การลงรหัสโรคและหัตถการดา้ นทันตกรรมตามรหัส ICD 10 TM (บริการเฉพาะทางสาขาตา่ งๆ) ที่ รหัส รายการ ทันตกรรมส่งเสริมและป้องกัน 1 2339920 Consultation 2 2330010 Limited oral evaluation - problem focused 3 2330011 Comprehensive oral evaluation 4 2330012 Detailed and extensive oral evaluation 5 2330013 Periodic oral evaluation 6 2330014 Re-evaluation-limited 7 2337010 Oral administration of fluoride tablet for preventive purpose. ศัลยกรรมขอ่ งปาก 1 1549998 Other treatment, nonspecified 2 1590400 Biopsy of maxilla 3 1591100 Removal of external maxillary fixation devices 4 1592200 Marsupialization of lesion of maxilla 5 1592600 Excision of dental (odontogenic) lesion of maxilla 6 1592601 Excision of non - odontogenic lesion of maxilla 7 1592602 Sequestrectomy of maxilla 8 1592603 Alveolectomy of maxilla,Alveoloplasty of maxilla 9 1592604 Torectomy of maxilla,Removed torus palatinus 10 1592610 Partial maxillectomy,Medial maxillectomy 11 1592611 Total maxillectomy,unilateral Excludes : Total maxillectomy with orbital exenteration (Radical orbitomaxillectomy 177-26-12) 12 1592612 Total maxillectomy,bilateral 13 1592698 Other excision operation of maxilla 14 1593600 Closed reduction of maxillary alveolar fracture 15 1593601 Open reduction of maxillary alveolar fracture 16 1593602 Closed reduction of maxillary fracture 17 1593603 Open reduction of maxillary fracture 18 1593700 External fixation of maxillary fracture 19 1593701 Internal fixation of maxillary fracture 20 1593900 Segmental osteoplasty of maxilla, Maxillary osteoplasty, Subapical osteotomy of maxilla 21 1593901 Total osteoplasty of maxilla, Le Fort 1 osteotomy, Le Fort 2 osteotomy, Multiple pieces Le Fort 1 osteotomy 22 1593908 Other repair operation of maxilla 23 1594400 Insertion of synthetic implant in maxilla bone 24 1594500 Removal of internal fixation device from maxilla การลงรหัสโรคและหัตถการดา้ นทันตกรรมตามรหัส ICD 10 TM (บริการเฉพาะทางสาขาตา่ งๆ) ที่ รหัส รายการ 25 1594800 Ridge augmentation of maxilla with alloplastic material 26 1594801 Bone graft to maxilla, Repair alveolar cleft with bone graft, Sinus lift procedure 27 1594802 Bone and soft tissue reconstruction of maxilla 28 1594898 Other reconstructive surgery of maxilla 29 1597430 Surgical stent upper 30 1597431 Surgical splint upper 31 1599999 Other procedures and operations on maxilla 32 1600400 Biopsy of mandible 33 1601100 Removal of external mandibular fixation devices 34 1602200 Marsupialization of mandible 35 1602600 Excision of dental (odontogenic) lesion of mandible 36 1602601 Excision of non - odontogenic lesion of mandible 37 1602602 Coronoidectomy 38 1602603 Sequestrectomy of mandible 39 1602604 Saucerization of mandible 40 1602605 Decortication of mandible 41 1602606 Alveolectomy of mandible,Alveoloplasty of mandible 42 1602607 Torectomy of mandible,Removed of torus mandibularis 43 1602610 Partial mandibulectomy,Hemimandibulectomy 44 1602611 Total mandibulectomy 45 1602698 Other excision operation of mandible 46 1603600 Closed reduction of mandibular alveolar fracture 47 1603601 Open reduction of mandibular alveolar fracture 48 1603602 Closed reduction of mandibular fracture 49 1603603 Open reduction of mandibular fracture 50 1603700 External fixation of mandibular fracture 51 1603701 Internal fixation of mandibular fracture 52 1603900 Closed osteoplasty of mandibular ramus, Gigli saw osteotomy 53 1603901 Open osteoplasty of mandibular ramus, Sagital split(ramus) osteotomy, Bilateral sagital split osteotomy, (Intra - oral) vertical ramus osteotomy 