The tables in this resource link frequently reported CDT Codes with one or more possible ICD-10-CM diagnostic codes as examples. Please note that these tables, and especially their linkages, are not all-inclusive but serve only as a guide for commonly occurring conditions. Dentists, by virtue of their clinical education, experience and professional ethics, are the individuals responsible for diagnosis. As such, a dentist is also obligated to select the appropriate diagnosis code for patient records and claim submission. It is quite possible that other diagnoses and their associated codes may be appropriate for a given clinical scenario.
ICD and CDT Coding Examples
Current Dental Terminology
CDT Code(s)
-
D0120
Periodic oral evaluation - established patient -
D0140
Limited oral evaluation - problem focused -
D0150
Comprehensive oral evaluation - new or established patient -
D0210
Intraoral - complete series of radiographic images -
D0220
Intraoral - periapical first radiographic image -
D0230
Intraoral - periapical each additional film -
D0251
Extra-oral posterior dental radiographic image - D0272
- Bitewings- two radiographic images
-
D0274
Bitewings- four radiographic images - D0330
- Panoramic radiographic image
- D0999
- Unspecified diagnostic procedure, by report
Example ICD-10-CM Code(s)
-
Z01.20
Encounter for dental examination and cleaning without abnormal findings -
Z01.21
Encounter for dental examination and cleaning with abnormal findings -
Z13.84
Encounter screening for dental disorders
CDT Code(s)
-
D1110
Prophylaxis - adult D1120 Prophylaxis - child
Example ICD-10-CM Code(s)
-
E11.9
Type 2 diabetes mellitus without complications -
K03.6
Deposits [accretions] on teeth -
K05.1
Chronic gingivitis -
K05.10
Chronic gingivitis; plaque induced -
K05.30
Chronic periodontitis, unspecified -
Z33.1
Pregnant state; incidental -
Z72.0
Tobacco use
CDT Code(s)
-
D1206
Topical application of fluoride varnish -
D1208
Topical application of fluoride, excluding varnish
Example ICD-10-CM Code(s)
-
K02.3
Arrested dental caries -
K02.61
Dental caries on smooth surface limited to enamel -
K02.7
Dental root caries -
K03.1
Abrasion of teeth -
K03.2
Erosion of teeth -
M35.00
Sicca syndrome; unspecified
CDT Code(s)
-
D1330
Oral hygiene instructions
Example ICD-10-CM Code(s)
-
E11.9
Type 2 diabetes mellitus without complication -
K02.3
Arrested dental caries -
K02.52
Dental caries on pit and fissure surface penetrating into dentin -
K02.61
Dental caries on smooth surface limited to enamel -
K02.62
Dental caries on smooth surface penetrating into dentin -
K02.7
Dental root caries -
K02.9
Dental caries; unspecified -
K03.2
Erosion of teeth -
K03.6
Deposits [accretions] on teeth -
K05.00
Acute gingivitis, plaque induced -
K05.01
Acute gingivitis, non-plaque induced -
K05.10
Chronic gingivitis, plaque induced -
K05.30
Chronic periodontitis, unspecified -
K05.5
Other periodontal diseases -
M35.00
Sicca syndrome; unspecified -
Z33.1
Pregnant state; incidental -
Z72.0
Tobacco Use
CDT Code(s)
-
D1351
Sealant - per tooth -
D1354
Interim caries arresting medicament application -
D2990
Resin infiltration of incipient smooth surface lesions
Example ICD-10-CM Code(s)
-
K02.51
Dental caries on pit and fissure surface limited to enamel -
K02.61
Dental caries on smooth surface limited to enamel -
M35.00
Sicca syndrome; unspecified
CDT Code(s)
-
D2140
Amalgam - one surface; primary or permanent -
D2150
Amalgam - two surfaces; primary or permanent -
D2160
Amalgam - three surfaces; primary or permanent -
D2161
Amalgam - four or more surfaces; primary or permanent
Example ICD-10-CM Code(s)
-
K02.51
Dental caries on pit and fissure surface limited to enamel -
K02.52
Dental caries on pit and fissure surface penetrating into dentin -
K02.61
Dental caries on smooth surface limited to enamel -
K02.62
Dental caries on smooth surface penetrating into dentin -
K03.81
Cracked tooth S02.5XXA Fracture of tooth (traumatic), initial encounter for closed fracture
CDT Code(s)
-
D2330
Resin-based composite - one surface; anterior -
D2331
Resin-based composite - two surfaces; anterior -
D2332
Resin-based composite - three surfaces; anterior -
D2335
Resin-based composite - four or more surfaces involving incisal angle (anterior)
Example ICD-10-CM Code(s)
-
K00.2
Abnormalities of size and form of teeth -
K02.51
Dental caries on pit and fissure surface limited to enamel -
