ADECD42.m

ADECD42 ; IHS/SET/HMW - ADA CODE TABLE UPDATE (CDT4) ;

 ;;6.0;ADE;**12**;MAR 25, 1999

 ;

 ;;CODE^0150^COMPREHENSIVE ORAL EVALUATION - NEW OR ESTABLISHED PATIENT

 ;;CODE^2140^AMALGAM - ONE SURFACE

 ;;CODE^2150^AMALGAM - TWO SURFACES

 ;;CODE^2160^AMALGAM - THREE SURFACES

 ;;CODE^2161^AMALGAM - FOUR OR MORE SURFACES

 ;;CODE^4210^GINGIVECTOMY OR GINGIVOPLASTY - FOUR OR MORE CONTIGUOUS TEETH OR BOUNDED TEETH SPACES PER QUADRANT

 ;;CODE^4211^GINGIVECTOMY OR GINGIVOPLASTY - ONE TO THREE TEETH, PER QUADRANT

 ;;CODE^4240^GINGIVAL FLAP PROCEDURE, INCLUDING ROOT PLANING - FOUR OR MORE CONTIGUOUS TEETH OR BOUNDED TEETH SPACES PER QUADRANT

 ;;CODE^4260^OSSEOUS SURGERY (INCLUDING FLAP ENTRY AND CLOSURE) - FOUR OR MORE CONTIGUOUS TEETH OR BOUNDED TEETH SPACES PER QUADRANT

 ;;CODE^4341^PERIODONTAL SCALING AND ROOT PLANING - FOUR OR MORE CONTIGUOUS TEETH OR BOUNDED TEETH SPACES PER QUADRANT

 ;;CODE^7270^TOOTH REIMPLANTATION AND/OR STABILIZATION OF ACCIDENTALLY EVULSED OR DISPLACED TOOTH

 ;;CODE^7291^TRANSSEPTAL FIBEROTOMY/SUPRA CRESTAL FIBEROTOMY, BY REPORT

 ;;CODE^7410^EXCISION OF BENIGN LESION UP TO 1.25 CM

 ;;CODE^7450^REMOVAL OF BENIGN ODONTOGENIC CYST OR TUMOR - LESION DIAMETER UP TO 1.25 CM

 ;;CODE^7451^REMOVAL OF BENIGN ODONTOGENIC CYST OR TUMOR - LESION DIAMETER GREATER THAN 1.25 CM

 ;;CODE^7460^REMOVAL OF BENIGN NONODONTOGENIC CYST OR TUMOR - LESION DIAMETER UP TO 1.25 CM

 ;;CODE^7461^REMOVAL OF BENIGN NONODONTOGENIC CYST OR TUMOR - LESION DIAMETER GREATER THAN 1.25 CM

 ;;CODE^7471^REMOVAL OF LATERAL EXOSTOSIS (MAXILLA OR MANDIBLE)

 ;;CODE^7530^REMOVAL OF FOREIGN BODY FROM MUCOSA, SKIN, OR SUBCUTANEOUS ALVEOLAR TISSUE

 ;;CODE^7550^PARTIAL OSTECTOMY/SEQUESTRECTOMY FOR  REMOVAL OF NON-VITAL BONE

 ;;CODE^7670^ALVEOLUS - CLOSED REDUCTION, MAY INCLUDE STABILIZATION OF TEETH

 ;;CODE^7770^ALVEOLUS - OPEN REDUCTION STABILIZATION OF TEETH

 ;;CODE^0120^PERIODIC ORAL EVALUATION

 ;;USE

 ;;An evaluation performed on a patient of record to determine any changes

 ;;in the patient's dental and medical health status since a previous comprehensive

 ;;or periodic evaluation.  This includes periodontal screening and may require

 ;;interpretation of information acquired through additional diagnostic procedures.

 ;;Report additional diagnostic procedures separately.

 ;;CODE^0140^LIMITED ORAL EVALUATION - PROBLEM FOCUSED

 ;;USE

 ;;An evaluation limited to a specific oral health problem or complaint.  This may

 ;;require interpretation of information acquired through additional diagnostic procedures.

