ADECD472.m

ADECD472 ; IHS/SET/HMW - ADA CODE TABLE UPDATE (CDT4) ;

 ;;6.0;ADE;**14**;MAR 25, 1999

 ;

 ;;CODE^2710^CROWN - RESIN (INDIRECT)

 ;;SVC^9^45^521.0

 ;;USE

 ;;Refers to any resin-based composite crown that is indirectly fabricated.

 ;;All fiber, porcelain or ceramic reinforced polymer materials/systems are

 ;;considered resin-based composites.  Unfilled or non-reinforced resin crowns should be reported using D2999. 

 ;;CODE^3221^PULPAL DEBRIDEMENT, PRIMARY AND PERMANENT TEETH

 ;;SVC^1^22^522.9

 ;;USE

 ;;Pulpal debridement for the relief of acute pain prior to conventional root canal therapy.

 ;;This procedure is not to be used when endodontic treatment is completed on the same day.

 ;;CODE^4273^SUBEPITHELIAL CONNECTIVE TISSUE GRAFT PROCEDURES

 ;;SVC^5^60^523.9

 ;;USE

 ;;This procedure is performed to create or augment gingiva, to obtain root coverage

 ;;to eliminate sensitivity and to prevent root caries, to eliminate frenum pull,

 ;;to extend the vestibular fornix, to augment collapsed ridges, to provide an adequate

 ;;gingival interface with a restoration or to cover bone or ridge regeneration sites when

 ;;adequate gingival tissues are not available for effective closure.  There are two surgical sites.

 ;;The recipient site utilizes a split thickness incision, retaining the overlying flap of gingiva and/or mucosa.

 ;;The connective tissue is dissected from the donor site leaving an epithelialized flap for closure.

 ;;After the graft is placed on the recipient site, it is covered with the retained overlying flap. 

 ;;CODE^4355^FULL MOUTH DEBRIDEMENT TO ENABLE COMPREHENSIVE EVALUATION AND DIAGNOSIS

 ;;SVC^3^60^523.9

 ;;USE

 ;;The removal of subgingival and/or supragingival plaque and calculus.  This procedure does not

 ;;preclude the need for additional procedures.  

 ;;CODE^4910^PERIODONTAL MAINTENANCE 

 ;;SVC^2^60^523.9

 ;;USE

 ;;This procedure is for patients who have previously been treated for periodontal disease.

 ;;Typically, maintenance starts after completion of active (surgical or nonsurgical) periodontal

 ;;therapy and continues at varying intervals, determined by the clinical diagnosis of the dentist,

 ;;for the life of the dentition.  It includes removal of the supra and subgingival microbial flora

 ;;and calculus, site specific scaling and root planing where indicated, and/or polishing the teeth.

 ;;When new or recurring periodontal disease appears, additional diagnostic and treatment procedures

 ;;must be considered.

 ;;CODE^7280^SURGICAL ACCESS OF AN UNERUPTED TOOTH

 ;;SVC^6^30^520.6

 ;;USE

 ;;An incision is made and the tissue is reflected and bone removed as necessary to expose the crown.

 ;;This procedure may include but is not limited to situations whereby an attachment is placed to

 ;;facilitate eruption. 

 ;;CODE^9220^DEEP SEDATION/GENERAL ANESTHESIA - FIRST 30 MINUTES

 ;;SVC^6^30^525.9

 ;;NOP^n

 ;;USE

 ;;Anesthesia time begins when the doctor administering the anesthetic agent initiates the

 ;;appropriate anesthesia and non-invasive monitoring protocol and remains in continuous

 ;;attendance of the patient.  Anesthesia services are considered completed when the patient

 ;;may be safely left under the observation of trained personnel and the doctor may safely

 ;;leave the room to attend to other patients or duties.

