complete calendar months have elapsed since the last such treatment with scaling, polishing and marginal correction of fillings 1011 CODE ONLY Treatment of periodontal diseases requiring more than 1 visit including oral hygiene instruction, scaling, polishing and marginal correction of fillings Non-surgical periodontal treatment including deep scaling, irrigation of periodontal pockets and subgingival curettage and all necessary scaling and polishing Perio treatment appropriate to band 2 V1 1021 CODE ONLY Treatment over a minimum of 3 visits, with not less than 1 month between the first and third visit, and with re-evaluation of the patient’s condition (to include full periodontal charting) at a further visit not less than 2 complete calendar months after active treatment is complete. Treatment to include root-planing, deep scaling and, where Non-surgical treatment of chronic periodontal diseases, including oral hygiene instruction V1
necessary curettage, root planing and bone resection, and including post-operative management Upper arch 1112 CODE AND NOTATION Raising and replacement of a mucoperiosteal flap inclusive of any necessary curettage, root planing and bone resection, and including post-operative management and instruction arch Lower V1 1121 CODE AND QUANTITY Free gingival grafts including raising tissue from a donor site and preparation of a recipient site, with instruction and management and normally with not more than 2 grafts per course of treatment Perio treatment appropriate to band 2 V1 1131 CODE AND NOTATION Simple excision of soft tissue to lengthen crowns in connection with veneers, crowns, Perio treatment appropriate to band 2 V1
bridges, dentures, and/or 29 obturators and normally with not more than 2 teeth treated 1191 CODE ONLY Other periodontal surgery Perio treatment appropriate to band 2 V1 1401 CODE, NOTATION TOOTH SURFACE Amalgam fillings Codes 1402, 1403, 1404, 1411 have been grouped under 1401 V1 1421 CODE, NOTATION TOOTH SURFACE Composite filling Codes 1422, 1423, 1424, 1425 have been grouped under 1421 V1 1426 CODE, NOTATION AND SURFACE Glass ionomer filling 1461has been grouped under 1426 V1 1441 CODE, NOTATION SURFACE Decayed filling This code could be used when replacing a filling that has recurrent decay 1442, 1443, 1444, 1451 have been grouped under 1441. V1 1501 CODE AND NOTATION Root filling of each root canal of a permanent tooth with a permanent radio-opaque filling material, normally not more than 3 teeth being V1
appropriate to item 15 (endodontics) 1701 CODE AND NOTATION Inlays (metal) Material only – surfaces captured by software 1702,1703, 1704 have been grouped under 1701 V1 1711 CODE NOTATION Full or three quarter crown cast in precious and non precious metal alloy 1712 has been grouped under 1711 V1 1716 CODE NOTATION Porcelain jacket crown V1 1722 CODE NOTATION Bonded crowns Full or jacket crown cast in non-precious metal alloy, with thermally bonded porcelain 1721, 1723 have been grouped 1722 V1 1726 CODE AND NOTATION Jacket crown in synthetic resin V2 1732 CODE NOTATION Core and post In any material (could be fibre post) 1733 has been grouped 1732 V1 1734 CODE NOTATION Pin or screw retention for a core fabricated in the mouth V1 1735 CODE NOTATION Provision of a facing with silicate, glass ionomer, synthetic resin or composite resin: 1736 has been grouped under 1735 V1 1738 CODE NOTATION Laboratory produced dovetail or slot in the May be important for advanced care V1
1781 CODE NOTATION Refixing or recementing an or crown V1 1782 CODE NOTATION Refixing or cementing a crown V1 V2 1802 CODE NOTATION Retainers for other than acid etch retained bridges: All materials 1801, 1803, 1804, 1805, 1806, 1807, 1808 have been grouped under 1802 V1 1811 CODE NOTATION Core and post In any material (could be fibre post) 1812, 1813, 1814, 1815, 1816 have been grouped under 1811 V1 1822 CODE NOTATION Pontics (other than for acid etch retained bridges) All materials 1821, 1823, 1824, 1825, 1826, 1827 have been grouped under 1822 V1 1831 CODE NOTATION Retainer, Acid etch retained bridges: Retainer in cast metal V1 1832 CODE NOTATION Pontic, Acid etch retained bridges: Pontic in thermally bonded porcelain 1841 has been grouped with 1831 and 1832 V1 1851 CODE QUANTITY Temporary bridge: Fabricated in the laboratory in where the temporary bridge is to be retained for at least 3 months V1 1852 CODE QUANTITY Temporary bridge: All other temporary bridges V1
