- ADECD43 ; IHS/SET/HMW - ADA CODE TABLE UPDATE (CDT4) ;
- ;;6.0;ADE;**12**;MAR 25, 1999
- ;
- ;;CODE^2710^CROWN - RESIN (INDIRECT)
- ;;USE
- ;;Refers to any resin-based composite crown that is indirectly fabricated.
- ;;All fiber, porcelain or ceramic reinforced polymer materials/systems are
- ;;considered resin-based composites. Unfilled or non-reinforced resin crowns should be reported using D2999.
- ;;CODE^3221^PULPAL DEBRIDEMENT, PRIMARY AND PERMANENT TEETH
- ;;USE
- ;;Pulpal debridement for the relief of acute pain prior to conventional root canal therapy.
- ;;This procedure is not to be used when endodontic treatment is completed on the same day.
- ;;CODE^4273^SUBEPITHELIAL CONNECTIVE TISSUE GRAFT PROCEDURES
- ;;USE
- ;;This procedure is performed to create or augment gingiva, to obtain root coverage
- ;;to eliminate sensitivity and to prevent root caries, to eliminate frenum pull,
- ;;to extend the vestibular fornix, to augment collapsed ridges, to provide an adequate
- ;;gingival interface with a restoration or to cover bone or ridge regeneration sites when
- ;;adequate gingival tissues are not available for effective closure. There are two surgical sites.
- ;;The recipient site utilizes a split thickness incision, retaining the overlying flap of gingiva and/or mucosa.
- ;;The connective tissue is dissected from the donor site leaving an epithelialized flap for closure.
- ;;After the graft is placed on the recipient site, it is covered with the retained overlying flap.
- ;;CODE^4355^FULL MOUTH DEBRIDEMENT TO ENABLE COMPREHENSIVE EVALUATION AND DIAGNOSIS
- ;;USE
- ;;The removal of subgingival and/or supragingival plaque and calculus. This procedure does not
- ;;preclude the need for additional procedures.
- ;;CODE^4910^PERIODONTAL MAINTENANCE
- ;;USE
- ;;This procedure is for patients who have previously been treated for periodontal disease.
- ;;Typically, maintenance starts after completion of active (surgical or nonsurgical) periodontal
- ;;therapy and continues at varying intervals, determined by the clinical diagnosis of the dentist,
- ;;for the life of the dentition. It includes removal of the supra and subgingival microbial flora
- ;;and calculus, site specific scaling and root planing where indicated, and/or polishing the teeth.
- ;;When new or recurring periodontal disease appears, additional diagnostic and treatment procedures
- ;;must be considered.
- ;;CODE^7280^SURGICAL ACCESS OF AN UNERUPTED TOOTH
- ;;USE
- ;;An incision is made and the tissue is reflected and bone removed as necessary to expose the crown.
- ;;This procedure may include but is not limited to situations whereby an attachment is placed to
- ;;facilitate eruption.
- ;;CODE^9220^DEEP SEDATION/GENERAL ANESTHESIA - FIRST 30 MINUTES
- ;;USE
- ;;Anesthesia time begins when the doctor administering the anesthetic agent initiates the
- ;;appropriate anesthesia and non-invasive monitoring protocol and remains in continuous
- ;;attendance of the patient. Anesthesia services are considered completed when the patient
- ;;may be safely left under the observation of trained personnel and the doctor may safely
- ;;leave the room to attend to other patients or duties.
- ;;CODE^9221^DEEP SEDATION/GENERAL ANESTHESIA - EACH ADDITIONAL 15 MINUTES
- ;;USE
- ;;Anesthesia time begins when the doctor administering the anesthetic agent initiates the
- ;;appropriate anesthesia and non-invasive monitoring protocol and remains in continuous attendance
- ;;of the patient. Anesthesia services are considered completed when the patient may be safely left
- ;;under the observation of trained personnel and the doctor may safely leave the room to attend to
- ;;other patients or duties.
- ;;CODE^9241^INTRAVENOUS CONSCIOUS SEDATION/ANALGESIA - FIRST 30 MINUTES
- ;;USE
- ;;Anesthesia time begins when the doctor administering the anesthetic agent initiates
- ;;the appropriate anesthesia and non-invasive monitoring protocol and remains in continuous
- ;;attendance of the patient. Anesthesia services are considered completed when the patient
- ;;may be safely left under the observation of trained personnel and the doctor may safely
- ;;leave the room to attend to other patients or duties
- ;;CODE^9242^INTRAVENOUS CONSCIOUS SEDATION/ANALGESIA - EACH ADDITIONAL 15 MINUTES
- ;;USE
- ;;Anesthesia time begins when the doctor administering the anesthetic agent initiates
- ;;the appropriate anesthesia and non-invasive monitoring protocol and remains in
- ;;continuous attendance of the patient. Anesthesia services are considered completed
- ;;when the patient may be safely left under the observation of trained personnel and
- ;;the doctor may safely leave the room to attend to other patients or duties.
- ADECD43 ; IHS/SET/HMW - ADA CODE TABLE UPDATE (CDT4) ;
- +1 ;;6.0;ADE;**12**;MAR 25, 1999
- +2 ;
- +3 ;;CODE^2710^CROWN - RESIN (INDIRECT)
- +4 ;;USE
- +5 ;;Refers to any resin-based composite crown that is indirectly fabricated.