 ;;Report additional diagnostic procedures separately.  Definitive procedures may be

 ;;required on the same date as the evaluation.  Typically, patients receiving this type of

 ;;evaluation present with a specific problem and/or dental emergencies, trauma, acute infections, etc.

 ;;CODE^0277^VERTICAL BITEWINGS - 7 TO 8 FILMS

 ;;USE

 ;;This does not constitute a full mouth intraoral radiographic series.

 ;;CODE^1110^PROPHYLAXIS - ADULT

 ;;USE

 ;;A dental prophylaxis performed on transitional or permanent dentition that

 ;;includes scaling and/or polishing procedures to remove coronal plaque, calculus and stains.

 ;;CODE^2950^CORE BUILDUP, INCLUDING PINS

 ;;USE

 ;;Refers to building up of anatomical crown when restorative crown will be placed,

 ;;whether or not pins are used.  A material is placed in the tooth preparation for a

 ;;crown when there is insufficient tooth strength and retention for the crown procedure.

 ;;This should not be reported when the procedure only involves a filler to eliminate any

 ;;undercut, box form, or concave irregularity in the preparation.

 ;;CODE^6056^PREFABRICATED ABUTMENT

 ;;USE

 ;;A connection to an implant that is a manufactured component usually made of

 ;;machined high noble metal, titanium, titanium alloy or ceramic.  Modification

 ;;of a prefabricated abutment may be necessary, and is accomplished by altering

 ;;its shape using dental burrs/diamonds.

 ;;CODE^6057^CUSTOM ABUTMENT

 ;;USE

 ;;A connection to an implant that is a fabricated component, usually by a

 ;;laboratory, specific for an individual application.  A custom abutment is

 ;;typically fabricated using a casting process and usually is made of noble or

 ;;high noble metal.  A 'UCLA abutment' is an example of this type abutment.

 ;;CODE^7286^BIOPSY OF ORAL TISSUE - SOFT (ALL OTHERS)

 ;;USE

 ;;For surgical removal of specimen only. This code is not used at the same time

 ;;as codes for apicoectomy/periradicular curettage.  For oral pathology procedures

 ;;see D0472, D0473, D0474 or D0502.

 ;;CODE^7290^SURGICAL REPOSITIONING OF TEETH

 ;;USE

 ;;Grafting procedure(s) is/are additional

 ;;CODE^7490^RADICAL RESECTION OF MANDIBLE W/ BONE GRAFT

 ;;USE

 ;;Partial resection of mandible; removal of lesion and defect with margin of

 ;;normal appearing bone.  Reconstruction and bone grafts should be reported separately.

 ;;CODE^7510^INCISION & DRAINAGE OF ABSCESS - INTRAORAL

 ;;USE

 ;;Involves incision through mucosa, including periodontal origins.

 ;;CODE^7780^FACIAL BONES - COMPLICATED REDUCTION

 ;;USE

 ;;Surgical incision required to reduce fracture.  Facial bones include upper and

 ;;lower jaw, cheek, and bones around eyes, nose, and ears.

 ;;CODE^9248^NON-INTRAVENOUS CONSCIOUS SEDATION

 ;;USE

 ;;A medically controlled state of depressed consciousness while maintaining the

 ;;patient's airway, protective reflexes and the ability to respond to stimulation or

 ;;verbal commands.  It includes non-intravenous administration of sedative and/or

 ;;analgesic agent(s) and appropriate monitoring.

 ;;CODE^9310^CONSULTATION

 ;;USE

 ;;Type of service provided by a dentist or dental specialist whose opinion or

 ;;advice regarding evaluation and/or management of a specific problem  may be

 ;;requested by another dentist, physician or appropriate source.  The dentist

 ;;may initiate diagnostic and/or therapeutic services.