account of the condition of the patient’s alveolus 2762 CODE ONLY Per denture for the provision of a soft lining or soft partial lining than one polymerised in the mouth where such lining is required on account of the condition of the patient’s alveolus Lower V1 2771 CODE ONLY Use of special trays for the taking of final impressions Upper 2781 has been grouped under 2771 V1 2772 CODE ONLY Use of special trays for the taking of final impressions 2782 has been grouped under 2772 V1 2801 CODE QUANTITY Repairs to dentures: Any repair - Upper 2803, 2811 have been grouped under 2801 V1 2802 CODE QUANTITY Repairs to dentures: Any repair - Lower 2804, 2812 have been grouped under 2802 V1 2821 CODE QUANTITY Repairs to dentures: Impression technique is necessary in connection with 1 or more repairs V1 constructed constructed
3621 CODE ONLY Occlusal equilibration V1 3631 CODE ONLY Treatment of sensitive cementum or dentine V1 3641 CODE QUANTITY Issue of a prescription only Including Urgent Treatment, Treatment of Acute Conditions and Occasional Treatment Groups together 3701, 4801 and 5601 V1 3651 CODE NOTATION Re-implantation of a luxated permanent tooth following trauma V1 3661 CODE NOTATION Removal of the fractured portion of a natural where its dissection from the supporting soft tissues is necessary, prior to the provision of a permanent restoration V1 3671 CODE NOTATION Removal of the coronal portion of a permanent tooth and the shaping and preparation of the root face, for the provision of an overdenture V1 3701 CODE ONLY For conditions of the gingivae/oral mucosa (including pericoronitis, V1
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
pontics and retainers 8005 CODE AND NOTATION Private Dentures Private dentures in any material Includes metal based and acrylic dentures V3 8006 CODE AND NOTATION Private Prevention Private preventive treatments Includes private preventive fissure sealants, fluoride treatments including fluoride varnish applications, diet and lifestyle advice and prescription of fluoride supplements V3 8007 CODE AND NOTATION Private Other Other private treatment Any other private treatment not included by codes 8001 - 8006 V3 9001 CODE Examination 0101 0111 0121 If any of the specified codes present value = yes V3 9002 CODE AND NOTATION Radiographs taken 0201 0202 0203 0204 Cumulative value of all codes ie 2 x 0201 and 1x0204 value = 3 V3 9003 CODE FP17DC provided V3
9004 CODE Preventive, Diet and Lifestyle advice 3807 3878 3879 3880 3881 3887 If any of these codes present and transmitted under 0601 then response is yes. V3 9005 CODE Oral hygiene instruction / Tooth brushing advice 3885 3890 If any of these codes present then response is yes. V3 9006 CODE Prescription of fluoride supplements. 3883 3889 If either code present then response is yes. V3 9007 CODE Scale and polish / periodontal treatment 1001 1011 3886 If any of these codes present the response is yes. V3 9008 CODE Root surface debridement 1021 3841 4001(together with 0601) If any of these codes present the response is yes 4001 used for follow up root surface debridement so this code would only apply where transmitted under 0601 umbrella. V3 9009 CODE Fluoride varnish 0711 If this code used then response is yes V3
9010 CODE AND NOTATION Fissure sealants 0701 Cumulative of number of tooth notations where this code used V3 9011 CODE AND NOTATION Endodontic treatment 1501 1551 Cumulative of these codes and tooth notations, so if 1501 used at UL3 and UL2 then value = 2. V3 9012 CODE AND NOTATION Permanent fillings & sealant restorations 1401 1421 1426 1441 Cumulative count of tooth notations where one or more of these codes used. So if 1401 and 1421 used at UL2 then the value would = 1, but if these codes used at UL1 and UL2 the value would = 2. V3 9013 CODE AND NOTATION Extractions 2101 2201 2202 Cumulative of tooth notations where any of these codes used. V3 9014 CODE AND NOTATION Crowns 1711 1716 1722 1726 Cumulative count of tooth notations where any of these codes used. V3
