Adjunctive General Services CDT Codes

List :

• D9110
• D9120
• D9210
• D9211
• D9212
• D9215
• D9219
• D9223
• D9230
• D9243
• D9248
• D9310
• D9311
• D9410
• D9420
• D9430
• D9440
• D9450
• D9610
• D9612
• D9630
• D9910
• D9911
• D9920
• D9930
• D9932
• D9933
• D9934
• D9935
• D9940
• D9941
• D9942
• D9943
• D9950
• D9951
• D9952
• D9970
• D9971
• D9972
• D9973
• D9974
• D9975
• D9985
• D9986
• D9987
• D9991
• D9992
• D9993
• D9994
• D9999
• D9997
• D9999

The following list(s) of procedure and/or diagnosis codes is provided for reference purposes only and may not be all inclusive. Listing of a code in this guideline does not imply that the service described by the code is a covered or noncovered health service. Benefit coverage for health services is determined by the member specific benefit plan document and applicable laws that may require coverage for a specific service. The inclusion of a code does not imply any right to reimbursement or guarantee claim payment. Other Clinical Policies and Coverage Guidelines may apply.