ADECDT1 ; IHS/HQT/MJL - ADA CODE TABLE UPDATE (CDT3) ;
;;6.0;ADE;**7**;APR 03, 2001
;
;;CODE^0140^LIMITED ORAL EVALUATION - PROBLEM FOCUSED
;;SVC^^
;;USE
;;An evaluation limited to a specific oral health problem. 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 have been referred for a specific problem and/or present with dental emergencies, trauma, acute infections, etc.
;;CODE^0150^COMPREHENSIVE ORAL EVALUATION
;;SVC^^
;;USE
;;Typically used by a general dentist and/or a specialist when evaluating a patient comprehensively. It is a thorough evaluation and recording of the extraoral and intraoral hard and soft tissues. It may require interpretation of information acquired
;;through additional diagnostic procedures. Additional diagnostic procedures should be reported separately. This would include the evaluation and recording of the patient's dental and medical history and a general health assessment. It may typically
;;include the evaluation and recording of dental caries, missing or unerupted teeth, restorations, occlusal relationships, periodontal conditions (including periodontal charting), hard and soft tissue anomalies, oral cancer screening, etc.
;;CODE^0170^RE-EVALUATION-LIMITED, PROBLEM FOCUSED (ESTABLISHED PATIENT; NOT POSTOPERATIVE VISIT)
;;MNE^REL
;;SVC^3^5^11283
;;SYN^RE-EVAL LIM
;;USE
;;Assessing the status of a previously existing condition. For example: a traumatic injury where no treatment was rendered but patient needs follow-up monitoring; OR an evaluation for undiagnosed continuing pain; OR a soft tissue lesion requiring
;;follow-up evaluation.
;;CODE^0277^VERTICAL BITEWINGS-7 TO 8 FILMS
;;MNE^VBW
;;SVC^3^12^11741
;;SYN^VERT BW
;;USE
;;
;;CODE^0350^ORAL/FACIAL IMAGES (INCLUDES INTRA AND EXTRAORAL IMAGES)
;;MNE^OFI
;;SVC^6^15^11741
;;SYN^ORAL IMAGE
;;USE
;;This includes both traditional photographs and images obtained by intraoral cameras. These images should be a part of the patient's clinical record. Excludes conventional radiographs.
;;CODE^0425^CARIES SUSCEPTIBILITY TESTS
;;SVC^^
;;USE
;;Not to be used for carious dentin staining.
;;CODE^0501^HISTOPATHOLOGIC EXAMINATIONS
;;SVC^^
;;USE
;;Refers to gross and microscopic evaluations of presumptively abnormal tissue(s) that have been previously excised. Includes preparation and transmission of written report.
;;CODE^1120^PROPHYLAXIS - CHILD
;;SVC^^
;;USE
;;Refers to a dental prophylaxis performed on primary or transitional dentition only.
;;CODE^1351^SEALANT - PER TOOTH
;;SVC^^
;;USE
;;Mechanically and/or chemically prepared enamel surface sealed to prevent decay.
;;CODE^2110^AMALGAM - ONE SURFACE, PRIMARY
;;SVC^^
;;USE
;;
;;CODE^2120^AMALGAM - TWO SURFACES, PRIMARY
;;SVC^^
;;USE
;;
;;CODE^2130^AMALGAM - THREE SURFACES, PRIMARY
;;SVC^^
;;USE
;;
;;CODE^2131^AMALGAM - FOUR OR MORE SURFACES, PRIMARY
;;SVC^^
;;USE
;;
;;CODE^2140^AMALGAM - ONE SURFACE, PERMANENT
;;SVC^^
;;USE
;;
;;CODE^2150^AMALGAM - TWO SURFACES, PERMANENT
;;SVC^^
;;USE
;;
;;CODE^2160^AMALGAM - THREE SURFACES, PERMANENT
;;SVC^^
;;USE
;;
;;CODE^2161^AMALGAM - FOUR OR MORE SURFACES, PERMANENT
;;SVC^^
;;USE
;;
;;CODE^2330^RESIN-BASED COMPOSITE - ONE SURFACE, ANTERIOR
;;SVC^^
;;USE
;;
;;CODE^2331^RESIN-BASED COMPOSITE - TWO SURFACES, ANTERIOR
;;SVC^^
;;USE
;;
;;CODE^2332^RESIN-BASED COMPOSITE - THREE SURFACES, ANTERIOR
;;SVC^^
;;USE
;;
;;CODE^2335^RESIN-BASED COMPOSITE - FOUR OR MORE SURFACES OR INVOLVING INCISAL ANGLE (ANTERIOR)
;;SVC^^
;;USE
;;Incisal angle to be defined as one of the angles formed by the junction of the incisal and the mesial or distal surface of an anterior tooth.
;;CODE^2336^RESIN-BASED COMPOSITE CROWN, ANTERIOR-PRIMARY
;;SVC^^
;;USE
;;Full resin-based composite coverage of tooth.