9015 CODE Laboratory made splint / Bite raising appliance 2991 If this code present the response is yes. V3 9016 CODE AND NOTATION Veneers or inlays 1601 1701 Cumulative count of number of tooth notations where either of these codes used. V3 9017 CODE AND NOTATION Bridgework 1802 1822 1831 1832 Cumulative count of number of tooth notations where any of these codes used. V3 9018 CODE AND NOTATION Upper acrylic denture 2731 2733 Cumulative count of number of tooth notations in the upper arch where any of these codes used. V3 9019 CODE AND NOTATION Lower acrylic denture 2732 2733 Cumulative count of number of tooth notations in the lower arch where any of these codes used. V3 9020 CODE AND NOTATION Upper metal denture 2741 2743 2744 2745 Cumulative count of number of tooth notations in the upper arch where V3
3838 CODE ONLY Refer immediately if > 1 code 4 NO Discontinued V2 V1 V2 3839 CODE ONLY Remove any calculus at assessment YES Discontinued V2 V1 V2 3840 CODE ONLY Detailed chart YES Discontinued V2 V1 V2 3841 CODE ONLY Root Surface Debridement YES V1 3842 CODE ONLY Consider referral if poor response after 2 cycles of effective instrumentation in a non-smoker YES Replaced by guidance note V1 V3 3843 CODE ONLY Reinforce healthy lifestyle YES Replaced by guidance note V1 V3 3844 CODE ONLY Observe, record, monitor, ensure diagnosis YES Replaced by 3877 V1 V3 3845 CODE ONLY Ensure diagnosis and treat appropriately including symptoms YES Replaced by 3877 V1 V3 3846 CODE ONLY Fast track 2 week cancer referral NO Not required to be transmitted V1 3847 CODE ONLY Specific tobacco /paan use advice YES Replaced by 3878 V1 V3 3848 CODE ONLY Specific alcohol use advice YES Replaced by 3879 V1 V3 3849 CODE ONLY Alcohol signposting YES Replaced by 3879 V1 V3 3850 CODE ONLY Signpost to smoking/tobacco cessation services YES Replaced by 3878 V1 V3
3851 CODE ONLY Consider Rx F supplements YES Replaced by 3889 V2 V3 3852 CODE ONLY Consider fluoride varnish YES Replaced by 3888 V2 V3 3853 CODE ONLY FV 2 x year YES Replaced by 3888 V2 V3 3854 CODE ONLY FV 4 x year YES Replaced by 3888 V2 V3 3855 CODE ONLY Diet advice YES Replaced by 3881 V2 V3 3856 CODE ONLY Monitor YES Replaced by guidance note V2 V3 3857 CODE ONLY To achieve effective plaque control YES Replaced by 3885 V2 V3 3858 CODE ONLY Apply fissure sealant on eruption of permanent teeth NO No longer needs to be transmitted. When teeth sealed code 0701 would be used and transmitted. V2 3859 CODE ONLY Use not less than 1000ppm fluoride toothpaste YES Replaced by 3887 V2 V3 3860 CODE ONLY Use 1350-1500 ppm fluoride toothpaste YES Replaced by 3887 V2 V3 3861 CODE ONLY Consider upgrade to 2800 ppm ftp for 10-16 year olds YES Replaced by 3883 V2 V3 3862 CODE ONLY Consider upgrade to 5000 ppm for 16-17 year olds YES Replaced by 3883 V2 V3
3863 CODE ONLY Consider use of higher strength fluoride toothpaste YES Replaced by 3887 V2 V3 3864 CODE ONLY Provide erosion advice and advise return if pain develops YES Replaced by 3880 V2 V3 3865 CODE ONLY At assessment for all code 3s a 4 point plaque score in that sextant YES Replaced by guidance note V2 V3 3866 CODE ONLY Detailed 4 point plaque score for whole mouth and a 6 point pocket chart for code 4 sextants YES Replaced by guidance note V2 V3 3867 CODE ONLY Remove plaque retentive factors such as calculus at assessment YES Replaced by 3886 V2 V3 3868 CODE ONLY Combined impact of smoking and alcohol to be advised YES Replaced by guidance note V2 V3 3869 CODE ONLY two or more patient factors are present (such as smoking and alcohol or poor diet and lack of exercise) consider signpost to primary medical care YES Replaced by guidance note V2 V3 3870 CODE ONLY Ensure diagnosis and treat appropriately YES Replaced by 3877 V2 V3
3883 CODE ONLY Prescribe high strength fluoride toothpaste as appropriate YES V3 3884 CODE ONLY Provision of a splint as required NO Not required to be transmitted. Code 2991 should be used and transmitted as part of the pilot clinical data set for splints and bite raisers if provided V3 3885 CODE ONLY Motivate and reinforce OH as required YES V3 3886 CODE ONLY Removal of calculus and / or plaque retention factors YES V3 3887 CODE ONLY Advise use of appropriate fluoride toothpaste YES V3 3888 CODE ONLY Fluoride vanish x2 or x4 per year as appropriate NO When fluoride varnish applied code 0711 transmitted V3 3889 CODE ONLY Prescription of fluoride supplements as required YES V3 3890 CODE ONLY Advise supervision / assistance with tooth brushing YES V3