©2011-2018 Open Source Electronic Health Record Alliance
This work is licensed under a Creative Commons Attribution 3.0 Unported License
This work is licensed under a Creative Commons Attribution 3.0 Unported License
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.