- ADE6M3 ; 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^2651^INLAY-COMPOSITE RESIN-TWO SURF. (LAB PROC.)^521.0^90^6^^^^^
- ;;TO^2651^INLAY-COMPOSITE RESIN-TWO SURF. (LAB PROC.)^521.0^90^6^COMP INLAY 2S^^^^
- ;;FROM^2652^INLAY-COMPOSITE/RESIN-3 SURF. (LAB PROC.)^521.0^105^6^^^^^
- ;;TO^2652^INLAY-COMPOSITE/RESIN-3+ SURF. (LAB PROC.)^521.0^105^6^COMP INLAY 3+S^^^^
- ;;FROM^2660^ONLAY-COMP./RESIN-PER TOOTH (OVER INLAY)^521.0^60^6^PORC ONLAY^^^^
- ;;TO^2660^ONLAY-COMP./RESIN-PER TOOTH (OVER INLAY)^521.0^60^6^PORC ONLAY^^01-01-1997^^
- ;;FROM^3230^PULPECTOMY/ENDO FILL - PRIMARY TOOTH^522.9^20^3^ENDO FILL-pri.t^^^^
- ;;TO^3230^PULP THERAPY - ANTERIOR PRIMARY TOOTH^522.9^20^3^ENDO ANT PRIM^^^^
- ;;FROM^3300^PULPECTOMY ENDO ACCESS PREP, PERMANENT TOOTH^522.9^15^1^ACCESS PREP^^^^
- ;;TO^3300^PULPECTOMY/ENDO ACCESS PREP, PERM. TOOTH^522.9^15^1^ACCESS PREP^^^^
- ;;FROM^3301^ACCESS PREP & PULPECTOMY, PERM. ANTERIOR^522.9^15^1^ACCESS ANTERIOR^^^^
- ;;TO^3301^ACCESS PREP & PULPECTOMY, PERM. ANTERIOR^522.9^15^1^ACCESS ANTERIOR^^01-01-1997^^
- ;;FROM^3302^ACCESS PREP & PULPECTOMY, BICUSPID^522.9^15^1^ACCESS BICUSPID^^^^
- ;;TO^3302^ACCESS PREP & PULPECTOMY, BICUSPID^522.9^15^1^ACCESS BICUSPID^^01-01-1997^^
- ;;FROM^3303^ACCESS & PULPECTOMY, MOLAR^522.9^25^1^ACCESS MOLAR^^^^
- ;;TO^3303^ACCESS & PULPECTOMY, MOLAR^522.9^25^1^ACCESS MOLAR^^01-01-1997^^
- ;;FROM^3311^ENDO FILL, COMPLICATED - ANTERIOR^522.9^85^3^ANT. ENDO CMPLX^^^^
- ;;TO^3311^ENDO FILL, COMPLICATED - ANTERIOR^522.9^85^3^ANT. ENDO CMPLX^^01-01-1997^^
- ;;FROM^3321^ENDO FILL, COMPLICATED - BICUSPID^522.9^100^4^BIC. ENDO CMPLX^^^^
- ;;TO^3321^ENDO FILL, COMPLICATED - BICUSPID^522.9^100^4^BIC. ENDO CMPLX^^01-01-1997^^
- ;;FROM^3331^ENDO FILL, COMPLICATED - MOLAR^522.9^150^5^MOLAR ENDO CPX^^^^
- ;;TO^3331^ENDO FILL, COMPLICATED - MOLAR^522.9^150^5^MOLAR ENDO CPX^^01-01-1997^^
- ;;FROM^3346^RETREATMENT-ANTERIOR, BY REPORT^522.9^85^3^RETX ANTERIOR^^^^
- ;;TO^3346^RETREATMENT OF PREVIOUS ENDO. - ANTERIOR^522.9^85^3^RETX ANTERIOR^^^^
- ;;FROM^3347^RETREATMENT-BICUSPID, BY REPORT^522.9^105^4^RETX BICUSPID^^^^
- ;;TO^3347^RETREATMENT OF PREVIOUS ENDO. - BICUSPID^522.9^105^4^RETX BICUSPID^^^^
- ;;FROM^3348^RETREATMEMT-MOLAR, BY REPORT^522.9^165^5^RETX MOLAR^^^^
