ulcers and herpetic lesions), including any necessary oral hygiene instruction and/or the issue of a prescription 4001 CODE ONLY Any other treatment V1 4701 CODE ONLY Occasional Treatment V2 5001 CODE ONLY Dressings including any Use for temporary V2 preparatory treatment dressings 6201 CODE AND Incomplete Treatment 6201 to 7301 are V2 V3 NOTATION grouped together 8001 CODE AND Private Periodontal Any private V3 NOTATION Treatment periodontal treatment including removal of calculus and plaque retention factors, polishing teeth, root surface , debridement 8002 CODE AND Private Fillings Direct private fillings V3 NOTATION in any material 8003 CODE AND Private Indirect Indirect private Includes crowns, V3 NOTATION Restorations restorations in any veneers, inlays, material onlays 8004 CODE AND Private Bridgework Includes acid etch V3 NOTATION retained and cast Private bridgework in bridgework. This any material code to be used for
ulcers and herpetic lesions), including any necessary oral hygiene instruction and/or the issue of a prescription 4001 CODE ONLY Any other treatment V1 4701 CODE ONLY Occasional Treatment V2 5001 CODE ONLY Dressings including any preparatory treatment Use for temporary dressings V2 6201 CODE AND NOTATION Incomplete Treatment 6201 to 7301 are grouped together V2 V3 8001 CODE AND NOTATION Private Periodontal Treatment , Any private periodontal treatment including removal of calculus and plaque retention factors, polishing teeth, root surface debridement V3 8002 CODE AND NOTATION Private Fillings Direct private fillings in any material V3 8003 CODE AND NOTATION Private Indirect Restorations Indirect private restorations in any material Includes crowns, veneers, inlays, onlays V3 8004 CODE AND NOTATION Private Bridgework Private bridgework in any material Includes acid etch retained and cast bridgework. This code to be used for V3
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