| Code | Display |
| 1000 |
Debridement soft tissue orofacial |
| 1001 |
Surgical removal of simple impacted / unerupted tooth |
| 1002 |
Soft laser therapy-orofacial |
| 1003 |
Reimplantation tooth |
| 1004 |
Apicoectomy - anterior tooth |
| 1005 |
Apicoectomy - posterior tooth |
| 1006 |
Apicoectomy with retrograde root filling - anterior tooh |
| 1007 |
Apicoectomy with retrograde root filling - posterior tooh |
| 1008 |
TMJ-reduction-closed |
| 1009 |
Alveolar bone grafting |
| 1010 |
Debridement Suture soft tissue orofacial-lip simple |
| 1011 |
Debridement Suture soft tissue orofacial- mouth simple |
| 1012 |
Debridement Suture soft tissue orofacial- lip complicated |
| 1013 |
Debridement Suture soft tissue orofacial- mouth complicated |
| 1014 |
Revision suture soft tissue orofacial-lip simple |
| 1015 |
Revision suture soft tissue orofacial-nouth simple |
| 1016 |
Revision suture soft tissue orofacial-complicated |
| 1017 |
Revision suture soft tissue orofacial-complicated |
| 1021 |
Temporary reduction and fixation-midfacial bone |
| 1022 |
Temporary reduction and fixation-mandible |
| 1023 |
Closed reduction & fixation- midfacial bone |
| 1024 |
Closed reduction & fixation- mandible |
| 1025 |
Incision and drainage orofacial abscess |
| 1026 |
Alveolectomy/Alveoloplasty-maxilla <=4cm |
| 1027 |
Alveolectomy / Alveoplasty - maxilla > 4cm |
| 1028 |
Alveolectomy/Alveoloplasty-mandible <=4cm |
| 1029 |
Alveolectomy/Alveoloplasty-mandible >4cm |
| 1030 |
Vestibuloplasty-gingival/alveolar soft tissue |
| 1031 |
Vestibuloplasty-gingival/alveolar soft tissue-autograft |
| 1032 |
Frenotomy - lingual |
| 1033 |
Frenotomy - labial |
| 1034 |
Frenectomy - lingual |
| 1035 |
Frenectomy - labial |
| 1036 |
Frenectomy-LASER -lingual |
| 1037 |
Frenectomy-LASER -labial |
| 1038 |
Frenoplasty -lingual |
| 1039 |
Frenoplasty- labial |
| 1040 |
Transplantation tooth |
| 1041 |
Surgical removal of retained root |
| 1042 |
Surgical removal of displaced tooth / root |
| 1043 |
Surgical removal of impacted / unerupted tooth-complex |
| 1044 |
Surgical exposure of tooth without placement of attachment |
| 1045 |
Surgical exposure of tooth with placement of attachment |
| 1046 |
Antral washout-Caldwell-Luc-left |
| 1047 |
Antral washout-Caldwell-Luc-right |
| 1048 |
Closure oro-antral fistula |
| 1049 |
Biopsy-upper lip |
| 1050 |
Biopsy-lower lip |
| 1051 |
Biopsy-Tongue |
| 1052 |
Biopsy-floor of mouth |
| 1053 |
Biopsy-Hard palate soft tissue |
| 1054 |
Biopsy-Soft palate |
| 1055 |
Biopsy-Buccal soft tissue |
| 1056 |
Biopsy-gingiva/alveolar soft tissue |
| 1057 |
Biopsy-retromolar/palatoglossal arch soft tissue |
| 1068 |
Removal foreign body-orofacial-simple |
| 1069 |
Removal foreign body-orofacial-complicated |
| 1070 |
Removal dental implants-maxilla |
| 1071 |
Removal dental implants-mandible |
| 1072 |
Removal maxillofacial implants |
| 1073 |
Removal internal fixation-maxillofacial |
| 1074 |
Removal external fixation-maxillofacial |
| 1075 |
Removal dental wires-upper arch |
| 1076 |
Removal dental wires-lower arch |
| 1077 |
Removal dental wires-both arch |
| 1078 |
Injection Medication-orofacial |
| 1079 |
Ultrasound therapy-oromaxillofacial |
| 1080 |
Operculectomy |
| 1081 |
Non-surgical reposition of tooth |
