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CDT Code D9941

Official Description

Fabrication of athletic mouthguard

Short Descr	Fabrication of athletic mouthguard
Medium Descr	Fabrication of athletic mouthguard

D9110-D9996 XII. Adjunctive General Services

D9910-D9975 Miscellaneous Services

D9910 Application of desensitizing medicament

D9911 Application of desensitizing resin for cervical and/or root surface, per tooth

D9912 Pre-visit patient screening

D9913 Administration of neuromodulators

D9914 Administration of dermal fillers

D9920 behavior management, by report

D9930 Treatment of complications (post-surgical) - unusual circumstances, by report

D9932 Cleaning and inspection of removable complete denture, maxillary

D9933 Cleaning and inspection of removable complete denture, mandibular

D9934 Cleaning and inspection of removable partial denture, maxillary

D9935 Cleaning and inspection of removable partial denture, mandibular

D9938 Fabrication of a custom removable clear plastic temporary aesthetic appliance

D9939 Placement of a custom removable clear plastic temporary aesthetic appliance

D9941 Fabrication of athletic mouthguard

D9942 Repair and/or reline of occlusal guard

D9943 Occlusal guard adjustment

D9944 Occlusal guard - hard appliance, full arch

D9945 Occlusal guard - soft appliance, full arch

D9946 Occlusal guard - hard appliance, partial arch

D9950 Occlusion analysis - mounted case

D9951 Occlusal adjustment - limited

D9952 Occlusal adjustment - complete

D9970 Enamel microabrasion

D9971 Odontoplasty - per tooth

D9972 External bleaching - per arch - performed in office

D9973 External bleaching - per tooth

D9974 Internal bleaching - per tooth

D9975 External bleaching for home application, per arch; includes materials and fabrication of custom tray

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