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.