ADE6M2 ; IHS/HQT/MJL - DENTAL TABLE UPDATES; [ 03/24/1999 9:04 AM ]
;;6.0;ADE;;APRIL 1999
;
;Data for modified ADA Codes
ADAMOD ;;EP
;;FROM^1120^CHILD PROPHYLAXIS, AGE 14 AND BELOW^V07.8^17^2^PROPHY CHILD^^^n^PROC
;;TO^1120^CHILD PROPHYLAXIS, (PRIM OR MIXED DENTITION)^V07.8^20^2^PROPHY CHILD^^^n^PROC
;;FROM^1130^DIFFICULT PROPHYLAXIS^V07.8^60^2^DIFFICULT PROPH^^^n^DIFP
;;TO^1130^DIFFICULT PROPHYLAXIS^V07.8^60^2^DIFFICULT PROPH^^01-01-1997^n^DIFP
;;FROM^1201^TOPICAL FLUORIDE WITH PROPHY CHILD^V07.8^27^2^PROPHYwTF < 15^^^n^PTFC
;;TO^1201^TOPICAL FLUORIDE WITH PROPHY CHILD^V07.8^30^2^PROPHYwTF CHILD^^^n^PTFC
;;FROM^1203^TOPICAL FLUORIDE W/O PROPHY-CHILD^V07.8^10^2^TFw/oPROPHY <15^^^n^TFC
;;TO^1203^TOPICAL FLUORIDE W/O PROPHY-CHILD^V07.8^10^2^TF ONLY - CHILD^^^n^TFC
;;FROM^1310^NUTRITIONAL COUNSELING FOR ORAL HEALTH^V07.8^25^2^DIET CONSULT^^^n^
;;TO^1310^NUTRITIONAL COUNSELING FOR ORAL HEALTH^V07.8^15^2^DIET CONSULT^^^n^
;;FROM^1331^SPECIAL PREVENTIVE REGIMENS (BY REPORT)^V07.8^3^2^SPEC PREV RX^^^n^
;;TO^1331^SPECIAL PREVENTIVE REGIMENS (BY REPORT)^V07.8^3^2^SPEC PREV RX^^01-01-1997^n^
;;FROM^1336^ORAL HYGIENE CHECK - NO IMPROVEMENT^V07.8^2^2^O.H. NOT BETTER^^^n^HBAD
;;TO^1336^ORAL HYGIENE CHECK - NO IMPROVEMENT^V07.8^5^2^O.H. NOT BETTER^^^n^HBAD
;;FROM^1338^ORAL HYGIENE CHECK - IMPROVED^V07.8^2^2^OH - IMPROVED^^^n^OHOK
;;TO^1338^ORAL HYGIENE CHECK - IMPROVED^V07.8^5^2^OH - IMPROVED^^^n^OHOK
;;FROM^1340^TOBACCO USE INTERVENTION^305.1^2^2^TOBACCO USE^^^n^
;;TO^1320^TOBACCO USE INTERVENTION TO PREVENT DISEASE^305.10^5^2^TOBACCO USE^^^n^
;;FROM^1350
;;TO^1350^SEALANT (PER TOOTH)^V07.8^3^2^SEALANT^^03-11-1999^^
;;FROM^1351
;;TO^1351^SEALANT - (PER TOOTH)^11283^9^2^SEALANT
;;FROM^1355
;;TO^1355^SEALANT REAPPLICATION (PER TOOTH)^11283^8^2^REAPPLY SEALANT^^03-11-1999
;;FROM^2121^AMALGAM, TWO SURF. DECID TOOTH (P&F CARIES)^521.0^15^3^P & F 2 SURF^^^^ISD2
;;TO^2121^AMALGAM, TWO SURF. DECID TOOTH (P&F CARIES)^521.0^15^3^P & F 2 SURF^^01-01-1997^^ISD2
;;FROM^2151^AMALGAM, TWO SURF. PERM. TOOTH (P&F CARIES)^521.0^18^3^P & F 2 SURF^^^^ISP2
;;TO^2151^AMALGAM, TWO SURF. PERM. TOOTH (P&F CARIES)^521.0^18^3^P & F 2 SURF^^01-01-1997^^ISP2
;;FROM^2339^COMPOSITE RESIN, M & D PREPS, ANTERIOR^521.0^25^3^M & D COMPOSITE^^^^MDCO
;;TO^2339^COMPOSITE RESIN, M & D PREPS, ANTERIOR^521.0^25^3^M & D COMPOSITE^^01-01-1997^^MDCO
;;FROM^2389^COMPOSITE RESIN, PREVENTIVE (INCL. SEALANT)^521.0^15^2^PREV RESIN RST.^^^^PRR