| 1082 |
Surgical reposition of tooh |
| 1083 |
Application of Prophylaxis |
| 1084 |
Photography-oral/facial photo images -Intraoral |
| 1085 |
Photography-oral/facial photo images -Extraoral |
| 1086 |
Preliminary dental impression (alginate) |
| 1087 |
Placement of orthodontic bands |
| 1088 |
Provision of Removable Retainer - upper arch |
| 1089 |
Provision of Removable Retainer - lower arch |
| 1090 |
Provision of Removable Retainer - both arches |
| 1091 |
Provision of Removable Space Maintainer - upper arch |
| 1092 |
Provision of Removable Space Maintainer - lower arch |
| 1093 |
Provision of Removable Space Maintainer - both arches |
| 1094 |
Provision of fixed retainer - upper arch |
| 1095 |
Provision of fixed retainer - lower arch |
| 1096 |
Provision of fixed retainer - both arches |
| 1097 |
Debond/Removal of fixed retainer - upper arch |
| 1098 |
Debond/Removal of fixed retainer - lower arch |
| 1099 |
Debond/Removal of fixed retainer - both arches |
| 1100 |
Provision of strapping appliance |
| 1101 |
Provision of Removable Appliance - upper arch |
| 1102 |
Provision of Removable Appliance - lower arch |
| 1103 |
Provision of Removable Appliance - both arches |
| 1104 |
Provision of Functional Appliance - Removable |
| 1105 |
Provision of Functional Appliance - Fixed |
| 1106 |
Provision of Fixed expansion appliance - maxillary |
| 1107 |
Provision of Fixed expansion appliance - mandibulary |
| 1108 |
Provision of Fixed Space Maintainer - upper arch (Palatal Arch) |
| 1109 |
Provision of Fixed Space Maintainer - lower arch (Lingual Arch) |
| 1110 |
Provision of Fixed Space Maintainer - both arches |
| 1111 |
Provision of Fixed Appliance-Upper |
| 1112 |
Provision of Fixed Appliance-Lower |
| 1113 |
Provision of Fixed Appliance-both |
| 1114 |
Provision of Headgear |
| 1115 |
Provision of face mask-extra-oral component (Reverse Headgear) |
| 1116 |
Provision of lingual arch |
| 1117 |
Provision of lip bumper (Removable Functional) |
| 1118 |
Repair of Fixed Appliance |
| 1119 |
Repair of Removable Appliance |
| 1120 |
Debond/Removal of Fixed Appliance -upper arch |
| 1121 |
Debond/Removal of Fixed Appliance -lower arch |
| 1122 |
Debond/Removal of Fixed Appliance -both arches |
| 1123 |
Review of Fixed Appliance |
| 1124 |
Replacement of orthodontic attachments (buttons,hooks,cleats) |
| 1126 |
Replacement of orthodontic brackets |
| 1127 |
Replacement of orthodontic wire- upper arch |
| 1128 |
Replacement of orthodontic wire - lower arch |
| 1129 |
Replacement of orthodontic wire - both arches |
| 1130 |
Removal of fixed appliance components |
| 1131 |
Insertion of orthodontic separator |
| 1132 |
Interdental stripping |
| 1133 |
Placement of traction chain |
| 1134 |
Placement of Temporary Anchorage Device |
| 1138 |
Chin cup treatment |
| 1139 |
Intial examination and diagnosis |
| 1140 |
Removable appliance (passive) - upper |
| 1141 |
Removable appliance (passive) - lower |
| 1142 |
Removable appliance (active)- upper |
| 1143 |
Removable appliance (active) - lower |
| 1144 |
Partial fixed appliance - upper |
| 1145 |
Partial fixed appliance - lower |
| 1146 |
Fixed appliance components replacement (per component) |
| 1147 |
Repair of removable appliance component |
| 1148 |
