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Code
Type
Clinical Procedure
Unit
01011
- DIAGNOSTIC
- Clinical Oral, Exam & Diagnosis
- Dental Visit/Orientation
01101
- DIAGNOSTIC
- Clinical Oral, Exam & Diagnosis
- Primary Dentition
It is appropriate to use codes 01101, 01102, 01103 for the complete examination of a new patient or for the complete examination of selected existing patients. The frequency of service will be patient specific and based on individual patient needs.
01102
- DIAGNOSTIC
- Clinical Oral, Exam & Diagnosis
- Mixed Dentition
It is appropriate to use codes 01101, 01102, 01103 for the complete examination of a new patient or for the complete examination of selected existing patients. The frequency of service will be patient specific and based on individual patient needs.
01103
- DIAGNOSTIC
- Clinical Oral, Exam & Diagnosis
- Permanent Dentition
It is appropriate to use codes 01101, 01102, 01103 for the complete examination of a new patient or for the complete examination of selected existing patients. The frequency of service will be patient specific and based on individual patient needs.
01201
- DIAGNOSTIC
- Exam & Diagnosis, Limited Oral
- New Patient
01202
- DIAGNOSTIC
- Exam & Diagnosis, Limited Oral
- Previous Patient (recall)
Code 01202 is used for the re-examination of a regular patient. It is inappropriate to bill a recall exam code in conjunction with a specific (01204) or emergency exam code (01206) should the patient mention a specific problem during a recall exam, it is still covered under the recall examination code.
01204
- DIAGNOSTIC
- Exam & Diagnosis, Limited Oral
- Specific
The specific examination and diagnosis code (01204) is appropriately used for specific situations such as (but not limited to) lost fillings, broken dentures, TMJ examinations.
01205
- DIAGNOSTIC
- Exam & Diagnosis, Limited Oral
- Emergency
01206
- DIAGNOSTIC
- Exam & Diagnosis, Limited Oral
- Analysis, Mixed Dentition
The emergency examination and diagnosis code (01206) is used for the investigation of discomfort and/or infection in a localized area.
01301
- DIAGNOSTIC
- Dysfunc, Exam&Diagnosis, Stomatognathic
- Comprehensive
01302
- DIAGNOSTIC
- Dysfunc, Exam&Diagnosis, Stomatognathic
- Limited
01401
- DIAGNOSTIC
- Exam & Diagnosis, Oral Pathology
- General
01402
- DIAGNOSTIC
- Exam & Diagnosis, Oral Pathology
- Specific
01501
- DIAGNOSTIC
- Exam & Diagnosis, Periodontal
- General
01502
- DIAGNOSTIC
- Exam & Diagnosis, Periodontal
- Previous Patient
01503
- DIAGNOSTIC
- Exam & Diagnosis, Periodontal
- Specific
01601
- DIAGNOSTIC
- Exam & Diagnosis, Surgical
- General
01602
- DIAGNOSTIC
- Exam & Diagnosis, Surgical
- Specific
01701
- DIAGNOSTIC
- Exam & Diagnosis, Prosthodontic
- Edentulous
01702
- DIAGNOSTIC
- Exam & Diagnosis, Prosthodontic
- Specific