K02.52
Dental caries on pit and fissure surface penetrating into dentin -
K02.61
Dental caries on smooth surface limited to enamel -
K02.62
Dental caries on smooth surface penetrating into dentin -
K03.1
Abrasion of teeth -
K03.2
Erosion of teeth -
K03.81
Cracked tooth -
S02.5XXA
Fracture of tooth (traumatic), initial encounter for closed fracture
CDT Code(s)
- D2391
Resin-based composite - one surface; posterior - D2392
Resin-based composite - two surfaces; posterior - D2393
Resin-based composite - three surfaces; posterior - D2394
Resin-based composite - four surfaces; posterior
Example ICD-10-CM Code(s)
- K02.51
Dental caries on pit and fissure surface limited to enamel - K02.52
Dental root caries on pit and fissure surface penetrating into dentin - K02.61
Dental caries on smooth surface limited to enamel - K02.62
Dental caries on smooth surface penetrating into dentin - K02.7
Dental root caries - K03.1
Abrasion of teeth - K03.2
Erosion of teeth - K03.81
Cracked tooth - S02.5XXA
Fracture of tooth (traumatic), initial encounter for closed fracture
CDT Code(s)
-
D2740
Crown - porcelain/ceramic substrate - D2750
Crown - porcelain fused to high noble metal -
D2751
Crown - porcelain fused to predominantly base metal -
D2752
Crown - porcelain fused to noble metal -
D2790
Crown - full cast high noble metal -
D2792
Crown - full cast noble metal -
D2950
Core buildup, including any pins when required -
D2951
Pin retention - per tooth; in addition to restoration -
D2952
Post and core in addition to crown; indirectly fabricated -
D2954
Prefabricated post and core in addition to crown
Example ICD-10-CM Code(s)
-
K00.2
Abnormalities of size and form of teeth -
K02.52
Dental caries on pit and fissure surface penetrating into dentin -
K02.53
Dental caries on pit and fissure surface penetrating into pulp -
K02.62
Dental caries on smooth surface penetrating into dentin -
K02.63
Dental caries on smooth surface penetrating into pulp -
S02.5XXA
Fracture of tooth (traumatic), initial encounter for closed fracture
CDT Code(s)
- D2930
Prefabricated stainless steel crown - primary tooth
Example ICD-10-CM Code(s)
- K00.2
Abnormalities of size and form of teeth - K02.52
Dental caries on pit and fissure surface penetrating into dentin - K02.53
Dental caries on pit and fissure surface penetrating into pulp - K02.62
Dental caries on smooth surface penetrating into dentin - K02.63
Dental caries on smooth surface penetrating into pulp - S02.5XXA
Fracture of tooth (traumatic), initial encounter for closed fracture
CDT Code(s)
-
D3110
Pulp cap – direct (excluding final restoration) -
D3120
Pulp cap – indirect (excluding final restoration)
Example ICD-10-CM Code(s)
-
K02.52
Dental caries on pit and fissure surface penetrating into dentin -
K02.53
Dental caries on pit and fissure surface penetrating into pulp -
K02.62
Dental caries on smooth surface penetrating into dentin -
K02.63
Dental caries on smooth surface penetrating into pulp -
K04.0
Pulpitis -
S02.5XXA
Fracture of tooth (traumatic), initial encounter for closed fracture
CDT Code(s)
- D3220
Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to dentinocemental junction and application of medicament - D3310
Endodontic therapy; anterior tooth (excluding final restoration) - D3320
Endodontic therapy; bicuspid tooth (excluding final restoration) - D3330
Endodontic therapy; molar (excluding final restoration)
Example ICD-10-CM Code(s)
- K02.53
Dental caries on pit and fissure surface penetrating into pulp - K02.63
Dental caries on smooth surface penetrating into pulp - K03.81
Cracked tooth - K03.89
Other specified diseases of hard tissues of teeth - K04.0
Pulpitis - K04.1
Necrosis of the pulp - K04.5
Chronic apical periodontitis - K04.6
Periapical abscess with sinus - K04.7
Periapical abscess without sinus - K04.8
Radicular cyst - K04.90
Unspecified diseases of pulp and periapical tissues - K04.99
Other diseases of pulp and periapical tissues
K05.5
Other periodontal diseases - K08.8
Other specified disorders of teeth and supporting structures - S02.5XXA
Fracture of tooth (traumatic), initial encounter for closed fracture
CDT Code(s)
- D3346
Retreatment of previous root canal therapy - anterior - D3347
Retreatment of previous root canal therapy - bicuspid - D3348
Retreatment of previous root canal therapy - molar
Example ICD-10-CM Code(s)
- K08.59
Other unsatisfactory restoration of existing tooth - M27.5
