- 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 ;;