54 1603902 Osteoplasty of body of mandible 55 1603903 Other orthognathic surgery on mandible, Mandibular osteoplasty, Segmental or subapical osteotomy 56 1603904 Reduction genioplasty, Reduction mentoplasty 57 1603998 Other repair operation of mandible การลงรหัสโรคและหัตถการดา้ นทันตกรรมตามรหัส ICD 10 TM (บริการเฉพาะทางสาขาตา่ งๆ) ที่ รหัส รายการ 58 1604400 Insertion of synthetic implant in mandible 59 1604500 Removal of internal fixation device from mandible 60 1604801 Ridge augmentation of mandible with alloplastic material 61 1604802 Bone graft to mandible 62 1604803 Bone and soft tissue reconstruction of mandible 63 1604898 Other reconstruction of mandible 64 1607410 Mandibular resection prosthesis with guide flange 65 1607411 Mandibular resection prosthesis without guide flange 66 1607430 Surgical stent lower 67 1607431 Surgical splint lower 68 1609999 Other procedures and operations on mandible 69 1621500 Manipulation of temporomandibular joint 70 1629910 Non - surgical treatments of temporomandibular joint, Acupuncture thermal of temporomandibular joint, Jaw exercise of temporomandibular joint, Occlusal splint of temporomandibular joint, Physiotherapy of temporomandibular joint, Ultrasound and medication 71 1629999 Other procedures and operations on temporomandibular joint 72 1950499 Other diagnostic procedures on parotid gland or ducts 73 1951100 Removal of calculus from parotid salivary duct 74 1954500 Open removal of calculus from parotid salivary duct 75 1959999 Other operation of parotoid salivary gland or duct 76 1960400 Closed(needle) biopsy of submandibular gland or duct 77 1960401 Open biopsy of submandibular gland or duct 78 1960499 Other diagnostic procedures on submandibular gland or ducts 79 1961100 Removal of calculus from submandibular gland 80 1962200 Drainage of abscess of submandibular gland 81 1962600 Partial excision of submandibular gland 82 1962601 Totaal excision of submandibular gland 83 1962608 Other excision of submandibular gland 84 1962699 Excision of submandibular gland, not otherwise specified 85 1963100 Dilatation of submandibular duct 86 1963900 Repair of submandibular duct 87 1963901 Suture of laceration of submandibular salivary gland 88 1963999 Other repair on submandibular gland or duct, Fistulization of submandibular gland 89 1964000 Closure of submandibular gland fistular การลงรหัสโรคและหัตถการดา้ นทันตกรรมตามรหัส ICD 10 TM (บริการเฉพาะทางสาขาตา่ งๆ) ที่ รหัส รายการ 90 1964500 Open removal of calculus from submandibular duct 91 1964899 Other plastic operation on submandibular gland or duct 92 1969999 Other operation on submandibular gland or duct 93 1980400 Closed(needle) biopsy of salivary gland 94 1980401 Open biopsy of salivary gland 95 1980409 Other diagnostic procedures on salivary gland or duct 96 1981100 Removal of calculus from salivary gland 97 1982100 Incision of salivary gland or duct 98 1982200 Drainage of abscess of salivary gland 99 1982201 Marsupialization of salivary gland or duct 100 1982600 Partial sialoadenectomy 101 1982601 Complete sialoadenectomy 102 1982608 Other excision of salivary gland lesion 103 1982699 Sialoadectomy, not otherwise specified 104 1983100 Dilatation of salivary duct 105 1983900 Repair of salivary duct 106 1983901 Suture of laceration of salivary gland 107 1983999 Other repair on salivary gland or duct, Fistulization of salivary gland 108 1984000 Closure of salivary gland fistula 109 1984400 Probing of salivary duct 110 1984500 Open removal of calculus from salivary duct 111 1984808 