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NAMA TINDAKAN DI POLIK GIGI

Removal and restoration of Teeth


- Forceps ekstraction of tooth
- Ekstraction of deciduous tooth
- Ekstraction of other tooth
Ekstraction of tooth NOS

Kode ICD-IX CM
23
23.0
23.01
23.09

Surgical Removal of tooth


- Removal of residual root
- Other surgical extraction of tooth
Odontectomy NOS
Removal if impacted tooth
Tooth ekstraction with elevation of mucoperiosteal flap

23.1
23.11
23.19

Restoration of tooth by filling


Restoration of tooth by inlay
Other dental restoration
- Application of crown
- Insertion of fixed bridge
- Insertion of removable bridge
- Other

23.2
23.3
23.4
23.41
23.42
23.43
23.49

Implantation of tooth
Prostetic dental implant
Endosseus dental implant

Apiectomy and root canal terapy


- Root canal, not etherwise specified
- Root canal therapy with irrigation
- Root canal therapy with apicoectomy
- Apicoectomy

23.5
23.6

23.7
23.70
23.71
23.72
23.73

e ICD-IX CM

apeks reseksi

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