Codes

• Code categories

  the code for Diagnostic = Exams, radiographs, tests

  0
• Code categories

  the code for Prevention = Scaling, polishing, fluoride, sealants

  1
• Code categories

  the code for Restoration = Amalgams, composites, crowns

  2
• Code categories

  the code for Endodontics = RCT, pulpotomy, open and drain

  3
• Code categories

  the code for Periodontitcs – Root planning, oral disease

  4
• Code categories

  the code for Prosthodontics = Removable/ fixed

  5
• Code categories

  the code for Oral surgery = Extractions

  7
• Exams by the dentist codes

  • Standard Exam / New Patient Exam

  01201
• Exams by the dentist codes

  • Recall Exam

  01202
• Exams by the dentist codes

  • specific exam

  01204
• Exams by the dentist codes

  • emergency exam

  01205
• Complete exam diagnostic codes

  • primary dentition

  01101
• Complete exam diagnostic codes

  • mixed dentition

  01102
• Complete exam diagnostic codes

  • permanent dentition

  01103
• Radiographic codes

  • panoramic film

  02601
• Radiographic codes

  • FMS

  02102
• Radiographic codes

  • Single PA

  02111
• Radiographic codes

  • 2 bitewings

  02142
• Radiographic codes

  • 4 bitewings

  02144
• Preventative Procedural Codes

  • polishing

  11101
• Preventative Procedural Codes

  • 1 unit of scaling

  11111
• Preventative Procedural Codes

  • 2 units of scaling

  11112
• Preventative Procedural Codes

  • 3 units of scaling

  11113
• Preventative Procedural Codes

  • 4 units of scaling

  11114
• Preventative Procedural Codes

  • 1/2 unit of scaling

  11117
• Preventative Procedural Codes

  • fluoride rinse

  12111
• Preventative Procedural Codes

  • fluoride gel / foam

  12112
• Preventative Procedural Codes

  • fluoride varnish

  12113
• Tricks to understanding

  Scaling: (11111 - 11114)

  • The last digit designates unit of time
  • Each unit is equal to 15 minutes of work
  • 11117 – represents ½ unit (7 - 8 minutes)

  Root Planing: (43421 - 43427)

  • Operate the same as scaling units

  Radiographs:

  • Periapicals: 02111, 02112, 02113 – last digit represents number of films
  • Bitewings: 02141, 02142, 02143, 02144– last digit represents number of films
• Each procedural code begins with a number which identifies that type of service. Periodontics starts with the number

  1. 1
  2. 2
  3. 3
  4. 4

  4
• The procedural recall exam code is

  01202
• The procedural code for a complete primary dentition exam and diagnosis is

  01101
• The procedural code for a complete Mixed dentition exam and diagnosis is

  01102
• The procedural code for a complete permanent dentition exam and diagnosis is

  01103
• The procedural code for 2 BW is

  02142
• The procedural code for polishing is

  11101
• The procedural code for fluoride is

  12101
• The procedural code for 1/2 unit fo scaling is

  11117
• The procedural code for 3 unites of root planing is

  43423