Other plastic operation on salivary gland or duct, Plastic repair of salivary gland, Transplantation of salivary gland 112 1989999 Other operation of salivary gland or duct 113 2250400 Biopsy of 114 2252100 Incision of lip 115 2252600 Wide excision of lesion of lip 116 2252699 Other excision of lesion or tissue of lip 117 2253900 Suture of laceration of lip 118 2253901 Repair of cleft lip, 119 2259999 Other procedures and operations on lip 120 2262100 Labial frenotomy 121 2262600 122 2269999 Other procedures and operations on labial mucosa 123 2292200 Drainage of floor of mouth Include : Incision and drainge, Drainage of Ludwig\'s angina การลงรหัสโรคและหัตถการดา้ นทันตกรรมตามรหัส ICD 10 TM (บริการเฉพาะทางสาขาตา่ งๆ) ที่ รหัส รายการ 124 2292201 Marsupialization of floor of mouth lesion 125 2299999 Other procedures and operations on floor of mouth 126 2330400 Biopsy of mouth 127 2330499 Other diagnostic procedures on oral cavity 128 2331100 Removal of foreign body from mouth without incision 129 2332601 Wide excision of lesion of mouth 130 2332699 Other excision of mouth 131 2333900 Suture of laceration of mouth 132 2339999 Other procedures and operations on oral cavity 133 2350400 Closed (Needle)biopsy of 134 2350401 Open biopsy of tongue, Wedge biopsy of tongue 135 2350499 Other diagnostic procedures on tongue 136 2352100 Lingual frenulotomy 137 2352600 , Excision of tongue tie, Excision of 138 2352601 Excision of lesion or tissue of tongue 139 2353900 Suture of laceration of tongue 140 2359999 Other procedures and operation on tongue 141 2360400 Biopsy of gum 142 2360401 Biopsy of alveoli 143 2360499 Other diagnostic procedures on and alveoli 144 2362100 Incision of gum or alveolar bone, Apical alveolotomy 145 2362600 Excision of lesion or tissue of gum 146 2363900 Suture of laceration of gum 147 2364800 Gingivoplasty, Gingivoplasty with bone or soft tissue graft 148 2369999 Other procedures and operation on gum 149 2372600 Surgical removal of deciduous teeth 150 2381400 Removal of dental packing 151 2381401 Removal of dental wiring 152 2381500 Replacement of dental packing 153 2381501 Replacement of dental wiring 154 2382601 Surgical removal of permanent teeth (soft tissue impaction) 155 2382602 Surgical removal of permanent teeth (partial bony impaction) 156 2382603 Surgical removal of permanent teeth (complete bony impaction) 157 2382604 Surgical removal of permanent teeth (variation of impaction, embedded tooth) 158 2383700 Dental wiring การลงรหัสโรคและหัตถการดา้ นทันตกรรมตามรหัส ICD 10 TM (บริการเฉพาะทางสาขาตา่ งๆ) ที่ รหัส รายการ 159 2384900 Reimplantation teeth 160 2385000 Tooth transplantation 161 2392600 Surgical removal of abnormal teeth, Natal and neonatal tooth, Supernumerary tooth, mesiodens, Distomolar, Fourth molar, Paramolar 162 2392700 Extraction of abnormal teeth, Natal and neonatal tooth, Supernumerary tooth, mesiodens, Distomolar, Fourth molar, Paramolar 163 2400400 Biopsy of bony 164 2402100 Incision of palate 165 2402600 Local excision of lesion or tissue or bony palate, Local excision or destruction of palate by:cautery, chemotherapy, cryotherapy 166 2409999 Other procedures and operation on hard palate 167 2410400 Biopsy of soft palate 168 2412100 Incision of soft palate 169 2412600 Excision of lesion of soft palate 170 2412601 Wide excision of lesion of soft palate 171 2413900 Suture of laceration of palate 172 2414700 Revise of cleft palate repair, Secondary: attachment of pharyngeal flap, lengthening of palate 173 2414800 Correction of cleft