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Home>>
Dentists>> Processing policies
and reporting guidelines |
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Processing policies and reporting guidelines
Find information on Delta's program benefits
and processing policies, tips and guidelines for reporting
treatment on claims, and suggestions on when to submit
radiographs, reports or periodontal charting.
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| Changes in CDT coding and Delta Dental policy January 2007 |
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Deleted codes, new codes and additional policies and guidelines. |
| Table
of contents |
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Table
of contents for processing policies and reporting
guidelines. |
| Procedure
code list |
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Complete
list of procedure codes, by category. Codes and
nomenclature are copyright of the American Dental
Association. |
| Procedure
number index |
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Helpful
index of common procedures. |
| Diagnostic |
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Clinical
oral evaluations, radiographs/diagnostic imaging,
tests and examinations. |
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| Preventive |
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Prophylaxis
and fluoride treatment, sealants, space maintenance
and other preventive services. |
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| Restorative |
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Amalgam and resin-based
composite restorations, inlays, onlays, crowns,
core buildup, pin retention, cast post and core,
prefabricated post and core, veneers and other restorative
procedures. |
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| Endodontics |
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Pulp
capping, pulpotomy, endodontic therapy, endodontic
retreatment, apicoectomy/periradicular services,
retrograde filling, root amputation, endodontic
endosseous implant and other endodontic procedures. |
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| Periodontics |
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Surgical
services, postoperative care, gingival flap procedures,
clinical crown lengthening, bone replacement graft,
guided tissue regeneration, soft tissue graft procedures,
other surgical procedures, periodontal scaling and
root planing, procedures that need periodontal charting,
radiographs and/or reports, non-surgical services
and other periodontal services |
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| Prosthodontics,
removable |
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Complete
and partial dentures, routine post-delivery care,
adjustments, repairs, rebase and reline procedures,
interim prosthesis and other removable prosthetic
services. |
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| Maxillofacial
prosthetics |
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Maxillofacial
prosthetic procedures. |
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| Implant
services |
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Surgical
placement of implants, implant supported prosthetics,
maintenance, repair, removal and other implant services. |
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| Prosthodontics,
fixed |
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Fixed
partial denture pontics, retainers, inlays/onlays,
crowns, cast post and core, prefabricated post and
core, core buildup, coping, cast post, prefabricated
post, partial denture repair, pediatric partial
denture and other fixed partial denture services. |
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| Oral
surgery |
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Extractions,
alveoloplasty, vestibuloplasty, other surgical services,
excision of soft tissue lesions, intra-osseous lesions
and bone tissue, incision, treatment of simple and
compound fractures, reduction of dislocation and
management of TMJ dysfunction, repair of traumatic
wounds, complicated suturing/reconstruction, other
repair procedures. |
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| Orthodontics |
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Limited
and comprehensive treatment, treatment to control
harmful habits, appliance repair and other orthodontic
services. |
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| Adjunctive
general services |
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Unclassified
treatment, emergency treatment, anesthesia, sedation,
general anesthesia, analgesia, professional consultation
and visits, treatment of unusual complications,
mouthguards, occlusal adjustment, bleaching and
other miscellaneous services. |
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Download the entire handbook
(large file - high-speed Internet connection recommended)
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