;;CODE^2337^RESIN-BASED COMPOSITE CROWN, ANTERIOR-PERMANENT
;;MNE^CCP
;;SVC^4^45^9148
;;SYN^COMP CRN PERM
;;USE
;;Full resin-based composite coverage of tooth
;;CODE^2380^RESIN-BASED COMPOSITE - ONE SURFACE, POSTERIOR-PRIMARY
;;SVC^^
;;USE
;;Used to restore a carious lesion into the dentin or a deeply eroded area into the dentin. Not a preventive procedure.
;;CODE^2385^RESIN-BASED COMPOSITE - ONE SURFACE, POSTERIOR-PERMANENT
;;SVC^^
;;USE
;;Used to restore a carious lesion into the dentin or a deeply eroded area into the dentin. Not a preventive procedure.
;;CODE^2388^RESIN-BASED COMPOSITE - FOUR OR MORE SURFACES, POSTERIOR PERMANENT
;;MNE^C4+
;;SVC^9^30^9148
;;SYN^COMP 4+ SURF
;;USE
;;
;;CODE^2542^ONLAY-METALLIC-TWO SURFACES
;;MNE^ON2
;;SVC^4^50^9148
;;SYN^ONLAY 2 SURF
;;USE
;;
;;CODE^2544^ONLAY-METALLIC-FOUR OR MORE SURFACES
;;SVC^^
;;USE
;;
;;CODE^2610^INLAY - PORCELAIN/CERAMIC - ONE SURFACE
;;SVC^^
;;USE
;;
;;CODE^2620^INLAY - PORCELAIN/CERAMIC - TWO SURFACES
;;SVC^^
;;USE
;;
;;CODE^2630^INLAY - PORCELAIN/CERAMIC - THREE OR MORE SURFACES
;;SVC^^
;;USE
;;
ADECDT1 ; IHS/HQT/MJL - ADA CODE TABLE UPDATE (CDT3) ;
+1 ;;6.0;ADE;**7**;APR 03, 2001
+2 ;
+3 ;;CODE^0140^LIMITED ORAL EVALUATION - PROBLEM FOCUSED
+4 ;;SVC^^
+5 ;;USE
+6 ;;An evaluation limited to a specific oral health problem. This may require interpretation of information acquired through additional diagnostic procedures. Report additional diagnostic procedures separately. Definitive procedures may be require
d on the
+7 ;;same date as the evaluation. Typically, patients receiving this type of evaluation have been referred for a specific problem and/or present with dental emergencies, trauma, acute infections, etc.
+8 ;;CODE^0150^COMPREHENSIVE ORAL EVALUATION
+9 ;;SVC^^
+10 ;;USE
+11 ;;Typically used by a general dentist and/or a specialist when evaluating a patient comprehensively. It is a thorough evaluation and recording of the extraoral and intraoral hard and soft tissues. It may require interpretation of information acq
uired
+12 ;;through additional diagnostic procedures. Additional diagnostic procedures should be reported separately. This would include the evaluation and recording of the patient's dental and medical history and a general health assessment. It may typi
cally
+13 ;;include the evaluation and recording of dental caries, missing or unerupted teeth, restorations, occlusal relationships, periodontal conditions (including periodontal charting), hard and soft tissue anomalies, oral cancer screening, etc.
+14 ;;CODE^0170^RE-EVALUATION-LIMITED, PROBLEM FOCUSED (ESTABLISHED PATIENT; NOT POSTOPERATIVE VISIT)
+15 ;;MNE^REL
+16 ;;SVC^3^5^11283
+17 ;;SYN^RE-EVAL LIM
+18 ;;USE
+19 ;;Assessing the status of a previously existing condition. For example: a traumatic injury where no treatment was rendered but patient needs follow-up monitoring; OR an evaluation for undiagnosed continuing pain; OR a soft tissue lesion requiri
ng
+20 ;;follow-up evaluation.
+21 ;;CODE^0277^VERTICAL BITEWINGS-7 TO 8 FILMS
+22 ;;MNE^VBW
+23 ;;SVC^3^12^11741
+24 ;;SYN^VERT BW
+25 ;;USE
+26 ;;
+27 ;;CODE^0350^ORAL/FACIAL IMAGES (INCLUDES INTRA AND EXTRAORAL IMAGES)
+28 ;;MNE^OFI
+29 ;;SVC^6^15^11741
+30 ;;SYN^ORAL IMAGE
+31 ;;USE
+32 ;;This includes both traditional photographs and images obtained by intraoral cameras. These images should be a part of the patient's clinical record. Excludes conventional radiographs.
+33 ;;CODE^0425^CARIES SUSCEPTIBILITY TESTS
+34 ;;SVC^^
+35 ;;USE
+36 ;;Not to be used for carious dentin staining.
+37 ;;CODE^0501^HISTOPATHOLOGIC EXAMINATIONS
+38 ;;SVC^^
+39 ;;USE
+40 ;;Refers to gross and microscopic evaluations of presumptively abnormal tissue(s) that have been previously excised. Includes preparation and transmission of written report.