palate, Correction of cleft palate by push - back operation 174 2414801 reconstruction of palate, 175 2381100 Removal of dental packing (รหัสซ ้ำกับ 2381400) 176 2381101 Removal of dental wiring (รหัสซ ้ำกับ 2381401) 177 2381100 Replacement of dental packing (รหัสซ ้ำกับ 2381500) 178 2381201 Replacement of dental wiring (รหัสซ ้ำกับ 2381501) 179 2382770 Extraction of permanent teeth (รหัสซ ้ำกับ 2381402) ทันตกรรมหัตถการ 1 2387188 Pin retention - per tooth, in addition to restoration 2 23871E1 Inlay metallic one surface 3 23871E2 Inlay metallic two surfaces 4 23871E3 Inlay metallic three or more surfaces 5 23871F1 Inlay porcelain/ceramic one surface 6 23871F2 Inlay porcelain/ceramic two surfaces 7 23871F3 Inlay porcelain/ceramic three or more surfaces 8 23871G1 Inlay resin based composite one surface 9 23871G2 Inlay resin based composite two surface การลงรหัสโรคและหัตถการดา้ นทันตกรรมตามรหัส ICD 10 TM (บริการเฉพาะทางสาขาตา่ งๆ) ที่ รหัส รายการ 10 23871G3 Inlay resin based composite three or more surfaces 11 23871H2 Onlay metallic two surfaces 12 23871H3 Onlay metallic three surfaces 13 23871H4 Onlay metallic four or more surfaces 14 23871J2 Onlay porcelain/ceramic two surfaces 15 23871J3 Onlay porcelain/ceramic three surfaces 16 23871J4 Onlay porcelain/ceramic four or more surfaces 17 23871K2 Onlay resin based composite two surfaces 18 23871K3 Onlay resin based composite three surfaces 19 23871K4 Onlay resin based composite four or more surfaces 20 23871S8 Tooth preparation and other steps in the process of inlay/onlay, post and core, crown,and labial veneer 21 23871L2 Prefabricated resin crown 22 23871L3 Prefabricated stainless steel crown with resin window 23 23871M1 Crown resin, laboratory 24 23871N1 Crown porcelain/ceramic substrate 25 23871N2 Crown porcelain fused to high noble metal 26 23871N3 Crown porcelain fused to predominantly base metal 27 23871N4 Crown porcelain fused to noble metal 28 23871P1 Crown 3/4 cast high noble metal 29 23871P2 Crown 3/4 cast predominantly base metal 30 23871P3 Crown 3/4 cast noble metal 31 23871P4 Crown 3/4 porcelain/ceramic 32 23871P5 Crown full cast high noble metal 33 23871P6 Crown full cast predominantly base metal 34 23871P7 Crown full cast noble metal 35 23871Q1 Labial veneer (resin laminate) - chairside 36 23871Q2 Labial veneer (resin laminate) - laboratory 37 23871Q3 Labial veneer (porcelain laminate)-laboratory 38 23871Q4 Provisional crown 39 23871R1 Crown removal 40 23871R2 Post removal (not in conjunction with endodontic therapy) 41 23871R3 Recement inlay 42 23871R4 Recement crown 43 23871R5 Crown repair, by report การลงรหัสโรคและหัตถการดา้ นทันตกรรมตามรหัส ICD 10 TM (บริการเฉพาะทางสาขาตา่ งๆ) ที่ รหัส รายการ 44 23871S1 Canal preparation and fitting of preformed dowel or post 45 23871S2 Core buildup, including any pins 46 23871S3 Cast post and core in addition to crown. 47 23871S4 Prefabricated post and core in addition to crown 48 23871U2 Temporary crown/band (fractured tooth) 49 23871T3 Bleaching of discolored tooth, non vital 50 23871T2 Bleaching of discolored tooth, vital, home 51 23871T1 Bleaching of discolored tooth, vital, chair side 52 23871S5 Odontoplasty 1-2 teeth; includes removal of enamel projections 53 23871S6 Enamel microabrasion รักษาคลองรากฟัน 1 2387210 Pulp cap, direct, -permanent 2 2387211 Pulp cap, indirect, -permanent 3 2387212 Therapeutic partial pulpotomy, -permanent 4 2387213 Therapeutic pulpotomy, -permanent 5 2387214 Gross pulpal debridement, -permanent 6 2387220 Endodontic therapy on permanent