Policy No: 61
Originally Created: 03/01/1997
Section: Adjunctive General Services
Last Reviewed: 01/01/2020
Last Revised: 01/01/2020
This policy applies to all dental providers.
An occlusal adjustment is the reshaping of the occlusal surface of a tooth or teeth to provide an improved contact between the maxillary and mandibular teeth.
Procedure is non-covered service, policy exclusion.
- D9951: Occlusal adjustent, limited
D9952: Occlusal adjustment, complete
"Positive coronoplasty" is placing restorations to modify occlusion, also a policy exclusion.
American Dental Association, Current Dental Terminology (CDT®)
Policy Cross References