restoration, which could include a wide range of materials, including composites. The preparation of the tooth, acid etching, adhesives, and liners, bases, and curing are included. Three of the five surface classifications are involved in the restoration.
resin-based composite – two surfaces, anterior
Restoration, which could include a wide range of materials, including composites. The preparation of the tooth, acid etching, adhesives, and liners, bases, and curing are included. Either the lingual or facial margin of the restoration goes beyond the line angle.
resin-based composite – one surface, posterior
Restoration, which could include a wide range of materials, including composites. The preparation of the tooth, acid etching, adhesives, and liners, bases, and curing are included. Only one of the five surface classifications is involved in the restoration.
resin-based composite – one surface, anterior
Restoration, which could include a wide range of materials, including composites. The preparation of the tooth, acid etching, adhesives, and liners, bases, and curing are included. The lingual and facial margins of the restoration do not go beyond the line angle.
resin-based composite – one surface, posterior
Restoration, which could include a wide range of materials, including composites. The preparation of the tooth, acid etching, adhesives, and liners, bases, and curing are included. Only one of the five surface classifications is involved in the restoration.
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ADA Code [ S ] Procedures
1351
1515
1510
1525
1520
7210
7250
sealant – per tooth
Plastic placed on the biting surfaces of back teeth to prevent cavities.
space maintainer – fixed – bilateral
A passive appliance used to prevent the movement of teeth on both sides of the mouth. It cannot be removed by the patient.
space maintainer – fixed – unilateral
A passive appliance used to prevent the movement of teeth on one side of the mouth. It cannot be removed by the patient.
space maintainer – removable – bilateral
A passive appliance used to prevent the movement of teeth on both sides of the mouth. It can be removed by the patient.
space maintainer – removable – unilateral
A passive appliance used to prevent the movement of teeth on one side of the mouth. It can be removed by the patient.
surgical removal of erupted tooth requiring elevation of mucoperiosteal flap and removal of bone and/or section of tooth
A surgical extraction that involves the cutting of the bone and gingiva, the removal of the tooth structure, and closure. Local anesthesia, necessary suturing, and care following the procedure are included.
surgical removal of residual tooth roots (cutting procedure)
An extraction of the root structure of a tooth left behind when the majority (over 3/4) of the crown of the tooth is lost. Procedure includes the following: cutting of bone and soft tissue, tooth structure removal, and closure. Also included (if needed) are local anesthesia, suturing, and routine postoperative care.
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ADA Code [ T ] Procedures
5851
5850
1201
1203
3220
tissue conditioning, mandibular
The tissue side of a denture is resurfaced with a new base material. The materials used are specifically made to revive unhealthy ridges before more definitive final restoration. This code refers to the lower jaw.
tissue conditioning, maxillary
The tissue side of a denture is resurfaced with a new base material. The materials used are specifically made to revive unhealthy ridges before more definitive final restoration. This code refers to the upper jaw.
topical application of fluoride (prophylaxis not included) – child
The office procedure of topical fluoride treatment for a child (not including prophylaxis). Fluoride rinses (swish) are excluded.
topical application of fluoride (including prophylaxis) – child
The office procedure of topical fluoride treatment for a child, in which the procedures of prophylaxis and fluoride treatment are performed. The fluoride and prophylaxis paste treatment are separate, and fluoride rinses (swish) are excluded.
therapeutic pulpotomy (excluding final restoration) – removal of pulp coronal to the dentinocemental junction and application of medicament
A portion of the pulp is surgically removed in order to keep the vitality of the pulp that remains through the use of a sufficient dressing. This is done on teeth that are primary or permanent.
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ADA Code [ U ] Procedures
9999
2999
unspecified adjunctive procedure, by report
A procedure, which does not have a code that sufficiently describes it. The procedure should be explained.
unspecified restorative procedure, by report
A procedure, which does not have a code that sufficiently describes it. The procedure should be explained.
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