teeth, anterior 7 2387221 Endodontic therapy on permanent teeth, bicuspid 8 2387222 Endodontic therapy on permanent teeth, molar 9 2387223 Endodontic therapy on permanent teeth, root filled visit,- anterior 10 2387224 Endodontic therapy on permanent teeth, root filled visit,- bicuspid 11 2387225 Endodontic therapy on permanent teeth, root filled visit,- molar 12 2387226 Endodontic therapy on permanent teeth, anterior, one visit 13 2387227 Endodontic therapy on permanent teeth, bicuspid, one visit 14 2387228 Endodontic therapy on permanenty teeth, molar, one visit 15 2387230 Treatment of root canal obstruction;non - surgical access 16 2387231 Incomplete endodontic therapy;inoperable or fractured tooth 17 2387232 Internal root repair of perforation defects 18 2387240 Endodontic retreatment of previous root canal therapy, -anterior 19 2387241 Endodontic retreatment of previous root canal therapy, -bicuspid 20 2387242 Endodontic retreatment of previous root canal therapy, -molar 21 2387243 Endodontic retreatment, root filled visit,- anterior 22 2387244 Endodontic retreatment, root filled visit,- bicuspid 23 2387245 Endodontic retreatment, root filled visit,- molar 24 2387250 Apexification/recalcification-initial visit การลงรหัสโรคและหัตถการดา้ นทันตกรรมตามรหัส ICD 10 TM (บริการเฉพาะทางสาขาตา่ งๆ) ที่ รหัส รายการ 25 2387251 Apexification/recalcification-interim medication replacement 26 2387252 Apexification/recalcification-final visit 27 2387260 Apicoectomy/periradicular surgery, 1 tooth, -anterior 28 2387261 Apicoectomy/periradicular surgery, 2 teeth, -anterior 29 2387262 Apicoectomy/periradicular surgery, 3 teeth, -anterior 30 2387263 Apicoectomy/periradicular surgery, 4 or more teeth, -anterior 31 2387264 Apicoectomy/periradicular surgery, 1 root, -bicuspid 32 2387265 Apicoectomy/periradicular surgery, 2 root, -bicuspid 33 2387266 Apicoectomy/periradicular surgery, 1 root , -molar 34 2387267 Apicoectomy/periradicular surgery, 2 root , -molar 35 2387268 Apicoectomy/periradicular surgery, 3 root , -molar 36 2387270 Retrograde filling - 1 roots 37 2387280 Root amputation, 1 root 38 2387281 Root amputation, 1 root, without mucoperiosteal flap 39 2387282 Root amputation, 2 root 40 2387283 Root amputation, 2 root, without mucoperiosteal flap 41 2387284 Hemisection (including any root removal), not including root canal therapy 42 2387285 Intentional reimplantation (including necessary splinting) 43 2387290 Surgical procedure for isolation of tooth with rubber dam 44 2387299 Unspecified endodontic precedure, by report 45 2387279 Root canal therapy, unspecified 46 2387279 Root canal therapy, unspecified ปริทันต์ 1 2277320 Periodontal maintenance procedures, following active therapy, -upper arch 2 2287320 Periodontal maintenance procedures, following active therapy, -lower arch 3 2367310 Debridement to enable comprehensive periodontal evaluation and diagnosis, -full arch 4 2367330 Periodontal maintenance precedures, following active therapy, -full mouth 5 2377340 Localized delivery of chemotherapeutic agents via a controlled release vehicle into diseased crevicular tissue, per tooth, by report 6 2387310 Provisional splinting - intracoronal 7 2387311 Provisional splinting - extracoronal 8 2337310 Clinical crown lengthening - hard tissue 9 2337311 Osseous surgery (including flap entry and closure) - per quadrant 10 2337312 Bone replacement graft - first site in quadrant 11 2337313 Bone replacement graft - each additional site in quadrant การลงรหัสโรคและหัตถการดา้ นทันตกรรมตามรหัส ICD 10 