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Routine: ADECD471

ADECD471.m

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  1. ADECD471 ; IHS/SET/HMW - ADA CODE TABLE UPDATE (CDT4) ;
  1. ;;6.0;ADE;**14**;MAR 25, 1999
  1. ;
  1. ;;CODE^0150^COMPREHENSIVE ORAL EVALUATION - NEW OR ESTABLISHED PATIENT
  1. ;;SVC^3^15^V72.2
  1. ;;CODE^2140^AMALGAM - ONE SURFACE
  1. ;;SVC^3^12^521.0
  1. ;;CODE^2150^AMALGAM - TWO SURFACES
  1. ;;SVC^3^18^521.0
  1. ;;CODE^2160^AMALGAM - THREE SURFACES
  1. ;;SVC^3^22^521.0
  1. ;;CODE^2161^AMALGAM - FOUR OR MORE SURFACES
  1. ;;SVC^4^26^521.0
  1. ;;CODE^4210^GINGIVECTOMY OR GINGIVOPLASTY - FOUR OR MORE CONTIGUOUS TEETH OR BOUNDED TEETH SPACES PER QUADRANT
  1. ;;SVC^4^60^523.9
  1. ;;CODE^4211^GINGIVECTOMY OR GINGIVOPLASTY - ONE TO THREE TEETH, PER QUADRANT
  1. ;;SVC^4^15^523.9
  1. ;;CODE^4240^GINGIVAL FLAP PROCEDURE, INCLUDING ROOT PLANING - FOUR OR MORE CONTIGUOUS TEETH OR BOUNDED TEETH SPACES PER QUADRANT
  1. ;;SVC^4^60^523.9
  1. ;;CODE^4260^OSSEOUS SURGERY (INCLUDING FLAP ENTRY AND CLOSURE) - FOUR OR MORE CONTIGUOUS TEETH OR BOUNDED TEETH SPACES PER QUADRANT
  1. ;;SVC^5^75^523.9
  1. ;;CODE^4341^PERIODONTAL SCALING AND ROOT PLANING - FOUR OR MORE CONTIGUOUS TEETH OR BOUNDED TEETH SPACES PER QUADRANT
  1. ;;SVC^3^30^523.9
  1. ;;CODE^7270^TOOTH REIMPLANTATION AND/OR STABILIZATION OF ACCIDENTALLY EVULSED OR DISPLACED TOOTH
  1. ;;SVC^1^45^520.6
  1. ;;CODE^7291^TRANSSEPTAL FIBEROTOMY/SUPRA CRESTAL FIBEROTOMY, BY REPORT
  1. ;;SVC^5^20^520.6
  1. ;;CODE^7410^EXCISION OF BENIGN LESION UP TO 1.25 CM
  1. ;;SVC^3^25^520.6
  1. ;;CODE^7450^REMOVAL OF BENIGN ODONTOGENIC CYST OR TUMOR - LESION DIAMETER UP TO 1.25 CM
  1. ;;SVC^3^35^520.6
  1. ;;CODE^7451^REMOVAL OF BENIGN ODONTOGENIC CYST OR TUMOR - LESION DIAMETER GREATER THAN 1.25 CM
  1. ;;SVC^3^35^520.6
  1. ;;CODE^7460^REMOVAL OF BENIGN NONODONTOGENIC CYST OR TUMOR - LESION DIAMETER UP TO 1.25 CM
  1. ;;SVC^3^35^520.6
  1. ;;CODE^7461^REMOVAL OF BENIGN NONODONTOGENIC CYST OR TUMOR - LESION DIAMETER GREATER THAN 1.25 CM
  1. ;;SVC^3^30^520.6
  1. ;;CODE^7471^REMOVAL OF LATERAL EXOSTOSIS (MAXILLA OR MANDIBLE)
  1. ;;SVC^4^20^520.6
  1. ;;CODE^7530^REMOVAL OF FOREIGN BODY FROM MUCOSA, SKIN, OR SUBCUTANEOUS ALVEOLAR TISSUE
  1. ;;SVC^3^25^520.6
  1. ;;CODE^7550^PARTIAL OSTECTOMY/SEQUESTRECTOMY FOR REMOVAL OF NON-VITAL BONE
  1. ;;SVC^6^53^520.6
  1. ;;CODE^7670^ALVEOLUS - CLOSED REDUCTION, MAY INCLUDE STABILIZATION OF TEETH
  1. ;;SVC^1^120^802.4
  1. ;;CODE^7770^ALVEOLUS - OPEN REDUCTION STABILIZATION OF TEETH
  1. ;;SVC^1^180^802.4
  1. ;;CODE^0120^PERIODIC ORAL EVALUATION
  1. ;;SVC^3^10^V72.2
  1. ;;USE
  1. ;;An evaluation performed on a patient of record to determine any changes
  1. ;;in the patient's dental and medical health status since a previous comprehensive
  1. ;;or periodic evaluation. This includes periodontal screening and may require
  1. ;;interpretation of information acquired through additional diagnostic procedures.