- ;;TO^3348^RETREATMENT OF PREVIOUS ENDO. - MOLAR^522.9^165^5^RETX MOLAR^^^^
- ;;FROM^3961^BLEACHING OF NON-VITAL TOOTH (PER VISIT)^522.9^20^4^^^^^
- ;;TO^3961^BLEACHING OF NON-VITAL TOOTH (PER VISIT)^522.9^20^4^^^01-01-1997^^
- ;;FROM^4110^PERIODONTAL EXAM (CASE WORKUP)^523.9^20^3^PERIO EXAM^^^n^PDX
- ;;TO^4110^PERIODONTAL EXAM (CASE WORKUP)^523.9^20^3^PERIO EXAM^^01-01-1997^n^PDX
- ;;FROM^4210^GINGIVECTOMY OR GINGIVOPLASTY-PER QUAD.^523.9^45^4^GINGIVECTOMY^^^^
- ;;TO^4210^GINGIVECTOMY OR GINGIVOPLASTY-PER QUAD.^523.9^60^4^GINGIVECTOMY^^^^
- ;;FROM^4240^GINGIVAL FLAP PROCEDURE WITH RT. PLANING^523.9^45^4^ROOT PL/w FLAP^^^^
- ;;TO^4240^GINGIVAL FLAP PROC W/ ROOT PLANING (QUAD)^523.9^60^4^ROOT PL/w FLAP^^^^
- ;;FROM^4249^CROWN LENGTHENING, BY REPORT^523.9^45^5^LENGTHEN^^^^
- ;;TO^4249^CROWN LENGTHENING, BY REPORT^523.9^60^5^LENGTHEN^^^^
- ;;FROM^4250^MUCOGINGIVAL SURGERY-PER QUADRANT^523.9^45^4^MUCO SURG^^^^
- ;;TO^4250^MUCOGINGIVAL SURGERY-PER QUADRANT^523.9^45^4^MUCO SURG^^^^
- ;;FROM^4355
- ;;TO^4355^FULL MOUTH DEBRIDEMENT FOR PERIO EVALUATION^2842^60^3^DEBRIDE EVAL^^^n
- ;;END
- ADE6M3 ; 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^2651^INLAY-COMPOSITE RESIN-TWO SURF. (LAB PROC.)^521.0^90^6^^^^^
- +2 ;;TO^2651^INLAY-COMPOSITE RESIN-TWO SURF. (LAB PROC.)^521.0^90^6^COMP INLAY 2S^^^^
- +3 ;;FROM^2652^INLAY-COMPOSITE/RESIN-3 SURF. (LAB PROC.)^521.0^105^6^^^^^
- +4 ;;TO^2652^INLAY-COMPOSITE/RESIN-3+ SURF. (LAB PROC.)^521.0^105^6^COMP INLAY 3+S^^^^
- +5 ;;FROM^2660^ONLAY-COMP./RESIN-PER TOOTH (OVER INLAY)^521.0^60^6^PORC ONLAY^^^^
- +6 ;;TO^2660^ONLAY-COMP./RESIN-PER TOOTH (OVER INLAY)^521.0^60^6^PORC ONLAY^^01-01-1997^^
- +7 ;;FROM^3230^PULPECTOMY/ENDO FILL - PRIMARY TOOTH^522.9^20^3^ENDO FILL-pri.t^^^^
- +8 ;;TO^3230^PULP THERAPY - ANTERIOR PRIMARY TOOTH^522.9^20^3^ENDO ANT PRIM^^^^
- +9 ;;FROM^3300^PULPECTOMY ENDO ACCESS PREP, PERMANENT TOOTH^522.9^15^1^ACCESS PREP^^^^
- +10 ;;TO^3300^PULPECTOMY/ENDO ACCESS PREP, PERM. TOOTH^522.9^15^1^ACCESS PREP^^^^
- +11 ;;FROM^3301^ACCESS PREP & PULPECTOMY, PERM. ANTERIOR^522.9^15^1^ACCESS ANTERIOR^^^^
- +12 ;;TO^3301^ACCESS PREP & PULPECTOMY, PERM. ANTERIOR^522.9^15^1^ACCESS ANTERIOR^^01-01-1997^^
- +13 ;;FROM^3302^ACCESS PREP & PULPECTOMY, BICUSPID^522.9^15^1^ACCESS BICUSPID^^^^
- +14 ;;TO^3302^ACCESS PREP & PULPECTOMY, BICUSPID^522.9^15^1^ACCESS BICUSPID^^01-01-1997^^