TM (บริการเฉพาะทางสาขาตา่ งๆ) ที่ รหัส รายการ 12 2367350 Gingivectomy or gingivoplasty-per tooth 13 2367351 Gingivectomy or gingivoplasty-per quadrant 14 2367352 Gingival curettage, surgical - per quadrant, by report 15 2367353 Gingival flap procedure, including root planing - per quadrant 16 2367354 Surgical revision procedure, per tooth 17 2367355 Distal or proximal wedge precedure (when not performed in conjunction with surgical precedres in the same anatomical area) 18 2367360 Apically positioned flap 19 2367361 Coronal positioned flap 20 2367362 Semilunar flap 21 2367370 Pedicle soft tissue graft procedure 22 2367371 Free soft tissue graft procedure (including donor site surgery) 23 2367372 Subepithelial connective tissue graft procedure (including donor site surgery) 24 2367380 Guided tissue regeneration-resorbable barrier, per site 25 2367381 Guided tissue regeneration-nonresorbable barrier, per site (includes membrane removal) 26 2367388 Periodontal surgery : post - operative procedures 27 2367399 Unspecified periodontal procedure, by report ทันตกรรมเดก็ 1 2377210 Therapeutic pulpotomy, -primary 2 2377211 Gross pulpal debridement, -primary 3 2377220 Pulpal therapy (resorbable filling) , anterior-primary, first and other visits, primary incisors and cuspids 4 2377221 Pulpal therapy (resorbable filling) , anterior-primary, root filled visits, 5 2377222 Pulpal therapy (resorbable filling), posterior-primary, first and other visits restoration primary first and second molars. 6 2377223 Pulpal therapy (resorbable filling) , posterior-primary, root filled visits, 7 23771L1 Prefabricated stainless steel crown, -primary 8 23871L1 Prefabricated stainless steel crown, -primanent ทันตกรรมประดษิ ฐ์ 1 2277410 Complete denture -upper 2 2277411 Immediate complete denture -upper 3 2277412 Interim complete denture -upper 4 2277413 Complete overdenture -upper 5 2277420 Acrylic partial denture, including any conventional clasps, rests and teeth -upper 6 2277421 Metallic partial denture, including any conventional clasps, rests and teeth -upper การลงรหัสโรคและหัตถการดา้ นทันตกรรมตามรหัส ICD 10 TM (บริการเฉพาะทางสาขาตา่ งๆ) ที่ รหัส รายการ 7 2277422 Metallic partial denture with precision attachment -upper 8 2287410 Complete denture -lower 9 2287411 Immediate complete denture -lower 10 2287412 Interim complete denture -lower 11 2287413 Complete overdenture -lower 12 2287420 Acrylic partial denture, including any conventional clasps, rests and teeth -lower 13 2287421 Metallic partial denture, including any conventional clasps, rests and teeth -lower 14 2287422 Metallic partial denture with precision attachment -lower 15 2387410 Removable bridge, including clasps and teeth 16 2277430 Adjust complete denture -upper 17 2277431 Adjust partial denture-acrylic and metalic -upper 18 2277432 Modification of removable prosthesis following implant surgery -upper 19 2287423 Swinglock partial denture 20 2287430 Adjust complete denture -lower 21 2287431 Adjust partial denture-acrylic and metalic -lower 22 2277440 Repair broken complete denture base 23 2277441 Repair resin denture base -upper 24 2277442 Repair cast framework -upper 25 2277443 Repair or replace broken clasp -upper 26 2277444 Replace broken or worn teeth -upper 27 2277445 Add tooth to existing partial denture -upper 28 2277446 Add clasp to existing partial denture -upper 29 2277447 Replacement of replacable part of semi-precision or precision attachment, male or female component - upper 30 2287432 Modification of removable prosthesis