Occlusal Adjustment

Policy No: 61
Originally Created: 03/01/1997
Section: Adjunctive General Services
Last Reviewed: 01/01/2019
Last Revised: 01/01/2018
Approved: 01/01/2018
Effective: 01/01/2018

Description

Occlusal adjustment, limited (D9951)
May also be known as equilibration; reshaping the occlusal surfaces of teeth to create harmonious contact relationships between the maxillary and mandibular teeth. Presently includes:

  • discing
  • odontoplasty
  • enamoplasty
  • coronoplasty

Typically reported on a "per-visit" basis.

Occlusal adjustment, complete (D9952)
Occlusal adjustment may require several appointments of varying length, and sedation may be necessary to attain adequate relaxation of the musculature. Study casts mounted on an articulating instrument may be utilized for analysis of occlusal disharmony. It is designed to achieve functional relationships and masticatory efficiency in conjunction with restorative treatment, orthodontics, orthognathic surgery, or jaw trauma when indicated. Occlusal adjustment enhances the healing potential of tissues affected by the lesions of occlusal trauma.

Policy/criteria

Procedure is in accordance with generally accepted standards of dental practice.

Administrative guidelines

Process to contract benefit. Generally a contractual exclusion.

Note: "Positive coronoplasty" is placing restorations to modify occlusion. Not a contract benefit.

Codes

CDT - D9000-D9999 - see above

Disclaimer

Your use of this Dental Policy constitutes your agreement to be bound by and comply with the terms and conditions of the Dental Policy Disclaimer.