ADECD42   ; IHS/SET/HMW - ADA CODE TABLE UPDATE (CDT4) ;

 +1       ;;6.0;ADE;**12**;MAR 25, 1999

 +2       ;

 +3       ;;CODE^0150^COMPREHENSIVE ORAL EVALUATION - NEW OR ESTABLISHED PATIENT

 +4       ;;CODE^2140^AMALGAM - ONE SURFACE

 +5       ;;CODE^2150^AMALGAM - TWO SURFACES

 +6       ;;CODE^2160^AMALGAM - THREE SURFACES

 +7       ;;CODE^2161^AMALGAM - FOUR OR MORE SURFACES

 +8       ;;CODE^4210^GINGIVECTOMY OR GINGIVOPLASTY - FOUR OR MORE CONTIGUOUS TEETH OR BOUNDED TEETH SPACES PER QUADRANT

 +9       ;;CODE^4211^GINGIVECTOMY OR GINGIVOPLASTY - ONE TO THREE TEETH, PER QUADRANT

 +10      ;;CODE^4240^GINGIVAL FLAP PROCEDURE, INCLUDING ROOT PLANING - FOUR OR MORE CONTIGUOUS TEETH OR BOUNDED TEETH SPACES PER QUADRANT

 +11      ;;CODE^4260^OSSEOUS SURGERY (INCLUDING FLAP ENTRY AND CLOSURE) - FOUR OR MORE CONTIGUOUS TEETH OR BOUNDED TEETH SPACES PER QUADRANT

 +12      ;;CODE^4341^PERIODONTAL SCALING AND ROOT PLANING - FOUR OR MORE CONTIGUOUS TEETH OR BOUNDED TEETH SPACES PER QUADRANT

 +13      ;;CODE^7270^TOOTH REIMPLANTATION AND/OR STABILIZATION OF ACCIDENTALLY EVULSED OR DISPLACED TOOTH

 +14      ;;CODE^7291^TRANSSEPTAL FIBEROTOMY/SUPRA CRESTAL FIBEROTOMY, BY REPORT

 +15      ;;CODE^7410^EXCISION OF BENIGN LESION UP TO 1.25 CM

 +16      ;;CODE^7450^REMOVAL OF BENIGN ODONTOGENIC CYST OR TUMOR - LESION DIAMETER UP TO 1.25 CM

 +17      ;;CODE^7451^REMOVAL OF BENIGN ODONTOGENIC CYST OR TUMOR - LESION DIAMETER GREATER THAN 1.25 CM

 +18      ;;CODE^7460^REMOVAL OF BENIGN NONODONTOGENIC CYST OR TUMOR - LESION DIAMETER UP TO 1.25 CM

 +19      ;;CODE^7461^REMOVAL OF BENIGN NONODONTOGENIC CYST OR TUMOR - LESION DIAMETER GREATER THAN 1.25 CM

 +20      ;;CODE^7471^REMOVAL OF LATERAL EXOSTOSIS (MAXILLA OR MANDIBLE)

 +21      ;;CODE^7530^REMOVAL OF FOREIGN BODY FROM MUCOSA, SKIN, OR SUBCUTANEOUS ALVEOLAR TISSUE

 +22      ;;CODE^7550^PARTIAL OSTECTOMY/SEQUESTRECTOMY FOR  REMOVAL OF NON-VITAL BONE

 +23      ;;CODE^7670^ALVEOLUS - CLOSED REDUCTION, MAY INCLUDE STABILIZATION OF TEETH

 +24      ;;CODE^7770^ALVEOLUS - OPEN REDUCTION STABILIZATION OF TEETH

 +25      ;;CODE^0120^PERIODIC ORAL EVALUATION

 +26      ;;USE

 +27      ;;An evaluation performed on a patient of record to determine any changes

 +28      ;;in the patient's dental and medical health status since a previous comprehensive

 +29      ;;or periodic evaluation.  This includes periodontal screening and may require

 +30      ;;interpretation of information acquired through additional diagnostic procedures.

 +31      ;;Report additional diagnostic procedures separately.

 +32      ;;CODE^0140^LIMITED ORAL EVALUATION - PROBLEM FOCUSED

 +33      ;;USE

 +34      ;;An evaluation limited to a specific oral health problem or complaint.  This may

 +35      ;;require interpretation of information acquired through additional diagnostic procedures.