following implant surgery -lower 31 2287441 Repair resin denture base -lower 32 2287442 Repair cast framework -lower 33 2287443 Repair or replace broken clasp -lower 34 2287444 Replace broken or worn teeth -lower 35 2287445 Add tooth to existing partial denture -lower 36 2287446 Add clasp to existing partial denture -lower 37 2287447 Replacement of replacable part of semi-precision or precision attachment, male or female component - lower 38 2387420 Replace missing or broken teeth-complete denture, each tooth 39 2337599 Unspecified prosthesis procedure, by report การลงรหัสโรคและหัตถการดา้ นทันตกรรมตามรหัส ICD 10 TM (บริการเฉพาะทางสาขาตา่ งๆ) ที่ รหัส รายการ 40 2277450 Reline complete denture, chairside -upper 41 2277451 Reline partial denture, chairside -upper 42 2277460 Reline complete denture, laboratory -upper 43 2277461 Reline partial denture, laboratory -upper 44 2277470 Rebase complete denture, upper 45 2277471 Rebase partial denture, upper 46 2277472 Tissue conditioning-complete denture -upper 47 2277473 Tissue conditioning-partial denture -upper 48 2287450 Reline complete denture, chairside -lower 49 2287451 Reline partial denture, chairside -lower 50 2287460 Reline complete denture, laboratory -lower 51 2287461 Reline partial denture, laboratory -lower 52 2287470 Rebase complete denture, lower 53 2287471 Rebase partial denture, lower 54 2287472 Tissue conditioning-complete denture -lower 55 2287473 Tissue conditioning-partial denture -lower 56 23874A1 Crown - porcelain fused to high noble metal 57 23874A2 Crown - porcelain fused to predominantly base metal 58 23874A3 Crown - porcelain fused to noble metal 59 23874C4 Crown - 3/4 porcelain/ceramic 60 23874E1 Crown - porcelain/ceramic 61 23874F1 Retainer - cast metal for resin bonded fixed prosthesis 62 23874F2 Retainer - porcelain/ceramic for resin bonded fixed prosthesis 63 23874H5 Inlay/onlay - porcelain/ceramic 64 23874J1 Pontic - porcelain fused to high noble metal 65 23874J2 Pontic - porcelain fused to predominantly base metal 66 23874J3 Pontic - porcelain fused to noble metal 67 23874M1 Pontic - porcelain / ceramic 68 23874B1 Crown - full cast high noble metal 69 23874B2 Crown - full cast predominantly base metal 70 23874B3 Crown - full cast noble metal 71 23874C1 Crown - 3/4 cast high noble metal 72 23874C2 Crown - 3/4 cast predominantly base metal 73 23874C3 Crown - 3/4 cast noble metal 74 23874F1 Retainer - cast metal for resin bonded fixed prosthesis การลงรหัสโรคและหัตถการดา้ นทันตกรรมตามรหัส ICD 10 TM (บริการเฉพาะทางสาขาตา่ งๆ) ที่ รหัส รายการ 75 23874G1 Inlay - metallic - two surfaces 76 23874G2 Inlay - metallic - three or more surfaces 77 23874G3 Onlay - metallic - three surfaces 78 23874G4 Onlay - metallic - four or more surfaces 79 23874K1 Pontic - cast high noble metal 80 23874K2 Pontic - cast predominantly base metal 81 23874K3 Pontic - cast noble metal 82 23874N1 Core build up for retainer, including any pins 83 23874P1 Prefabricated post and core in addition to fixed partial denture retainer 84 23874P2 Each additional prefabricated post - same tooth 85 23874Q1 Cast post as part of fixed partial denture retainer 86 23874Q2 Cast post and core in addition to fixed partial denture retainer 87 23874Q3 Each additional cast post - same tooth 88 23874R1 Coping - metal 89 23874R2 กำรท้ำ coping abutment ด้วยวัสดุบรูณะฟัน 90 23874V1 Recement fixed partial denture 91 23874V2 Fixed partial denture repair, by report 92 23874V3 Removal of fixed partial denture 99 1597430 Surgical stent - upper 100 1597431 