Repair Removable functional appliance |
| 1149 |
Provision of Orthodontic auxiliary |
| 1150 |
Provision of Transpalatal arch |
| 1151 |
Repair of Transpalatal arch |
| 1152 |
Repair of Lingual arch |
| 1153 |
Transpalatal arch (each re- cementation) |
| 1154 |
Lingual arch (each re- cementation) |
| 1155 |
Provision of Essix retainer |
| 1156 |
Repair Fixed retainer |
| 1157 |
Provision of Gold chain |
| 1158 |
Palatal expander treatment |
| 1159 |
Headgear treatment |
| 1160 |
Repair of Removable retainers |
| 1161 |
Fissure sealant - per tooth |
| 1162 |
Diet Counselling |
| 1163 |
Root Canal Treatment- Arrest resorption |
| 1164 |
Inhalation sedation (Nitrous oxide) |
| 1165 |
Stainless steel crown - per unit |
| 1166 |
Strip crown - per unit |
| 1167 |
Behavioral therapy |
| 1168 |
Splinting of teeth |
| 1169 |
Feeding plate |
| 1170 |
Sensory testing |
| 1171 |
Functional removable appliance |
| 1172 |
Taping/Bandaging/Strapping |
| 1173 |
Oral muscle stimulation |
| 1174 |
Other dental appliances |
| 1175 |
Gingivectomy |
| 1176 |
Scaling - supragingival-gross with polishing |
| 1177 |
Scaling - supragingival-fine with polishing |
| 1178 |
Scaling - subgingival-gross with polishing |
| 1179 |
Scaling - subgingival-fine with polishing |
| 1180 |
Occlusal adjustment |
| 1181 |
Crown lengthening with ostectomy |
| 1182 |
Immobilisation of teeth |
| 1183 |
Gingivectomy-LASER |
| 1184 |
Gingivoplasty |
| 1185 |
Gingivoplasty-LASER |
| 1186 |
Root planing of tooth |
| 1187 |
Incision & drainage of peridontal abscess |
| 1188 |
Flap surgery |
| 1189 |
Open Flap Debridement |
| 1190 |
Pocket Elimination Surgery |
| 1191 |
Guided tissue regeneration |
| 1192 |
Guided Bone Regeneration |
| 1193 |
Guided tissue regeneration (second surgery) |
| 1194 |
Mucogingival surgery-autograft |
| 1195 |
Mucogingival surgery-allograft |
| 1196 |
Pericision of periodontal ligament |
| 1197 |
Furcationplasty-Tunnelling |
| 1198 |
Furcationplasty-Grooveplasty |
| 1199 |
Veneer gingival Labial |
| 1200 |
Crown lengthening without ostectomy |
| 1201 |
Periapical surgery |
| 1202 |
Root resection |
| 1203 |
Tooth Hemisection |
| 1204 |
Periodontal examination |
| 1205 |
Dental scaling and polishing |
| 1206 |
To provide denture-upper full |
| 1207 |
To provide of denture-lower full |
| 1208 |
To provide denture-upper partial (1 tooth) |
| 1209 |
To provide denture-upper partial (2 teeth) |
| 1210 |
To provide denture-upper partial (3 teeth) |
| 1211 |
To provide denture-upper partial (4 teeth) |
| 1212 |
To provide denture-upper partial (5 teeth) |
| 1213 |
To provide denture-upper partial (6 teeth) |
| 1214 |
To provide denture-upper partial (7 teeth) |
| 1215 |
To provide denture-upper partial (8 teeth) |
| 1216 |
To provide denture-upper partial (9 teeth) |
| 1217 |
To provide denture-upper partial (10 teeth) |
| 1218 |
To provide denture-upper partial (11 teeth) |
| 1219 |
To provide denture-upper partial (12 teeth) |
| 1220 |
To provide denture-upper partial (13 teeth) |
| 1221 |
To provide denture-upper partial (14 teeth) |
| 1222 |
To provide denture-upper partial (15 teeth) |
| 1223 |
To provide denture-lower partial (1 tooth) |
| 1224 |
To provide denture-lower partial (2 teeth) |
| 1225 |
To provide denture-lower partial (3 teeth) |