;;TO^2389^COMPOSITE RESIN, PREVENTIVE (INCL. SEALANT)^521.0^15^2^PREV RESIN RST.^^01-01-1997^^PRR
;;FROM^2510^INLAY-GOLD, ONE SURFACE RESTORATION^521.0^70^9^GOLD INLAY, 1-S^^^^
;;TO^2510^INLAY-METALLIC, ONE SURFACE RESTORATION^521.0^70^9^GOLD INLAY, 1-S^^^^
;;FROM^2520^INLAY-GOLD, TWO SURFACE RESTORATION^521.0^90^9^GOLD INLAY, 2-S^^^^
;;TO^2520^INLAY-METALLIC, TWO SURFACE RESTORATION^521.0^90^9^GOLD INLAY, 2-S^^^^
;;FROM^2530^INLAY-GOLD, THREE SURFACE RESTORATION^521.0^100^9^GOLD INLAY, 3-S^^^^
;;TO^2530^INLAY-METALLIC, THREE SURFACE RESTORATION^521.0^100^9^GOLD INLAY, 3-S^^^^
;;FROM^2540^ONLAY RESTORATION (PER TOOTH)^521.0^120^4^ONLAY RESTO.^^^^
;;TO^2540^ONLAY RESTORATION (PER TOOTH)^521.0^120^4^ONLAY RESTO.^^01-01-1997^^
;;FROM^2630^INLAY-PORCELAIN/CERAMIC, THREE SURFACE^521.0^70^9^PORC. INLAY 3-S^^^^
;;TO^2630^INLAY-PORCELAIN/CERAMIC, THREE+ SURFACE^521.0^70^9^PORC INLAY 3+S^^^^
;;FROM^2640^ONLAY-PORCELAIN.CERAMIC (IN ADD. TO INLAY)^521.0^60^6^PORC ONLAY^^^^
;;TO^2640^ONLAY-PORCELAIN.CERAMIC (IN ADD. TO INLAY)^521.0^60^6^PORC ONLAY^^01-01-1997^^
;;END
ADE6M2 ; IHS/HQT/MJL - DENTAL TABLE UPDATES; [ 03/24/1999 9:04 AM ]
+1 ;;6.0;ADE;;APRIL 1999
+2 ;
+3 ;Data for modified ADA Codes
ADAMOD ;;EP
+1 ;;FROM^1120^CHILD PROPHYLAXIS, AGE 14 AND BELOW^V07.8^17^2^PROPHY CHILD^^^n^PROC
+2 ;;TO^1120^CHILD PROPHYLAXIS, (PRIM OR MIXED DENTITION)^V07.8^20^2^PROPHY CHILD^^^n^PROC
+3 ;;FROM^1130^DIFFICULT PROPHYLAXIS^V07.8^60^2^DIFFICULT PROPH^^^n^DIFP
+4 ;;TO^1130^DIFFICULT PROPHYLAXIS^V07.8^60^2^DIFFICULT PROPH^^01-01-1997^n^DIFP
+5 ;;FROM^1201^TOPICAL FLUORIDE WITH PROPHY CHILD^V07.8^27^2^PROPHYwTF < 15^^^n^PTFC
+6 ;;TO^1201^TOPICAL FLUORIDE WITH PROPHY CHILD^V07.8^30^2^PROPHYwTF CHILD^^^n^PTFC
+7 ;;FROM^1203^TOPICAL FLUORIDE W/O PROPHY-CHILD^V07.8^10^2^TFw/oPROPHY <15^^^n^TFC
+8 ;;TO^1203^TOPICAL FLUORIDE W/O PROPHY-CHILD^V07.8^10^2^TF ONLY - CHILD^^^n^TFC
+9 ;;FROM^1310^NUTRITIONAL COUNSELING FOR ORAL HEALTH^V07.8^25^2^DIET CONSULT^^^n^
+10 ;;TO^1310^NUTRITIONAL COUNSELING FOR ORAL HEALTH^V07.8^15^2^DIET CONSULT^^^n^
+11 ;;FROM^1331^SPECIAL PREVENTIVE REGIMENS (BY REPORT)^V07.8^3^2^SPEC PREV RX^^^n^
+12 ;;TO^1331^SPECIAL PREVENTIVE REGIMENS (BY REPORT)^V07.8^3^2^SPEC PREV RX^^01-01-1997^n^
+13 ;;FROM^1336^ORAL HYGIENE CHECK - NO IMPROVEMENT^V07.8^2^2^O.H. NOT BETTER^^^n^HBAD
+14 ;;TO^1336^ORAL HYGIENE CHECK - NO IMPROVEMENT^V07.8^5^2^O.H. NOT BETTER^^^n^HBAD