Surgical splint- upper 101 1607410 Mandibular resection prosthesis with guide flange 102 1607411 Mandibular resection prosthesis without guide flange 103 1607430 Surgical stent - lower 104 1607431 Surgical splint- lower 105 1627410 Trismus appliance (not for TMD treatment) 120 2417410 Speech aid prosthesis, pediatric 121 2417411 Speech aid prosthesis, adult 122 2417412 Palate lift prosthesis, definitive 123 23874S1 Stress breaker 124 23874T1 Precision attachment 125 23874U1 Connector bar ทันตกรรมรากเทียม 1 2337522 Dental implant supported connecting bar 2 2337523 Abutment supported porcelain/ceramic crown 3 2337524 Abutment supported porcelain fused to metal crown (high noble metal) การลงรหัสโรคและหัตถการดา้ นทันตกรรมตามรหัส ICD 10 TM (บริการเฉพาะทางสาขาตา่ งๆ) ที่ รหัส รายการ 4 2337525 Abutment supported porcelain fused to metal crown (predominantly base metal) 5 2337526 Abutment supported porcelain fused to metal crown , noble metal 6 2337527 Abutment supported cast metal crown, high noble metal 7 2337528 Abutment supported cast metal crown, predominantly base metal 8 2337529 Abutment supported cast metal crown, noble metal 9 2337530 Abutment supported retainer for porcelain/ceramic FPD 10 2337531 Abutment supported retainer for porcelain fused to metal FPD (high noble metal) 11 2337532 Abutment supported retainer for porcelain fused to metal FPD, predominantly base metal 12 2337533 Abutment supported retainer for porcelain fused to metal FPD, noble metal 13 2337534 Abutment supported retainer for cast metal metal FPD, high noble metal 14 2337535 Abutment supported retainer for cast metal FPD, predominantly base metal 15 2337536 Abutment supported retainer for cast metal FPD, noble metal 16 2337540 Implant supported porcelain/ceramic crown 17 2337541 Implant supported retainer for porcelain fused ot metal FPD (titanium, titanium alloy, or high noble metal) 18 2337542 Implant supported retainer for cast matal FPD (titanium, titanium alloy, or high moble metal) 19 2337543 Implant supported retainer for ceramic FPD 20 2337544 Implant supported retainer for porcelain fused ot metal FPD (titanium, titanium alloy, or high noble metal) 21 2337545 Implant supported retainer for cast matal FPD (titanium, titanium alloy, or high moble metal ) 22 2337550 Implant/abutment supported fixed denture for completely edentulous arch 23 2337551 Implant/abutment supported fixed denture for partially edentulous arch 24 2337560 Implant maintenance procedures, including removal of prosthesis, cleansing of prosthesis and abutments and reinsertion of prosthesis 25 2337570 Repair implant abutment, by report 26 2337580 Repair implant supported prosthesis, by report 27 2337598 Unspecified prosthesis procedure, by report 28 2337599 Unspecified implant procedure, by report TMJ 1 1549910 Non-surgical treatments eg.; physiotherapy, jaw exercise, occlusal splint, acupuncture medication 2 1549911 Surgical treatments eg; alcohol injection to the nerves involved, cryosurgery, laser surgery 3 1549998 Other treatments, nonspecified การลงรหัสโรคและหัตถการดา้ นทันตกรรมตามรหัส ICD 10 TM (บริการเฉพาะทางสาขาตา่ งๆ) ที่ รหัส รายการ 4 1549999 Other procedures and operations on facaial skin 5 1629910 Non-surgical treatments eg; physiotherapy, jaw exercise, occlusal splint, acupuncture thermal, ultrasound and medication 6 2339910 Occlusion analysis- mounted case 7 2339911 Occlusal guard, by report 8 2339912 Fabrication of athletic mouthguard 9 2339913 Occlusal adjustment, limited 10 2339914 Occlusal adjustment, complete