- 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