Periradicular pathology associated with previous endodontic treatment
CDT Code(s)
- D4210
Gingivectomy or gingivoplasty – four or more contiguous teeth or tooth bounded spaces per quadrant - D4211
Gingivectomy or gingivoplasty - one to three contiguous teeth or tooth bounded spaces per quadrant
Example ICD-10-CM Code(s)
- K05.30
Chronic periodontitis; unspecified - K05.31
Chronic periodontitis; localized - K05.32
Chronic periodontitis, generalized - K06.1
Gingival enlargement
CDT Code(s)
- D4249
Clinical crown lengthening - hard tissue
Example ICD-10M Code(s)
- K02.9
Chronic periodontitis; unspecified - K03.81
Cracked tooth K05.5 Other periodontal diseases - S02.5XXA
Fracture of tooth (traumatic), initial encounter for closed fracture
CDT Code(s)
- D4260
Osseous surgery (including flap entry and closure) - four or more contiguous teeth or tooth bounded spaces per quadrant - D4261
Osseous surgery (including flap entry and closure) – one to three contiguous teeth or tooth bounded spaces per quadrant - D4263
Bone replacement graft - first site in quadrant D4264 Bone replacement graft – each additional site in quadrant
Example ICD-10-CM Code(s)
- K05.21
Aggressive periodontitis, localized - K05.22
Aggressive periodontitis, generalized - K05.30
Chronic periodontitis, unspecified - K05.31
Chronic periodontitis, localized - K05.32
Chronic periodontitis, generalized - K05.6
Periodontal disease, unspecified - K08.20
Unspecified atrophy of edentulous alveolar ridge - K08.21
Minimal atrophy of the mandible - K08.22
Moderate atrophy of the mandible - K08.23
Severe atrophy of the mandible - K08.24
Minimal atrophy of the maxilla - K08.25
Moderate atrophy of the maxilla - K08.26
Severe atrophy of the maxilla
CDT Code(s)
- D4270
Pedicle soft tissue graft procedure - D4273
Autogenous connective tissue graft procedure (including donor and recipient surgical sites) first tooth, implant, or edentulous tooth position in graft - D4275
non-autogenous connective tissue graft (including recipient site and donor material) first tooth, implant, or edentulous tooth position in graft - D4276
Combined connective tissue and double pedicle graft, per tooth - D4278
Free soft tissue graft procedure (including recipient and donor surgical sites) each additional contiguous tooth, implant, or edentulous tooth position in same graft site - D4283
Autogenous connective tissue graft procedure (including donor and recipient surgical sites) each additional contiguous tooth, implant, or edentulous tooth position in same graft site - D4285
Non-autogenous connective tissue graft procedure (including recipient surgical site and donor material) each additional contiguous tooth, implant, or edentulous tooth position in same graft site
Example ICD-10-CM Code(s)
- K06.0
Gingival recession
CDT Code(s)
- D4341
Periodontal scaling and root planing - four or more teeth per quadrant - D4342
Periodontal scaling and root planing - one to three teeth per quadrant - D4910
Periodontal maintenance
Example ICD-10-CM Code(s)
- A69.1
Other Vincent's infections - E11.9
Type 2 diabetes mellitus without complications - K03.6
Deposits [accretions] on teeth K05.20 Aggressive periodontitis; unspecified - K05.21
Aggressive periodontitis; localized - K05.22
Aggressive periodontitis; generalized K05.30 Chronic periodontitis; unspecified - K05.31
Chronic periodontitis; localized - K05.32
Chronic periodontitis; generalized - K05.5
Other periodontal diseases - K05.6
Periodontal disease; unspecified - K06.1
Gingival enlargement - Z33.1
Pregnant state; incidental - Z72.0
Tobacco use - Z87.891
Personal history of nicotine dependence
CDT Code(s)
- D5211
Maxillary partial denture - resin base (including any conventional clasps, rests, and teeth) - D5213
Maxillary partial denture - cast metal framework with resin denture bases (including any conventional clasps; rests and teeth) - D5214
Mandibular partial denture - cast metal framework with resin denture bases (including any conventional clasps; rests and teeth) - D6010
Surgical placement of implant body: endosteal implant - D6056
Prefabricated abutment – includes modification and placement - D6057
Custom fabricated abutment – includes placement - D6059
Abutment supported porcelain fused to metal crown (high noble metal) - D6240
Pontic - porcelain fused to high noble metal - D6750
Crown - porcelain fused to high noble metal - D6752