+15 ;;FROM^1338^ORAL HYGIENE CHECK - IMPROVED^V07.8^2^2^OH - IMPROVED^^^n^OHOK
+16 ;;TO^1338^ORAL HYGIENE CHECK - IMPROVED^V07.8^5^2^OH - IMPROVED^^^n^OHOK
+17 ;;FROM^1340^TOBACCO USE INTERVENTION^305.1^2^2^TOBACCO USE^^^n^
+18 ;;TO^1320^TOBACCO USE INTERVENTION TO PREVENT DISEASE^305.10^5^2^TOBACCO USE^^^n^
+19 ;;FROM^1350
+20 ;;TO^1350^SEALANT (PER TOOTH)^V07.8^3^2^SEALANT^^03-11-1999^^
+21 ;;FROM^1351
+22 ;;TO^1351^SEALANT - (PER TOOTH)^11283^9^2^SEALANT
+23 ;;FROM^1355
+24 ;;TO^1355^SEALANT REAPPLICATION (PER TOOTH)^11283^8^2^REAPPLY SEALANT^^03-11-1999
+25 ;;FROM^2121^AMALGAM, TWO SURF. DECID TOOTH (P&F CARIES)^521.0^15^3^P & F 2 SURF^^^^ISD2
+26 ;;TO^2121^AMALGAM, TWO SURF. DECID TOOTH (P&F CARIES)^521.0^15^3^P & F 2 SURF^^01-01-1997^^ISD2
+27 ;;FROM^2151^AMALGAM, TWO SURF. PERM. TOOTH (P&F CARIES)^521.0^18^3^P & F 2 SURF^^^^ISP2
+28 ;;TO^2151^AMALGAM, TWO SURF. PERM. TOOTH (P&F CARIES)^521.0^18^3^P & F 2 SURF^^01-01-1997^^ISP2
+29 ;;FROM^2339^COMPOSITE RESIN, M & D PREPS, ANTERIOR^521.0^25^3^M & D COMPOSITE^^^^MDCO
+30 ;;TO^2339^COMPOSITE RESIN, M & D PREPS, ANTERIOR^521.0^25^3^M & D COMPOSITE^^01-01-1997^^MDCO
+31 ;;FROM^2389^COMPOSITE RESIN, PREVENTIVE (INCL. SEALANT)^521.0^15^2^PREV RESIN RST.^^^^PRR
+32 ;;TO^2389^COMPOSITE RESIN, PREVENTIVE (INCL. SEALANT)^521.0^15^2^PREV RESIN RST.^^01-01-1997^^PRR
+33 ;;FROM^2510^INLAY-GOLD, ONE SURFACE RESTORATION^521.0^70^9^GOLD INLAY, 1-S^^^^
+34 ;;TO^2510^INLAY-METALLIC, ONE SURFACE RESTORATION^521.0^70^9^GOLD INLAY, 1-S^^^^
+35 ;;FROM^2520^INLAY-GOLD, TWO SURFACE RESTORATION^521.0^90^9^GOLD INLAY, 2-S^^^^
+36 ;;TO^2520^INLAY-METALLIC, TWO SURFACE RESTORATION^521.0^90^9^GOLD INLAY, 2-S^^^^
+37 ;;FROM^2530^INLAY-GOLD, THREE SURFACE RESTORATION^521.0^100^9^GOLD INLAY, 3-S^^^^
+38 ;;TO^2530^INLAY-METALLIC, THREE SURFACE RESTORATION^521.0^100^9^GOLD INLAY, 3-S^^^^
+39 ;;FROM^2540^ONLAY RESTORATION (PER TOOTH)^521.0^120^4^ONLAY RESTO.^^^^
+40 ;;TO^2540^ONLAY RESTORATION (PER TOOTH)^521.0^120^4^ONLAY RESTO.^^01-01-1997^^
+41 ;;FROM^2630^INLAY-PORCELAIN/CERAMIC, THREE SURFACE^521.0^70^9^PORC. INLAY 3-S^^^^
+42 ;;TO^2630^INLAY-PORCELAIN/CERAMIC, THREE+ SURFACE^521.0^70^9^PORC INLAY 3+S^^^^
+43 ;;FROM^2640^ONLAY-PORCELAIN.CERAMIC (IN ADD. TO INLAY)^521.0^60^6^PORC ONLAY^^^^
+44 ;;TO^2640^ONLAY-PORCELAIN.CERAMIC (IN ADD. TO INLAY)^521.0^60^6^PORC ONLAY^^01-01-1997^^
+45 ;;END