 ;;CODE^9221^DEEP SEDATION/GENERAL ANESTHESIA - EACH ADDITIONAL 15 MINUTES 

 ;;SVC^6^15^525.9

 ;;NOP^@

 ;;USE

 ;;Anesthesia time begins when the doctor administering the anesthetic agent initiates the

 ;;appropriate anesthesia and non-invasive monitoring protocol and remains in continuous attendance

 ;;of the patient.  Anesthesia services are considered completed when the patient may be safely left

 ;;under the observation of trained personnel and the doctor may safely leave the room to attend to

 ;;other patients or duties.  

 ;;CODE^9241^INTRAVENOUS CONSCIOUS SEDATION/ANALGESIA - FIRST 30 MINUTES

 ;;SVC^5^30^525.9

 ;;NOP^n

 ;;USE

 ;;Anesthesia time begins when the doctor administering the anesthetic agent initiates

 ;;the appropriate anesthesia and non-invasive monitoring protocol and remains in continuous

 ;;attendance of the patient.  Anesthesia services are considered completed when the patient

 ;;may be safely left under the observation of trained personnel and the doctor may safely

 ;;leave the room to attend to other patients or duties

 ;;CODE^9242^INTRAVENOUS CONSCIOUS SEDATION/ANALGESIA - EACH ADDITIONAL 15 MINUTES

 ;;SVC^5^15^525.9

 ;;NOP^@

 ;;USE

 ;;Anesthesia time begins when the doctor administering the anesthetic agent initiates

 ;;the appropriate anesthesia and non-invasive monitoring protocol and remains in

 ;;continuous attendance of the patient.  Anesthesia services are considered completed

 ;;when the patient may be safely left under the observation of trained personnel and 

 ;;the doctor may safely leave the room to attend to other patients or duties.  

ADECD472  ; IHS/SET/HMW - ADA CODE TABLE UPDATE (CDT4) ;

 +1       ;;6.0;ADE;**14**;MAR 25, 1999

 +2       ;

 +3       ;;CODE^2710^CROWN - RESIN (INDIRECT)

 +4       ;;SVC^9^45^521.0

 +5       ;;USE

 +6       ;;Refers to any resin-based composite crown that is indirectly fabricated.

 +7       ;;All fiber, porcelain or ceramic reinforced polymer materials/systems are

 +8       ;;considered resin-based composites.  Unfilled or non-reinforced resin crowns should be reported using D2999. 

 +9       ;;CODE^3221^PULPAL DEBRIDEMENT, PRIMARY AND PERMANENT TEETH

 +10      ;;SVC^1^22^522.9

 +11      ;;USE

 +12      ;;Pulpal debridement for the relief of acute pain prior to conventional root canal therapy.

 +13      ;;This procedure is not to be used when endodontic treatment is completed on the same day.

 +14      ;;CODE^4273^SUBEPITHELIAL CONNECTIVE TISSUE GRAFT PROCEDURES

 +15      ;;SVC^5^60^523.9

 +16      ;;USE

 +17      ;;This procedure is performed to create or augment gingiva, to obtain root coverage

 +18      ;;to eliminate sensitivity and to prevent root caries, to eliminate frenum pull,

 +19      ;;to extend the vestibular fornix, to augment collapsed ridges, to provide an adequate

 +20      ;;gingival interface with a restoration or to cover bone or ridge regeneration sites when

 +21      ;;adequate gingival tissues are not available for effective closure.  There are two surgical sites.

 +22      ;;The recipient site utilizes a split thickness incision, retaining the overlying flap of gingiva and/or mucosa.

 +23      ;;The connective tissue is dissected from the donor site leaving an epithelialized flap for closure.

 +24      ;;After the graft is placed on the recipient site, it is covered with the retained overlying flap. 

 +25      ;;CODE^4355^FULL MOUTH DEBRIDEMENT TO ENABLE COMPREHENSIVE EVALUATION AND DIAGNOSIS

 +26      ;;SVC^3^60^523.9

 +27      ;;USE

 +28      ;;The removal of subgingival and/or supragingival plaque and calculus.  This procedure does not

 +29      ;;preclude the need for additional procedures.  