Crown - porcelain fused to noble metal
Example ICD-10-CM Code(s)
- K00.0
Anodontia - K08.409
Partial loss of teeth, unspecified cause, unspecified class - K08.419
Partial loss of teeth due to trauma, unspecified class - K08.429
Partial loss of teeth due to periodontal diseases, unspecified class - K08.439
Partial loss of teeth due to caries, unspecified class
CDT Code(s)
- D7140
Extraction, erupted tooth or exposed root (elevation and/or forceps removal) - D7210
Surgical removal of erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated
Example ICD-9-CM Code(s)
- K02.53
Dental caries on pit and fissure surface penetrating into pulp -
K02.63
Dental caries on smooth surface penetrating into pulp - K04.0
Pulpitis - K04.1
Necrosis of the pulp - K04.5
Chronic apical periodontitis - K04.6
Periapical abscess with sinus - K04.7
Periapical abscess without sinus - K04.8
Radicular cyst - K05.20
Aggressive periodontitis; unspecified - K05.21
Aggressive periodontitis; localized - K05.30
Chronic periodontitis, unspecified - K09.0
Developmental odontogenic cysts - L02.91
Cutaneous abscess, unspecified - L03.90
Cellulitis; unspecified - R44.8
Other symptoms and signs involving general sensations and perceptions - R44.9
Unspecified symptoms and signs involving general sensations and perceptions - R69
Illness; unspecified - S02.5XXA
Fracture of tooth (traumatic), initial encounter for closed fracture - S02.5XXB
Fracture of tooth (traumatic), initial encounter for open fracture - S03.2XXA
Dislocation of tooth; initial encounter
CDT Code(s)
- D7220
Removal of impacted tooth - soft tissue - D7230
Removal of impacted tooth - partially bony - D7240
Removal of impacted tooth - completely bony
Example ICD-10-CM Code(s)
- K00.1
Supernumerary teeth - K00.6
Disturbances in tooth eruption - K01.0
Embedded teeth - K01.1
Impacted teeth - K09.0
Developmental odontogenic cysts
CDT Code(s)
- D7953
Bone replacement graft for ridge preservation - per site
Example ICD-10-CM Code(s)
- K02.53
Dental caries on pit and fissure surface penetrating into pulp - K02.63
Dental caries on smooth surface penetrating into pulp - K04.0
Pulpitis K04.5 Chronic apical periodontitis - K04.6
Periapical abscess with sinus - K04.7
Periapical abscess without sinus - K04.8
Radicular cyst - K05.21
Aggressive periodontitis; localized - K05.30
Chronic periodontitis; unspecified - K05.31
Chronic periodontitis; localized - K05.32
Chronic periodontitis; generalized - K09.0
Developmental odontogenic cysts - S02.5XXA
Fracture of tooth (traumatic), initial encounter for closed fracture - S02.5XXB
Fracture of tooth (traumatic), initial encounter for open fracture - S03.2XXA
Dislocation of tooth, initial encounter
CDT Code(s)
- D8080
Comprehensive orthodontic treatment of the adolescent dentition
Example ICD-10-CM Code(s)
- K00.0
Anodontia - K00.6
Disturbances in tooth eruption - K08.8
Other specified disorders of teeth and supporting structures - M26.212
Malocclusion; Angle’s class II - M26.213
Malocclusion; Angle’s class III - M26.24
Reverse articulation - M26.29
Other anomalies of dental arch relationship - M26.30
Unspecified anomaly of tooth position of fully erupted tooth or teeth - M26.31
Crowding of fully erupted teeth - M26.35
Rotation of fully erupted tooth or teeth - M26.39
Other anomalies of tooth position of fully erupted tooth or teeth - M26.4
Malocclusion; unspecified - M26.81
Anterior soft tissue impingement - M26.82
Posterior soft tissue impingement - M26.89
Other dentofacial anomalies - Q67.0
Congenital facial asymmetry
CDT Code(s)
- D9110
Palliative (emergency) treatment of dental pain - minor procedure
Example ICD-10-CM Code(s)
- K02.53
Dental caries on pit and fissures surface penetrating into pulp - K02.63
Dental caries on smooth surface penetrating into pulp - K04.0
Pulpitis - K04.6
Periapical abscess with sinus - K04.7
Periapical abscess without sinus - M26.60
Temporomandibular joint disorders; unspecified - M26.69
- Other specified temporomandibular joint disorders
CDT Code(s)
- D9940
Occlusal guard, by report
Example ICD-10-CM Code(s)
- F59
Unspecified behavioral syndromes associated with physiological disturbances and physical factors - K03.0
Excessive attrition of teeth - M26.60
Temporomandibular joint disorders; unspecified - M26.69
Other specified temporomandibular joint disorders - M26.89
Other specified dentofacial anomalies