2023 Procedure Code Guidelines

HDS has revised the Procedure Code Guidelines, effective January 1, 2023. The HDS Procedure Code Guidelines have been updated in accordance with CDT 2023 and additional revisions have been made to bring our processing guidelines up-to-date with national standards.

Should you have any questions regarding the Procedure Code Guidelines, please contact a Customer Service Specialist by calling 529-9248 from Oahu, or toll free 1-844-379-4325 from the neighboring islands, Guam and Saipan.

HDS Dental Procedure Code Guidelines - complete

For quick access, click the section links below:

Summary of Revisions

Introduction

Submission Requirements

Diagnostic (D0120-D0999)

Preventive (D1110-D1550)

Restorative (D2100-D2999)

Endodontics (D3110-D3999)

Periodontics (D4000-D4999)

Prosthodontics, Removable (D5000-D5899)

Implant Services (D6000-D6199)

Prosthodontics, Fixed (D6200-D6999)

Oral and Maxillofacial Surgery (D7000-D7999)

Orthodontics (D8000-D8999)

Adjunctive General Services (D9000-D9999)