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Position 5-7: Finalization

Upper Tooth

Select the specific approach and device combination to identify the exact billable procedure code.

Approach 0

Open

Device 0

0C9W000 Drainage Upper Tooth to Single with Drainage Device, Open Approach
0C9W001 Drainage Upper Tooth to Multiple with Drainage Device, Open Approach
0C9W002 Drainage Upper Tooth to All with Drainage Device, Open Approach

Device Z

0C9W0Z0 Drainage Upper Tooth to Single with No Device, Open Approach
0C9W0Z1 Drainage Upper Tooth to Multiple with No Device, Open Approach
0C9W0Z2 Drainage Upper Tooth to All with No Device, Open Approach
Approach X

External

Device 0

0C9WX00 Drainage Upper Tooth to Single with Drainage Device, External Approach
0C9WX01 Drainage Upper Tooth to Multiple with Drainage Device, External Approach
0C9WX02 Drainage Upper Tooth to All with Drainage Device, External Approach

Device Z

0C9WXZ0 Drainage Upper Tooth to Single with No Device, External Approach
0C9WXZ1 Drainage Upper Tooth to Multiple with No Device, External Approach
0C9WXZ2 Drainage Upper Tooth to All with No Device, External Approach
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Data updated for October 2025 release.

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