+41 ;;CODE^1120^PROPHYLAXIS - CHILD
+42 ;;SVC^^
+43 ;;USE
+44 ;;Refers to a dental prophylaxis performed on primary or transitional dentition only.
+45 ;;CODE^1351^SEALANT - PER TOOTH
+46 ;;SVC^^
+47 ;;USE
+48 ;;Mechanically and/or chemically prepared enamel surface sealed to prevent decay.
+49 ;;CODE^2110^AMALGAM - ONE SURFACE, PRIMARY
+50 ;;SVC^^
+51 ;;USE
+52 ;;
+53 ;;CODE^2120^AMALGAM - TWO SURFACES, PRIMARY
+54 ;;SVC^^
+55 ;;USE
+56 ;;
+57 ;;CODE^2130^AMALGAM - THREE SURFACES, PRIMARY
+58 ;;SVC^^
+59 ;;USE
+60 ;;
+61 ;;CODE^2131^AMALGAM - FOUR OR MORE SURFACES, PRIMARY
+62 ;;SVC^^
+63 ;;USE
+64 ;;
+65 ;;CODE^2140^AMALGAM - ONE SURFACE, PERMANENT
+66 ;;SVC^^
+67 ;;USE
+68 ;;
+69 ;;CODE^2150^AMALGAM - TWO SURFACES, PERMANENT
+70 ;;SVC^^
+71 ;;USE
+72 ;;
+73 ;;CODE^2160^AMALGAM - THREE SURFACES, PERMANENT
+74 ;;SVC^^
+75 ;;USE
+76 ;;
+77 ;;CODE^2161^AMALGAM - FOUR OR MORE SURFACES, PERMANENT
+78 ;;SVC^^
+79 ;;USE
+80 ;;
+81 ;;CODE^2330^RESIN-BASED COMPOSITE - ONE SURFACE, ANTERIOR
+82 ;;SVC^^
+83 ;;USE
+84 ;;
+85 ;;CODE^2331^RESIN-BASED COMPOSITE - TWO SURFACES, ANTERIOR
+86 ;;SVC^^
+87 ;;USE
+88 ;;
+89 ;;CODE^2332^RESIN-BASED COMPOSITE - THREE SURFACES, ANTERIOR
+90 ;;SVC^^
+91 ;;USE
+92 ;;
+93 ;;CODE^2335^RESIN-BASED COMPOSITE - FOUR OR MORE SURFACES OR INVOLVING INCISAL ANGLE (ANTERIOR)
+94 ;;SVC^^
+95 ;;USE
+96 ;;Incisal angle to be defined as one of the angles formed by the junction of the incisal and the mesial or distal surface of an anterior tooth.
+97 ;;CODE^2336^RESIN-BASED COMPOSITE CROWN, ANTERIOR-PRIMARY
+98 ;;SVC^^
+99 ;;USE
+100 ;;Full resin-based composite coverage of tooth.
+101 ;;CODE^2337^RESIN-BASED COMPOSITE CROWN, ANTERIOR-PERMANENT
+102 ;;MNE^CCP
+103 ;;SVC^4^45^9148
+104 ;;SYN^COMP CRN PERM
+105 ;;USE
+106 ;;Full resin-based composite coverage of tooth
+107 ;;CODE^2380^RESIN-BASED COMPOSITE - ONE SURFACE, POSTERIOR-PRIMARY
+108 ;;SVC^^
+109 ;;USE
+110 ;;Used to restore a carious lesion into the dentin or a deeply eroded area into the dentin. Not a preventive procedure.
+111 ;;CODE^2385^RESIN-BASED COMPOSITE - ONE SURFACE, POSTERIOR-PERMANENT
+112 ;;SVC^^
+113 ;;USE
+114 ;;Used to restore a carious lesion into the dentin or a deeply eroded area into the dentin. Not a preventive procedure.
+115 ;;CODE^2388^RESIN-BASED COMPOSITE - FOUR OR MORE SURFACES, POSTERIOR PERMANENT
+116 ;;MNE^C4+
+117 ;;SVC^9^30^9148
+118 ;;SYN^COMP 4+ SURF
+119 ;;USE
+120 ;;
+121 ;;CODE^2542^ONLAY-METALLIC-TWO SURFACES
+122 ;;MNE^ON2
+123 ;;SVC^4^50^9148
+124 ;;SYN^ONLAY 2 SURF
+125 ;;USE
+126 ;;
+127 ;;CODE^2544^ONLAY-METALLIC-FOUR OR MORE SURFACES
+128 ;;SVC^^
+129 ;;USE
+130 ;;
+131 ;;CODE^2610^INLAY - PORCELAIN/CERAMIC - ONE SURFACE
+132 ;;SVC^^
+133 ;;USE
+134 ;;
+135 ;;CODE^2620^INLAY - PORCELAIN/CERAMIC - TWO SURFACES
+136 ;;SVC^^
+137 ;;USE
+138 ;;
+139 ;;CODE^2630^INLAY - PORCELAIN/CERAMIC - THREE OR MORE SURFACES
+140 ;;SVC^^
+141 ;;USE
+142 ;;
