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CDTDentalCodes.com website consist of nearly 1.000 CDT codes and updates monthly.

Listed below are the CDT-4 procedure codes adopted by the DCH for dental services. Any new CDT-4 procedure code not listed will not be covered at this time. All procedure codes being deleted from the national code set will be eliminated from use for dates of service on. The attached Dental Procedure Codes Appendix lists the covered dental procedure codes. This bulletin also transmits the revised Chapter III (Coverages and Limitations). As a part of the chapter revision process, previously issued policy bulletins have been incorporated.


This may contain CDT Dental Procedure Codes and/or portions of, or excerpts from the Code on Dental Procedures and Nomenclature (CDT Code) contained within the current version of the 'Dental Procedure Codes', a copyrighted publication provided by the American Dental Association. The American Dental Association does not endorse any codes which are not included in its current publication.

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