 +36      ;;Report additional diagnostic procedures separately.  Definitive procedures may be

 +37      ;;required on the same date as the evaluation.  Typically, patients receiving this type of

 +38      ;;evaluation present with a specific problem and/or dental emergencies, trauma, acute infections, etc.

 +39      ;;CODE^0277^VERTICAL BITEWINGS - 7 TO 8 FILMS

 +40      ;;USE

 +41      ;;This does not constitute a full mouth intraoral radiographic series.

 +42      ;;CODE^1110^PROPHYLAXIS - ADULT

 +43      ;;USE

 +44      ;;A dental prophylaxis performed on transitional or permanent dentition that

 +45      ;;includes scaling and/or polishing procedures to remove coronal plaque, calculus and stains.

 +46      ;;CODE^2950^CORE BUILDUP, INCLUDING PINS

 +47      ;;USE

 +48      ;;Refers to building up of anatomical crown when restorative crown will be placed,

 +49      ;;whether or not pins are used.  A material is placed in the tooth preparation for a

 +50      ;;crown when there is insufficient tooth strength and retention for the crown procedure.

 +51      ;;This should not be reported when the procedure only involves a filler to eliminate any

 +52      ;;undercut, box form, or concave irregularity in the preparation.

 +53      ;;CODE^6056^PREFABRICATED ABUTMENT

 +54      ;;USE

 +55      ;;A connection to an implant that is a manufactured component usually made of

 +56      ;;machined high noble metal, titanium, titanium alloy or ceramic.  Modification

 +57      ;;of a prefabricated abutment may be necessary, and is accomplished by altering

 +58      ;;its shape using dental burrs/diamonds.

 +59      ;;CODE^6057^CUSTOM ABUTMENT

 +60      ;;USE

 +61      ;;A connection to an implant that is a fabricated component, usually by a

 +62      ;;laboratory, specific for an individual application.  A custom abutment is

 +63      ;;typically fabricated using a casting process and usually is made of noble or

 +64      ;;high noble metal.  A 'UCLA abutment' is an example of this type abutment.

 +65      ;;CODE^7286^BIOPSY OF ORAL TISSUE - SOFT (ALL OTHERS)

 +66      ;;USE

 +67      ;;For surgical removal of specimen only. This code is not used at the same time

 +68      ;;as codes for apicoectomy/periradicular curettage.  For oral pathology procedures

 +69      ;;see D0472, D0473, D0474 or D0502.

 +70      ;;CODE^7290^SURGICAL REPOSITIONING OF TEETH

 +71      ;;USE

 +72      ;;Grafting procedure(s) is/are additional

 +73      ;;CODE^7490^RADICAL RESECTION OF MANDIBLE W/ BONE GRAFT

 +74      ;;USE

 +75      ;;Partial resection of mandible; removal of lesion and defect with margin of

 +76      ;;normal appearing bone.  Reconstruction and bone grafts should be reported separately.

 +77      ;;CODE^7510^INCISION & DRAINAGE OF ABSCESS - INTRAORAL

 +78      ;;USE

 +79      ;;Involves incision through mucosa, including periodontal origins.

 +80      ;;CODE^7780^FACIAL BONES - COMPLICATED REDUCTION

 +81      ;;USE

 +82      ;;Surgical incision required to reduce fracture.  Facial bones include upper and

 +83      ;;lower jaw, cheek, and bones around eyes, nose, and ears.

 +84      ;;CODE^9248^NON-INTRAVENOUS CONSCIOUS SEDATION

 +85      ;;USE

 +86      ;;A medically controlled state of depressed consciousness while maintaining the

 +87      ;;patient's airway, protective reflexes and the ability to respond to stimulation or

 +88      ;;verbal commands.  It includes non-intravenous administration of sedative and/or

 +89      ;;analgesic agent(s) and appropriate monitoring.

 +90      ;;CODE^9310^CONSULTATION

 +91      ;;USE

 +92      ;;Type of service provided by a dentist or dental specialist whose opinion or

 +93      ;;advice regarding evaluation and/or management of a specific problem  may be

 +94      ;;requested by another dentist, physician or appropriate source.  The dentist

 +95      ;;may initiate diagnostic and/or therapeutic services.