- +15 ;;FROM^3303^ACCESS & PULPECTOMY, MOLAR^522.9^25^1^ACCESS MOLAR^^^^
- +16 ;;TO^3303^ACCESS & PULPECTOMY, MOLAR^522.9^25^1^ACCESS MOLAR^^01-01-1997^^
- +17 ;;FROM^3311^ENDO FILL, COMPLICATED - ANTERIOR^522.9^85^3^ANT. ENDO CMPLX^^^^
- +18 ;;TO^3311^ENDO FILL, COMPLICATED - ANTERIOR^522.9^85^3^ANT. ENDO CMPLX^^01-01-1997^^
- +19 ;;FROM^3321^ENDO FILL, COMPLICATED - BICUSPID^522.9^100^4^BIC. ENDO CMPLX^^^^
- +20 ;;TO^3321^ENDO FILL, COMPLICATED - BICUSPID^522.9^100^4^BIC. ENDO CMPLX^^01-01-1997^^
- +21 ;;FROM^3331^ENDO FILL, COMPLICATED - MOLAR^522.9^150^5^MOLAR ENDO CPX^^^^
- +22 ;;TO^3331^ENDO FILL, COMPLICATED - MOLAR^522.9^150^5^MOLAR ENDO CPX^^01-01-1997^^
- +23 ;;FROM^3346^RETREATMENT-ANTERIOR, BY REPORT^522.9^85^3^RETX ANTERIOR^^^^
- +24 ;;TO^3346^RETREATMENT OF PREVIOUS ENDO. - ANTERIOR^522.9^85^3^RETX ANTERIOR^^^^
- +25 ;;FROM^3347^RETREATMENT-BICUSPID, BY REPORT^522.9^105^4^RETX BICUSPID^^^^
- +26 ;;TO^3347^RETREATMENT OF PREVIOUS ENDO. - BICUSPID^522.9^105^4^RETX BICUSPID^^^^
- +27 ;;FROM^3348^RETREATMEMT-MOLAR, BY REPORT^522.9^165^5^RETX MOLAR^^^^
- +28 ;;TO^3348^RETREATMENT OF PREVIOUS ENDO. - MOLAR^522.9^165^5^RETX MOLAR^^^^
- +29 ;;FROM^3961^BLEACHING OF NON-VITAL TOOTH (PER VISIT)^522.9^20^4^^^^^
- +30 ;;TO^3961^BLEACHING OF NON-VITAL TOOTH (PER VISIT)^522.9^20^4^^^01-01-1997^^
- +31 ;;FROM^4110^PERIODONTAL EXAM (CASE WORKUP)^523.9^20^3^PERIO EXAM^^^n^PDX
- +32 ;;TO^4110^PERIODONTAL EXAM (CASE WORKUP)^523.9^20^3^PERIO EXAM^^01-01-1997^n^PDX
- +33 ;;FROM^4210^GINGIVECTOMY OR GINGIVOPLASTY-PER QUAD.^523.9^45^4^GINGIVECTOMY^^^^
- +34 ;;TO^4210^GINGIVECTOMY OR GINGIVOPLASTY-PER QUAD.^523.9^60^4^GINGIVECTOMY^^^^
- +35 ;;FROM^4240^GINGIVAL FLAP PROCEDURE WITH RT. PLANING^523.9^45^4^ROOT PL/w FLAP^^^^
- +36 ;;TO^4240^GINGIVAL FLAP PROC W/ ROOT PLANING (QUAD)^523.9^60^4^ROOT PL/w FLAP^^^^
- +37 ;;FROM^4249^CROWN LENGTHENING, BY REPORT^523.9^45^5^LENGTHEN^^^^
- +38 ;;TO^4249^CROWN LENGTHENING, BY REPORT^523.9^60^5^LENGTHEN^^^^
- +39 ;;FROM^4250^MUCOGINGIVAL SURGERY-PER QUADRANT^523.9^45^4^MUCO SURG^^^^
- +40 ;;TO^4250^MUCOGINGIVAL SURGERY-PER QUADRANT^523.9^45^4^MUCO SURG^^^^
- +41 ;;FROM^4355
- +42 ;;TO^4355^FULL MOUTH DEBRIDEMENT FOR PERIO EVALUATION^2842^60^3^DEBRIDE EVAL^^^n
- +43 ;;END