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