| 1226 |
To provide denture-lower partial (4 teeth) |
| 1227 |
To provide denture-lower partial (5 teeth) |
| 1228 |
To provide denture-lower partial (6 teeth) |
| 1229 |
To provide denture-lower partial (7 teeth) |
| 1230 |
To provide denture-lowerpartial (8 teeth) |
| 1231 |
To provide denture-lower partial (9 teeth) |
| 1232 |
To provide denture-lower partial (10 teeth) |
| 1233 |
To provide denture-lower partial (11 teeth) |
| 1234 |
To provide denture-lowerpartial (12 teeth) |
| 1235 |
To provide denture-lower partial (13 teeth) |
| 1236 |
To provide denture-lowerpartial (14 teeth) |
| 1237 |
To provide denture-lower partial (15 teeth) |
| 1238 |
Rebasing and relining of upper denture |
| 1239 |
Rebasing and relining of lower denture |
| 1240 |
Repair of broken appliance |
| 1241 |
Repair of broken obturator |
| 1242 |
Placement of restoration - deciduous |
| 1243 |
Placement of restoration-permanent- one surface |
| 1244 |
Placement of restoration-permanent-multiple surfaces |
| 1245 |
Placement of Temporary restoration |
| 1246 |
Root canal treatment - interim visits |
| 1247 |
Root canal treatment- obturation of anterior tooth |
| 1248 |
Root canal treatment-obturation of premolar |
| 1249 |
Root canal treatment - obturation of molar tooth |
| 1250 |
Root canal treatment- retrieval of separated/ broken instrument |
| 1251 |
Suture removal |
| 1252 |
Consultation |
| 1253 |
Dental examination and charting |
| 1254 |
Comprehensive history and evaluation |
| 1255 |
Surgical removal of supernumerary tooth (simple) |
| 1256 |
Surgical removal of supernumerary tooth (complex) |
| 1257 |
Surgical removal of retained root |
| 1258 |
Pulpectomy - deciduous |
| 1259 |
Pulpotomy deciduous tooth |
| 1260 |
Provision of Dental appliances or obturators -small |
| 1261 |
Provision of Dental appliances or obturators -medium |
| 1262 |
Provision of Dental appliances or obturators -large |
| 1263 |
Dental implant stage 1 surgery |
| 1264 |
Dental implant stage 2 surgery |
| 1265 |
Provision of veneer |
| 1266 |
Bleaching of tooth - non vital |
| 1267 |
Bleaching of teeth - vital |
| 1268 |
Removal of bridge |
| 1269 |
Provision of mouthguard |
| 1270 |
Provision of soft splint |
| 1271 |
Provision of hard splint |
| 1272 |
Provision of other splint |
| 1273 |
Provision of eye prosthesis |
| 1274 |
Provision of other maxillofacial prosthesis (ear /nose) |
| 1275 |
To provide of overdenture-upper full |
| 1276 |
To provide of overdenture-lower full |
| 1279 |
Provision of feeding plate |
| 1280 |
Repair of crown and bridge (with composite) |
| 1281 |
Removal of post and core |
| 1282 |
Removal of crown |
| 1283 |
Provision of post and core device |
| 1284 |
Construction of provisional restoration per unit (crown/bridge/onlay) |
| 1285 |
Placement-restoration with pin retention |
| 1286 |
Microabrasion |
| 1287 |
Arrest of tooth resorption |
| 1288 |
Root canal retreatment-obturation of anterior tooth |
| 1289 |
Root canal retreatment-obturation of premolar |
| 1290 |
Root canal retreatment-obturation of molar |
| 1291 |
Repair of procedural error - eg perforated root |
| 1292 |
Retrieval of separated/ broken instrument |
| 1293 |
Modification of tooth morphology |
| 1294 |
Occlusal adjustment |
| 1295 |
