ADECDT6 ; IHS/HQT/MJL - ADA CODE TABLE UPDATE (CDT3) ;
;;6.0;ADE;**7**;APR 03, 2001
;
;;CODE^7941^OSTEOTOMY - MANDIBULAR RAMI
;;SVC^^
;;USE
;;
;;CODE^7943^OSTEOTOMY - MANDIBULAR RAMI WITH BONE GRAFT; INCLUDES OBTAINING THE GRAFT
;;SVC^^
;;USE
;;
;;CODE^7950^OSSEOUS, OSTEOPERIOSTEAL, OR CARTILAGE GRAFT OF THE MANDIBLE OR FACIAL BONES - AUTOGENOUS OR NONAUTOGENOUS, BY REPORT
;;SVC^^
;;USE
;;
;;CODE^7997^APPLIANCE REMOVAL (NOT BY DENTIST WHO PLACED APPLIANCE), INCLUDES REMOVAL OF ARCHBAR
;;MNE^AR
;;SVC^3^25^6611
;;SYN^APP REM
;;USE
;;
;;CODE^8691^REPAIR OF ORTHODONTIC APPLIANCE.
;;MNE^ROA
;;SVC^1^20^11633
;;SYN^REP ORTH APP
;;USE
;;Does not include bracket and standard fixed ortho appliances. It does include functional appliances and palatal expanders.
;;CODE^8692^REPLACEMENT OF LOST OR BROKEN RETAINER
;;MNE^ROR
;;SVC^4^44^11633
;;SYN^REP ORTHO RET
;;USE
;;
;;CODE^9230^ANALGESIA, ANXIOLYSIS, INHALATION OF NITROUS OXIDE
;;SVC^^
;;USE
;;
;;CODE^9241^INTRAVENOUS SEDATION/ANALGESIA - FIRST 30 MINUTES
;;MNE^IVS
;;SVC^5^30^2855
;;SYN^IV SED
;;USE
;;
;;CODE^9242^INTRAVENOUS SEDATION/ANALGESIA - EACH ADDITIONAL 15 MINUTES
;;MNE^IVSA
;;SVC^5^15^2855
;;SYN^IV SED ADD
;;USE
;;
;;CODE^9248^NON-INTRAVENOUS CONSCIOUS SEDATION
;;MNE^NIVS
;;SVC^5^30^2855
;;SYN^NON IV SED
;;USE
;;
;;CODE^9410^HOUSE/EXTENDED CARE FACILITY CALL
;;SVC^^
;;USE
;;Includes visits to nursing homes, long-term care facilities, hospice sites, institutions, etc.. Report in addition to reporting appropriate code numbers for actual services performed.
;;CODE^9630^OTHER DRUGS AND/OR MEDICAMENTS, BY REPORT
;;SVC^^
;;USE
;;Includes, but is not limited to, oral antibiotics, oral analgesics, and topical fluoride dispensed in the office for home use; does not include writing prescriptions.
;;CODE^9910^APPLICATION OF DESENSITIZING MEDICAMENT
;;SVC^^
;;USE
;;Includes in-office treatment for root sensitivity. Typically reported on a "per visit" basis for application of topical fluoride. This code is not to be used for bases, liners or adhesives used under restorations.
;;CODE^9911^APPLICATION OF DESENSITIZING RESIN FOR CERVICAL AND/OR ROOT SURFACE, PER TOOTH
;;MNE^ADR
;;SVC^1^15^2881
;;SYN^APP DESEN RESIN
;;USE
;;Typically reported on a "per tooth" basis for application of adhesive resins. This code is not to be used for bases, liners, or adhesives used under restorations.
;;CODE^9971^ODONTOPLASTY 1 - 2 TEETH; INCLUDES REMOVAL OF ENAMEL PROJECTIONS
;;MNE^ODP
;;SVC^4^10^9148
;;SYN^ODONTOPLASTY
;;USE
;;
;;CODE^9972^EXTERNAL BLEACHING - PER ARCH
;;MNE^EBA
;;SVC^6^20^9148
;;SYN^EXT BL/ARCH
;;USE
;;
;;CODE^9973^EXTERNAL BLEACHING - PER TOOTH
;;MNE^EBT
;;SVC^6^5^9148
;;SYN^EXT BL/TOOTH
;;USE
;;
;;CODE^9974^INTERNAL BLEACHING - PER TOOTH
;;MNE^IBT
;;SVC^4^20^9148
;;SYN^INT BL/TOOTH
;;USE
;;
;;***END***
ADECDT6 ; IHS/HQT/MJL - ADA CODE TABLE UPDATE (CDT3) ;
+1 ;;6.0;ADE;**7**;APR 03, 2001
+2 ;
+3 ;;CODE^7941^OSTEOTOMY - MANDIBULAR RAMI
+4 ;;SVC^^
+5 ;;USE
+6 ;;
+7 ;;CODE^7943^OSTEOTOMY - MANDIBULAR RAMI WITH BONE GRAFT; INCLUDES OBTAINING THE GRAFT
+8 ;;SVC^^
+9 ;;USE
+10 ;;
+11 ;;CODE^7950^OSSEOUS, OSTEOPERIOSTEAL, OR CARTILAGE GRAFT OF THE MANDIBLE OR FACIAL BONES - AUTOGENOUS OR NONAUTOGENOUS, BY REPORT
+12 ;;SVC^^
+13 ;;USE
+14 ;;
+15 ;;CODE^7997^APPLIANCE REMOVAL (NOT BY DENTIST WHO PLACED APPLIANCE), INCLUDES REMOVAL OF ARCHBAR
+16 ;;MNE^AR
+17 ;;SVC^3^25^6611
+18 ;;SYN^APP REM
+19 ;;USE
+20 ;;
+21 ;;CODE^8691^REPAIR OF ORTHODONTIC APPLIANCE.