  1. ;;Report additional diagnostic procedures separately.
  1. ;;CODE^0140^LIMITED ORAL EVALUATION - PROBLEM FOCUSED
  1. ;;SVC^1^5^V72.2
  1. ;;USE
  1. ;;An evaluation limited to a specific oral health problem or complaint. This may
  1. ;;require interpretation of information acquired through additional diagnostic procedures.
  1. ;;Report additional diagnostic procedures separately. Definitive procedures may be
  1. ;;required on the same date as the evaluation. Typically, patients receiving this type of
  1. ;;evaluation present with a specific problem and/or dental emergencies, trauma, acute infections, etc.
  1. ;;CODE^0277^VERTICAL BITEWINGS - 7 TO 8 FILMS
  1. ;;SVC^3^12^V72.2
  1. ;;USE
  1. ;;This does not constitute a full mouth intraoral radiographic series.
  1. ;;CODE^1110^PROPHYLAXIS - ADULT
  1. ;;SVC^2^40^V07.8
  1. ;;USE
  1. ;;A dental prophylaxis performed on transitional or permanent dentition that
  1. ;;includes scaling and/or polishing procedures to remove coronal plaque, calculus and stains.
  1. ;;CODE^2950^CORE BUILDUP, INCLUDING PINS
  1. ;;SVC^4^45^521.0
  1. ;;USE
  1. ;;Refers to building up of anatomical crown when restorative crown will be placed,
  1. ;;whether or not pins are used. A material is placed in the tooth preparation for a
  1. ;;crown when there is insufficient tooth strength and retention for the crown procedure.
  1. ;;This should not be reported when the procedure only involves a filler to eliminate any
  1. ;;undercut, box form, or concave irregularity in the preparation.
  1. ;;CODE^6056^PREFABRICATED ABUTMENT
  1. ;;SVC^6^20^V52.3
  1. ;;USE
  1. ;;A connection to an implant that is a manufactured component usually made of
  1. ;;machined high noble metal, titanium, titanium alloy or ceramic. Modification
  1. ;;of a prefabricated abutment may be necessary, and is accomplished by altering
  1. ;;its shape using dental burrs/diamonds.
  1. ;;CODE^6057^CUSTOM ABUTMENT
  1. ;;SVC^6^60^V52.3
  1. ;;USE
  1. ;;A connection to an implant that is a fabricated component, usually by a
  1. ;;laboratory, specific for an individual application. A custom abutment is
  1. ;;typically fabricated using a casting process and usually is made of noble or
  1. ;;high noble metal. A 'UCLA abutment' is an example of this type abutment.
  1. ;;CODE^7286^BIOPSY OF ORAL TISSUE - SOFT (ALL OTHERS)
  1. ;;SVC^3^20^520.6
  1. ;;USE
  1. ;;For surgical removal of specimen only. This code is not used at the same time
  1. ;;as codes for apicoectomy/periradicular curettage. For oral pathology procedures
  1. ;;see D0472, D0473, D0474 or D0502.
  1. ;;CODE^7290^SURGICAL REPOSITIONING OF TEETH
  1. ;;SVC^6^30^520.6
  1. ;;USE
  1. ;;Grafting procedure(s) is/are additional
  1. ;;CODE^7490^RADICAL RESECTION OF MANDIBLE W/ BONE GRAFT
  1. ;;SVC^6^180^520.6
  1. ;;USE
  1. ;;Partial resection of mandible; removal of lesion and defect with margin of
  1. ;;normal appearing bone. Reconstruction and bone grafts should be reported separately.
  1. ;;CODE^7510^INCISION & DRAINAGE OF ABSCESS - INTRAORAL
  1. ;;SVC^1^15^520.6
  1. ;;USE
  1. ;;Involves incision through mucosa, including periodontal origins.
  1. ;;CODE^7780^FACIAL BONES - COMPLICATED REDUCTION
  1. ;;SVC^1^180^802.4
  1. ;;USE
  1. ;;Surgical incision required to reduce fracture. Facial bones include upper and
  1. ;;lower jaw, cheek, and bones around eyes, nose, and ears.
  1. ;;CODE^9248^NON-INTRAVENOUS CONSCIOUS SEDATION
  1. ;;SVC^5^30^525.9
  1. ;;USE
  1. ;;A medically controlled state of depressed consciousness while maintaining the
  1. ;;patient's airway, protective reflexes and the ability to respond to stimulation or
  1. ;;verbal commands. It includes non-intravenous administration of sedative and/or
  1. ;;analgesic agent(s) and appropriate monitoring.
  1. ;;CODE^9310^CONSULTATION
  1. ;;SVC^6^30^525.9
  1. ;;USE
  1. ;;Type of service provided by a dentist or dental specialist whose opinion or
  1. ;;advice regarding evaluation and/or management of a specific problem may be
  1. ;;requested by another dentist, physician or appropriate source. The dentist
  1. ;;may initiate diagnostic and/or therapeutic services.