Recontouring of pre-existing restoration |
| 1297 |
Intentional tooth reimplantation |
| 1298 |
provision of metal copings |
| 1299 |
Preventive Resin Restoration I (PRR I) |
| 1300 |
Preventive Resin Restoration II (PRR II) |
| 1301 |
Preventive Resin Restoration III (PRR III) |
| 1302 |
Topical application of fluoride - upper arch |
| 1303 |
Topical application of fluoride - lower arch |
| 1304 |
Topical application of fluoride - both arches |
| 1305 |
Extraction permanent tooth |
| 1306 |
Extraction supernumerary |
| 1307 |
Extraction retained root |
| 1308 |
Extraction deciduous tooth |
| 1309 |
Control of post extraction haemorrhage |
| 1310 |
Post-extraction complication |
| 1311 |
Gingival operculectomy |
| 1312 |
Provision of Inlay (per tooth)
(not inclusive of metal charge) |
| 1313 |
Provision of Crown
(including temporary crown but not inclusive of metal charge) |
| 1314 |
Provision of Fixed Bridge
(per abutment teeth including provisional restoration but not inclusive of material and lab charges) |
| 1315 |
Provision of Removable Bridge
(per abutment teeth including provisional restoration but not inclusive of material and lab charges) |
| 1317 |
Apexification (per tooth) |
| 1318 |
Arrest of tooth resorption (per tooth) |
| 1319 |
Coronal pulpotomy (per permanent tooth) |
| 1320 |
Pulpectomy (per deciduous tooth) |
| 1321 |
Pulp extirpation (per tooth) |
| 1322 |
Tooth bleaching (external)(per arch) |
| 1323 |
Tooth bleaching (internal) (per tooth) |
| 1324 |
Desensitisation (per arch) |
| 1327 |
Denture repair without changing the base plate |
| 1328 |
Denture repair (addition of each acrylic tooth) |
| 1329 |
Impression for working model |
| 1330 |
Aversion therapy |
| 1331 |
Behaviour modification |
| 1332 |
Desensitization therapy |
| 1333 |
Extinction therapy |
| 1334 |
Relaxation training |
| 1335 |
Hypnosis |
| 1336 |
Sedation - Benzodiazepine |
| 1338 |
Pulp vitality test |
| 1339 |
Diagnostic cast |
| 1340 |
Caries susceptibility test |
| 1341 |
Zygoma X-Ray |
| 1342 |
Post Nasal Space X-Ray |
| 1343 |
TMJ-Transcranial - Single View |
| 1344 |
TMJ-Transpharyngeal - Single View |
| 1345 |
Internal Auditory Meatus (IAM) X-Ray |
| 1346 |
Pituitary fossa X-Ray |
| 1347 |
Mastoids X-Ray |
| 1348 |
Petrous Temporal bone X-Ray |
| 1349 |
Cephalometric Postero-anterior of Jaws X-Ray |
| 1350 |
Panoramic Tomogram |
| 1351 |
True Cephalometric Lateral Skull |
| 1352 |
Periapical |
| 1353 |
Bitewing |
| 1354 |
Upper True Occlusal |
| 1355 |
Upper Oblique Occlusal |
| 1356 |
Lower Occlusal 450 |
| 1357 |
Lower Occlusal 900 |
| 1358 |
Lower Oblique Occlusal |
| 1359 |
Digital Periapical |
| 1360 |
Digital Bitewing |
| 1361 |
Digital Upper True Occlusal |
| 1362 |
Digital Upper Oblique Occlusal |
| 1363 |
Digital Lower Occlusal 450 |
| 1364 |
Digital Lower Occlusal 900 |
| 1365 |
Digital Lower Oblique Occlusal |
| 1366 |
CBCT Tooth |
| 1367 |
CBCT Teeth |
| 1368 |
CBCT Upper Jaw |
| 1369 |
CBCT Lower Jaw |
| 1370 |
CBCT Upper and Lower Jaw |
| 1371 |
CBCT Face |
| 1372 |
CBCT Pro Face |
| 1373 |
Orthopanthomogram (OPG) |
| 1374 |
3 D Orthopanthomogram (OPG) |
| 1375 |
Lower True Occlusal |
| 1376 |
Digital Lower True Occlusal |
| 1377 |
Provision of Fixed Appliance (prior to Mar 2017) |
| 00 |
Other |
|
Propose a change