©2011-2018 Open Source Electronic Health Record Alliance
This work is licensed under a Creative Commons Attribution 3.0 Unported License
This work is licensed under a Creative Commons Attribution 3.0 Unported License
ADE6A1 ; IHS/HQT/MJL - DENTAL TABLE UPDATES; [ 03/24/1999 9:04 AM ]
;;6.0;ADE;;APRIL 1999
;IHS/HQW
;Data for new ADA Codes
ADAADD ;;EP
;;^IH50^LOW-RISK CARIES PATIENT^V72.2^^0^LOW-RISK DECAY^^^n^
;;^IH51^MODERATE-RISK CARIES PATIENT^V72.2^^0^MOD-RISK DECAY^^^n^
;;^IH52^HIGH-RISK CARIES PATIENT^V72.2^^0^HI RISK DECAY^^^n^
;;^IH53^VERY HIGH RISK CARIES PATIENT^V72.2^^0^V HI RISK DECAY^^^n^
;;^IH54^HIGH-RISK PERIODONTAL PATIENT^V72.2^^0^HIGH RISK PERIO^^^n^
;;^0160^EXTENSIVE ORAL EVAL-PROBLEM FOCUSED^V07.8^45^4^EXTENSIVE EVAL^^^n^
;;^2543^ONLAY, METALLIC - 3 SURFACES^521.0^75^4^METAL ONLAY-3S^^^^
;;^2544^ONLAY, METALLIC - 4 SURFACES^521.0^90^4^ONLAY 4 SURF^^^^
;;^2642^ONLAY, PORCELAIN/CERAMIC - 2 SURFACES^521.0^70^6^P/C ONLAY 2S^^^^
;;^2643^ONLAY, PORCELAIN/CERAMIC 3 - SURFACES^521.0^80^6^P/C ONLAY 3S^^^^
;;^2644^ONLAY, PORCELAIN/CERAMIC - 4 OR MORE SURF.^521.0^90^6^P/C ONLAY 4S^^^^
;;^2662^ONLAY, COMPOSITE RESIN - 2 SURF (LAB. PROC.)^521.0^110^6^RESIN ONLAY 2S^^^^
;;^2663^ONLAY, COMPOSITE RESIN - 3 SURFACES^521.0^60^6^RESIN ONLAY 3S^^^^
;;^2664^ONLAY, COMPOSITE RESIN - 4 OR MORE SURF.^521.0^90^6^RESIN ONLAY 4S^^^^
;;^2955^POST REMOVAL (NOT WITH ENDO TX)^521.0^30^1^REMOVE POST^^^^
;;^3240^PULPAL THERAPY, POSTERIOR PRIMARY TOOTH^522.9^20^3^ENDO PRI MOLAR^^^^
;;^4263^BONE REPLACEMENT GRAFT, FIRST SITE IN QUAD.^523.9^60^6^BONE GRAFT 1ST^^^^
;;^4264^BOME REPLACEMENT GRAFT EA. ADDITIONAL SITE^523.9^60^6^BONE GRAFT ADD^^^^
;;^4266^GUIDED TISSUE REGENERATION RESORB. BARRIER^523.9^60^6^G/T/REGEN RES^^^^
;;^4267^GUIDED TISSUE REGENERATION NONRESORB. BARR.^523.9^60^6^G/T/R NONRES^^^^
;;^4273^SUB EPI CONNECTIVE TISSUE GRAFT^523.9^60^5^SUBEPI GRAFT^^^^
;;^4274^DISTAL PROX. WEDGE PROC. (NOT W\ OTHER SURG)^523.9^30^4^PROX WEDGE^^^^
;;^4355^FULL MOUTH DEBRIDEMENT FOR PERIO EVALUATION^523.9^30^3^DEBRIDE EVAL^^^n^
;;^4381^CONTROLLED RELEASE OF CHEMO AGENT (BY SITE)^523.9^20^3^CONTR. RELEASE^^^^
;;^6010^SURG. PLACEMENT OF IMPLANT BODY (ENDOSTEAL)^V52.3^120^6^PLACE IMPLANT^^^^
;;^6020^ABUTMENT PLACEMENT OR SUBS. ENDOS IMPLANT^V52.3^120^6^REPLC ABUT/IMPL^^^^
;;^6095^REPAIR IMPLANT ABUTMENT, BY REPORT^V52.3^90^1^RPAIR ABUT/IMPL^^^^
;;^6543^ABUTMENT ONLAY METALLIC 3 SURFACES^V52.3^120^5^ABUT/ONLAY 3S^^^^
;;^6544^ABUTMENT ONLAY METALLIC 4 OR MORE SURFACES^V52.3^120^5^ABUT/ONLAY 4S^^^^
;;^6920^CONNECTOR BAR^V52.3^110^5^CONNECTOR BAR^^^n^
;;^7995^SYNTHETIC GRAFT - MANDIBLE OR FACIAL BONES^873.69^120^6^SYNT GRFT/FACL^^^n^
;;^7996^IMPLANT MAND. FOR AUGMENTATION (EXCL. RIDGE)^873.69^120^6^IMPLNT AUGMNT^^^n^
;;^8010^LIMITED ORTHO TX OF PRIMARY DENTITION^V58.5^90^4^LTD ORTHO PRIM^^^n^
;;^8020^LIMITED ORTHO TX OF TRANSITIONAL DENTITION^V58.5^90^4^LTD ORTHO TRANS^^^n^
;;^8040^LIMITED ORTHO TX OF ADULT DENTITION^V58.5^120^5^LTD ORTHO ADULT^^^n^
;;^8050^INTERCEPTIVE ORTHO TX OF PRIMARY DENTITION^V58.5^90^4^INTERCEP PRIM^^^n^
;;^8070^COMPREHENSIVE ORTHO TX, TRANSITIONAL DENT.^V58.5^120^5^COMPREHEN TRANS^^^n^
;;^8080^COMPREHENSIVE ORTHO TX, ADOLESCENT DENT.^V58.5^120^5^COMPREHEN ADOL^^^n^
;;^8090^COMPREHENSIVE ORTHO TX, ADULT DENTITION^V58.5^120^6^COMPREHEN ADULT^^^n^
;;^8690^ORTHO TX (ALT. BILLING TO A CONTRACT FEE)^V58.5^0^6^ORTHO FEE (ALT)^^^n^
;;^9970^ENAMEL MICROABRASION^521.0^20^3^MICROABRASION^^^^
;;END