+22 ;;MNE^ROA
+23 ;;SVC^1^20^11633
+24 ;;SYN^REP ORTH APP
+25 ;;USE
+26 ;;Does not include bracket and standard fixed ortho appliances. It does include functional appliances and palatal expanders.
+27 ;;CODE^8692^REPLACEMENT OF LOST OR BROKEN RETAINER
+28 ;;MNE^ROR
+29 ;;SVC^4^44^11633
+30 ;;SYN^REP ORTHO RET
+31 ;;USE
+32 ;;
+33 ;;CODE^9230^ANALGESIA, ANXIOLYSIS, INHALATION OF NITROUS OXIDE
+34 ;;SVC^^
+35 ;;USE
+36 ;;
+37 ;;CODE^9241^INTRAVENOUS SEDATION/ANALGESIA - FIRST 30 MINUTES
+38 ;;MNE^IVS
+39 ;;SVC^5^30^2855
+40 ;;SYN^IV SED
+41 ;;USE
+42 ;;
+43 ;;CODE^9242^INTRAVENOUS SEDATION/ANALGESIA - EACH ADDITIONAL 15 MINUTES
+44 ;;MNE^IVSA
+45 ;;SVC^5^15^2855
+46 ;;SYN^IV SED ADD
+47 ;;USE
+48 ;;
+49 ;;CODE^9248^NON-INTRAVENOUS CONSCIOUS SEDATION
+50 ;;MNE^NIVS
+51 ;;SVC^5^30^2855
+52 ;;SYN^NON IV SED
+53 ;;USE
+54 ;;
+55 ;;CODE^9410^HOUSE/EXTENDED CARE FACILITY CALL
+56 ;;SVC^^
+57 ;;USE
+58 ;;Includes visits to nursing homes, long-term care facilities, hospice sites, institutions, etc.. Report in addition to reporting appropriate code numbers for actual services performed.
+59 ;;CODE^9630^OTHER DRUGS AND/OR MEDICAMENTS, BY REPORT
+60 ;;SVC^^
+61 ;;USE
+62 ;;Includes, but is not limited to, oral antibiotics, oral analgesics, and topical fluoride dispensed in the office for home use; does not include writing prescriptions.
+63 ;;CODE^9910^APPLICATION OF DESENSITIZING MEDICAMENT
+64 ;;SVC^^
+65 ;;USE
+66 ;;Includes in-office treatment for root sensitivity. Typically reported on a "per visit" basis for application of topical fluoride. This code is not to be used for bases, liners or adhesives used under restorations.
+67 ;;CODE^9911^APPLICATION OF DESENSITIZING RESIN FOR CERVICAL AND/OR ROOT SURFACE, PER TOOTH
+68 ;;MNE^ADR
+69 ;;SVC^1^15^2881
+70 ;;SYN^APP DESEN RESIN
+71 ;;USE
+72 ;;Typically reported on a "per tooth" basis for application of adhesive resins. This code is not to be used for bases, liners, or adhesives used under restorations.
+73 ;;CODE^9971^ODONTOPLASTY 1 - 2 TEETH; INCLUDES REMOVAL OF ENAMEL PROJECTIONS
+74 ;;MNE^ODP
+75 ;;SVC^4^10^9148
+76 ;;SYN^ODONTOPLASTY
+77 ;;USE
+78 ;;
+79 ;;CODE^9972^EXTERNAL BLEACHING - PER ARCH
+80 ;;MNE^EBA
+81 ;;SVC^6^20^9148
+82 ;;SYN^EXT BL/ARCH
+83 ;;USE
+84 ;;
+85 ;;CODE^9973^EXTERNAL BLEACHING - PER TOOTH
+86 ;;MNE^EBT
+87 ;;SVC^6^5^9148
+88 ;;SYN^EXT BL/TOOTH
+89 ;;USE
+90 ;;
+91 ;;CODE^9974^INTERNAL BLEACHING - PER TOOTH
+92 ;;MNE^IBT
+93 ;;SVC^4^20^9148
+94 ;;SYN^INT BL/TOOTH
+95 ;;USE
+96 ;;
+97 ;;***END***