|
Procedure |
SUS Code |
|
Preventive actions |
Collective action of topical application of fluoride gel |
101020015 |
Fluoric mouthwash collective action |
101020023 |
Collective action of supervised tooth brushing |
101020031 |
Collective action of oral examination with epidemiological purposes |
101020040 |
Primary oral care |
Cariostatic application (per tooth) |
101020058 |
Sealant application (per tooth) |
101020066 |
Topical fluoride application (individual per session) |
101020074 |
Disclosure of plaque |
101020082 |
Temporary sealing of dental cavity |
101020090 |
Pulp capping |
307010015 |
Primary tooth restoration |
307010023 |
Anterior permanent tooth restoration |
307010031 |
Posterior permanent tooth restoration |
307010040 |
Primary tooth extraction |
414020120 |
Permanent tooth extraction |
414020138 |
Access to dental pulp and medication (per tooth) |
307020010 |
Dental pulpotomy |
307020070 |
Prophylaxis / plaque removal |
307030040 |
Subgingival scaling and root planing (per sextant) |
307030024 |
Supragingival scaling and root planing (per sextant) |
307030059 |
Endodontics specialized care |
Temporary dressing with or without biomechanical preparation |
307020029 |
Primary tooth filling |
307020037 |
Permanent bi-radicular tooth filling |
307020045 |
Permanent tooth filling with three or more roots |
307020053 |
Uniradicular permanent tooth filling |
307020061 |
Endodontic retreatment in bi-radicular permanent tooth |
307020088 |
Endodontic retreatment in permanent tooth with 3 or more roots |
307020096 |
Endodontic retreatment in uni-radicular permanent tooth |
307020100 |
Root perforation sealing |
307020118 |
Periodontics & Oral surgery specialized care |
Corono-root scaling (by sextant) |
307030032 |
Gingival graft |
414020081 |
Gingivectomy (by sextant) |
414020154 |
Gingivoplasty (per sextant) |
414020162 |
Periodontal surgical treatment (by sextant) |
414020375 |
Apicectomy with or without retrograde filling |
414020022 |
Deepening of the oral vestibule (per sextant) |
414020030 |
Correction of muscle bridles |
414020049 |
Correction of alveolar ridge irregularities |
414020057 |
Jaw tuberosity correction |
414020065 |
Periapical curettage |
414020073 |
Bone graft from intraoral donor area |
414020090 |
Multiple extraction with alveoloplasty by sextant |
414020146 |
Glossorraphy |
414020170 |
Marsupialization of cysts and pseudocysts |
414020200 |
Odontosection / radilectomy / tunneling |
414020219 |
Dental replantation and transplantation (per element) |
414020243 |
Retained tooth removal (included / impacted) |
414020278 |
Torus and exostosis removal |
414020294 |
Surgical treatment of oral-dental hemorrhage |
414020359 |
Surgical treatment for dental traction |
414020367 |
Treatment of alveolitis |
414020383 |
Ulotomy / ulectomy |
414020405 |
Osteointegrated dental implant |
414020421 |
Treatment of facial neuralgia |
307010058 |