CODE,
DESCRIPTION, S1, S2, P40, P50, P60, P70, P80, P90, P95, NOTES
NAME
TYPE
SIZE
CODE
CHAR
5
DESC
CHAR
200
S1
NUM
11
S2
NUM
11
P40
NUM
11
P50
NUM
11
P60
NUM
11
P70
NUM
11
P80
NUM
11
P90
NUM
11
P95
NUM
11
NOTE
CHAR
200
NDAS
proprietary fee information P40 P50 P60 P70 P80 P90 & P95 fields do not
export unless you have the developers
version.
Sample
Data File (Developers Version) CSV file format
"Code","Desc",S1,S2,P40,P50,P60,P70,P80,P90,"NOTES"
"D0120","Periodic
oral evaluation",30,31,24,25,27,29,34,37,"An evaluation performed
on a patient of record to determine any changes in the patient's dental and
medical health status since a previous comprehensive or periodic evaluation.
This may require interpretation of information acquired through additional
diagnostic procedures. Report additional diagnostic procedures separately.
An evaluation performed on a patient of record to determine any changes in
the patient's dental and medical health status since a previous
comprehensive or periodic evaluation. This may require interpretation of
information acquired through additional diagnostic procedures. Report
additional diagnostic procedures separately."
"D0140","Limited
oral evaluation - problem
focused",40,41,36,38,39,43,46,53,59,"Revised Descriptor:
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."
"D0150","Comprehensive
oral evaluation",44,45,38,43,45,48,54,66,78,"Revised Descriptor:
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."
"D0160","Detailed
and extensive oral evaluation - problem
focused, by report",73,74,67,72,77,85,96,123,144,"A
detailed and extensive problem focused evaluation entails extensive
diagnostic and cognitive modalities based on the findings of a comprehensive
oral evaluation. Integration of more extensive diagnostic modalities to
develop a treatment plan for a specific problem is required. The condition
requiring this type of evaluation should be described and documented.
Examples of conditions requiring this type of evaluation may include
dentofacial anomalies, complicated perio-prosthetic conditions, complex
temporomandibular dysfunction, facial pain of unknown origin, severe
systemic diseases requiring multi-disciplinary consultation, etc."
"D0170","Re-evaluation-limited,
problem focused (Established patient; not postoperative
visit)",21,21,IR,15,17,18,20,IR,IR,"New CDT-3:
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."
"D0210","Intraoral
- complete series (including
bitewings)",79,81,71,72,77,79,84,91,""
"D0220","Intraoral
- periapical first film",17,17,13,14,15,16,17,19,""
"D0230","Intraoral
- periapical each additional film",16,16,11,12,13,13,14,16,""
"D0240","Intraoral
- occlusal film",30,31,21,23,24,27,29,35,""
"D0250","Extraoral
- first film",40,41,29,30,31,38,42,58,""
"D0260","Extraoral
- each additional film",37,38,21,24,29,33,37,44,""
"D0270","Bitewing
- single film",19,19,13,14,15,16,17,19,""
CDT-4
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