 +30      ;;CODE^4910^PERIODONTAL MAINTENANCE 

 +31      ;;SVC^2^60^523.9

 +32      ;;USE

 +33      ;;This procedure is for patients who have previously been treated for periodontal disease.

 +34      ;;Typically, maintenance starts after completion of active (surgical or nonsurgical) periodontal

 +35      ;;therapy and continues at varying intervals, determined by the clinical diagnosis of the dentist,

 +36      ;;for the life of the dentition.  It includes removal of the supra and subgingival microbial flora

 +37      ;;and calculus, site specific scaling and root planing where indicated, and/or polishing the teeth.

 +38      ;;When new or recurring periodontal disease appears, additional diagnostic and treatment procedures

 +39      ;;must be considered.

 +40      ;;CODE^7280^SURGICAL ACCESS OF AN UNERUPTED TOOTH

 +41      ;;SVC^6^30^520.6

 +42      ;;USE

 +43      ;;An incision is made and the tissue is reflected and bone removed as necessary to expose the crown.

 +44      ;;This procedure may include but is not limited to situations whereby an attachment is placed to

 +45      ;;facilitate eruption. 

 +46      ;;CODE^9220^DEEP SEDATION/GENERAL ANESTHESIA - FIRST 30 MINUTES

 +47      ;;SVC^6^30^525.9

 +48      ;;NOP^n

 +49      ;;USE

 +50      ;;Anesthesia time begins when the doctor administering the anesthetic agent initiates the

 +51      ;;appropriate anesthesia and non-invasive monitoring protocol and remains in continuous

 +52      ;;attendance of the patient.  Anesthesia services are considered completed when the patient

 +53      ;;may be safely left under the observation of trained personnel and the doctor may safely

 +54      ;;leave the room to attend to other patients or duties.

 +55      ;;CODE^9221^DEEP SEDATION/GENERAL ANESTHESIA - EACH ADDITIONAL 15 MINUTES 

 +56      ;;SVC^6^15^525.9

 +57      ;;NOP^@

 +58      ;;USE

 +59      ;;Anesthesia time begins when the doctor administering the anesthetic agent initiates the

 +60      ;;appropriate anesthesia and non-invasive monitoring protocol and remains in continuous attendance

 +61      ;;of the patient.  Anesthesia services are considered completed when the patient may be safely left

 +62      ;;under the observation of trained personnel and the doctor may safely leave the room to attend to

 +63      ;;other patients or duties.  

 +64      ;;CODE^9241^INTRAVENOUS CONSCIOUS SEDATION/ANALGESIA - FIRST 30 MINUTES

 +65      ;;SVC^5^30^525.9

 +66      ;;NOP^n

 +67      ;;USE

 +68      ;;Anesthesia time begins when the doctor administering the anesthetic agent initiates

 +69      ;;the appropriate anesthesia and non-invasive monitoring protocol and remains in continuous

 +70      ;;attendance of the patient.  Anesthesia services are considered completed when the patient

 +71      ;;may be safely left under the observation of trained personnel and the doctor may safely

 +72      ;;leave the room to attend to other patients or duties

 +73      ;;CODE^9242^INTRAVENOUS CONSCIOUS SEDATION/ANALGESIA - EACH ADDITIONAL 15 MINUTES

 +74      ;;SVC^5^15^525.9

 +75      ;;NOP^@

 +76      ;;USE

 +77      ;;Anesthesia time begins when the doctor administering the anesthetic agent initiates

 +78      ;;the appropriate anesthesia and non-invasive monitoring protocol and remains in

 +79      ;;continuous attendance of the patient.  Anesthesia services are considered completed

 +80      ;;when the patient may be safely left under the observation of trained personnel and 

 +81      ;;the doctor may safely leave the room to attend to other patients or duties.