- +6 ;;All fiber, porcelain or ceramic reinforced polymer materials/systems are
- +7 ;;considered resin-based composites. Unfilled or non-reinforced resin crowns should be reported using D2999.
- +8 ;;CODE^3221^PULPAL DEBRIDEMENT, PRIMARY AND PERMANENT TEETH
- +9 ;;USE
- +10 ;;Pulpal debridement for the relief of acute pain prior to conventional root canal therapy.
- +11 ;;This procedure is not to be used when endodontic treatment is completed on the same day.
- +12 ;;CODE^4273^SUBEPITHELIAL CONNECTIVE TISSUE GRAFT PROCEDURES
- +13 ;;USE
- +14 ;;This procedure is performed to create or augment gingiva, to obtain root coverage
- +15 ;;to eliminate sensitivity and to prevent root caries, to eliminate frenum pull,
- +16 ;;to extend the vestibular fornix, to augment collapsed ridges, to provide an adequate
- +17 ;;gingival interface with a restoration or to cover bone or ridge regeneration sites when
- +18 ;;adequate gingival tissues are not available for effective closure. There are two surgical sites.
- +19 ;;The recipient site utilizes a split thickness incision, retaining the overlying flap of gingiva and/or mucosa.
- +20 ;;The connective tissue is dissected from the donor site leaving an epithelialized flap for closure.
- +21 ;;After the graft is placed on the recipient site, it is covered with the retained overlying flap.
- +22 ;;CODE^4355^FULL MOUTH DEBRIDEMENT TO ENABLE COMPREHENSIVE EVALUATION AND DIAGNOSIS
- +23 ;;USE
- +24 ;;The removal of subgingival and/or supragingival plaque and calculus. This procedure does not
- +25 ;;preclude the need for additional procedures.
- +26 ;;CODE^4910^PERIODONTAL MAINTENANCE
- +27 ;;USE
- +28 ;;This procedure is for patients who have previously been treated for periodontal disease.
- +29 ;;Typically, maintenance starts after completion of active (surgical or nonsurgical) periodontal
- +30 ;;therapy and continues at varying intervals, determined by the clinical diagnosis of the dentist,
- +31 ;;for the life of the dentition. It includes removal of the supra and subgingival microbial flora
- +32 ;;and calculus, site specific scaling and root planing where indicated, and/or polishing the teeth.
- +33 ;;When new or recurring periodontal disease appears, additional diagnostic and treatment procedures
- +34 ;;must be considered.
- +35 ;;CODE^7280^SURGICAL ACCESS OF AN UNERUPTED TOOTH
- +36 ;;USE
- +37 ;;An incision is made and the tissue is reflected and bone removed as necessary to expose the crown.
- +38 ;;This procedure may include but is not limited to situations whereby an attachment is placed to
- +39 ;;facilitate eruption.
- +40 ;;CODE^9220^DEEP SEDATION/GENERAL ANESTHESIA - FIRST 30 MINUTES
- +41 ;;USE
- +42 ;;Anesthesia time begins when the doctor administering the anesthetic agent initiates the
- +43 ;;appropriate anesthesia and non-invasive monitoring protocol and remains in continuous
- +44 ;;attendance of the patient. Anesthesia services are considered completed when the patient
- +45 ;;may be safely left under the observation of trained personnel and the doctor may safely
- +46 ;;leave the room to attend to other patients or duties.
- +47 ;;CODE^9221^DEEP SEDATION/GENERAL ANESTHESIA - EACH ADDITIONAL 15 MINUTES
- +48 ;;USE
- +49 ;;Anesthesia time begins when the doctor administering the anesthetic agent initiates the
- +50 ;;appropriate anesthesia and non-invasive monitoring protocol and remains in continuous attendance
- +51 ;;of the patient. Anesthesia services are considered completed when the patient may be safely left
- +52 ;;under the observation of trained personnel and the doctor may safely leave the room to attend to
- +53 ;;other patients or duties.
- +54 ;;CODE^9241^INTRAVENOUS CONSCIOUS SEDATION/ANALGESIA - FIRST 30 MINUTES
- +55 ;;USE
- +56 ;;Anesthesia time begins when the doctor administering the anesthetic agent initiates
- +57 ;;the appropriate anesthesia and non-invasive monitoring protocol and remains in continuous
- +58 ;;attendance of the patient. Anesthesia services are considered completed when the patient
- +59 ;;may be safely left under the observation of trained personnel and the doctor may safely
- +60 ;;leave the room to attend to other patients or duties
- +61 ;;CODE^9242^INTRAVENOUS CONSCIOUS SEDATION/ANALGESIA - EACH ADDITIONAL 15 MINUTES
- +62 ;;USE
- +63 ;;Anesthesia time begins when the doctor administering the anesthetic agent initiates
- +64 ;;the appropriate anesthesia and non-invasive monitoring protocol and remains in
- +65 ;;continuous attendance of the patient. Anesthesia services are considered completed
- +66 ;;when the patient may be safely left under the observation of trained personnel and
- +67 ;;the doctor may safely leave the room to attend to other patients or duties.