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Unified Medical Language System® (UMLS®)

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2012AA HCPCS Version of Current Dental Terminology Source Information

Counts

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Attribute Name Description Count (MRSAT.RRF)
HAC HCPCS action code - code denoting the change made to a procedure or modifier code within the HCPCS system. 593
HAD HCPCS Action Effective Date - effective date of action to a procedure or modifier code. 593
HAQ HCPCS Anesthesia Base Unit Quantity - base unit represents the level of intensity for anesthesia procedure services that reflects all activities except time. 593
HBT HCPCS Berenson-Eggers Type of Service Code - BETOS for the procedure code based on generally agreed upon clinically meaningful groupings of procedures and services. 593
HCC HCPCS Coverage Code - code denoting Medicare coverage status. There are two subelements separated by "=". 593
HCD HCPCS Code Added Date - year the HCPCS code was added to the HCFA Common Procedure Coding System. 593
HMP HCPCS Multiple Pricing Indicator Code - code used to identify instances where a procedure could be priced. 593
HPI HCPCS Pricing Indicator Code - used to identify the appropriate methodology for developing unique pricing amounts under Part B. 593
HTS HCPCS Type of Service Code - carrier assigned HCFA Type of Service which describes the particular kind(s) of service represented by the procedure code. 593
HSN HCPCS Statute Number identifying statute reference for coverage or noncoverage of procedure or service. 286
HMR HCPCS Medicare Carriers Manual reference section number - number identifying a section of the Medicare Carriers Manual. 177
HXR HCPCS Cross reference code - an explicit reference crosswalking a deleted code or a code that is not valid for Medicare to a valid current code (or range of codes). 176
HPN HCPCS processing note number identifying the processing note contained in Appendix A of the HCPCS Manual. 49
HIR HCPCS Coverage Issues Manual Reference Section Number - number identifying the Reference Section of the Coverage Issues Manual. 15

Notes

  • Attributes included every discrete piece of information about a concept, an atom, or a relationship that is not part of the basic Metathesaurus concept structure or distributed in one of the relationship files.
  • Attribute Names (ATN) are based on source documentation or NLMs understanding of the source.
  • Sample attribute values (ATV) are provided for each ATN in the source.
  • Sample data highlight examples of ATNs and Attribute Values (ATV) in MRSAT.RRF.
  • See Metathesaurus Documentation for a complete list of attribute names.
  • See Section 2.5 of the UMLS Reference Manual for more information on attributes in the UMLS Metathesaurus.

Sample Data

HAC

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0498016 A0964800 L0837914 S0908007 SCUI D0220 HAC N=No maintenance for this code INTRAORAL-PERIAPICAL-FIRST FILM
C0498020 A0925397 L0680200 S0867193 SCUI D0260 HAC N=No maintenance for this code EXTRAORAL-EACH ADDITIONAL FILM
C0812629 A1751750 L1506059 S1800185 SCUI D0277 HAC N=No maintenance for this code VERTICAL BITEWINGS - 7 TO 8 FILMS
C0498025 A1098389 L0725188 S1040797 SCUI D0320 HAC N=No maintenance for this code TEMPOROMANDIBULAR JOINT ARTHROGRAM, INCLUDING INJECTION
C0498026 A1017358 L0837915 S0960969 SCUI D0321 HAC N=No maintenance for this code OTHER TEMPOROMANDIBULAR JOINT FILMS, BY REPORT
C0204137 A0885464 L0247658 S0826013 SCUI D0425 HAC N=No maintenance for this code CARIES SUSCEPTIBILITY TESTS
C0498029 A0911888 L0774004 S0853464 SCUI D0470 HAC N=No maintenance for this code DIAGNOSTIC CASTS
C0204184 A1076420 L0247709 S1019049 SCUI D1525 HAC N=No maintenance for this code SPACE MAINTAINER-REMOVABLE BILATERAL
C0204185 A1061123 L0247710 S1003021 SCUI D1550 HAC N=No maintenance for this code RECEMENTATION OF SPACE MAINTAINER
C1145033 A2412095 L2342096 S2776588 SCUI D2394 HAC N=No maintenance for this code RESIN-BASED COMPOSITE - FOUR OR MORE SURFACES, POSTERIOR
C0498060 A0964500 L0858844 S0907605 SCUI D2510 HAC N=No maintenance for this code INLAY-METALLIC-ONE SURFACE
C0498064 A1016697 L0870863 S0960172 SCUI D2543 HAC N=No maintenance for this code ONLAY - METALLIC - THREE SURFACES
C0498072 A1016699 L0777744 S0960173 SCUI D2644 HAC N=No maintenance for this code ONLAY - PORCELAIN/CERAMIC - FOUR OR MORE SURFACES
C0498079 A1752733 L1506360 S1801117 SCUI D2664 HAC N=No maintenance for this code ONLAY - - RESIN-BASED COMPOSITE - FOUR OR MORE SURFACES
C0498080 A7185500 L5316388 S6058143 SCUI D2710 HAC N=No maintenance for this code CROWN - RESIN-BASED COMPOSITE (INDIRECT)
C0204435 A0888838 L0740897 S0830611 SCUI D2751 HAC N=No maintenance for this code CROWN-PROCELAIN FUSED TO PREDOMINANTLY BASE METAL
C0812639 A1751641 L1506014 S1800084 SCUI D2781 HAC N=No maintenance for this code CROWN - 3/4 CAST PREDOMINANTLY BASE METAL
C1508793 A7185504 L5316547 S6058145 SCUI D2794 HAC N=No maintenance for this code CROWN-TITANIUM
C0204277 A1039314 L0247802 S0981487 SCUI D2930 HAC N=No maintenance for this code PREFABRICATED STAINLESS STEEL CROWN-PRIMARY TOOTH

HAD

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0498014 A0911651 L0809927 S0853207 SCUI D0160 HAD 19960101 DETAILED AND EXTENSIVE ORAL EVALUATION - PROBLEM FOCUSED, BY REPORT
C0812628 A1753380 L1506621 S1801702 SCUI D0170 HAD 20000101 RE-EVALUATION-LIMITED, PROBLEM FOCUSED (ESTABLISHED PATIENT; NOT POST-OPERATIVE VISIT)
C0498016 A0964800 L0837914 S0908007 SCUI D0220 HAD 19960101 INTRAORAL-PERIAPICAL-FIRST FILM
C0498022 A0873928 L0747874 S0814244 SCUI D0272 HAD 19930101 BITEWINGS-TWO FILMS
C0498023 A0873926 L0747872 S0814243 SCUI D0274 HAD 19930101 BITEWINGS-FOUR FILMS
C1736659 A11003601 L6139485 S7050824 SCUI D0360 HAD 20070101 CONE BEAM CT - CRANIOFACIAL DATA CAPTURE
C0498028 A7185464 L5316504 S6058114 SCUI D0415 HAD 20050101 COLLECTION OF MICROORGANISMS FOR CULTURE AND SENSITIVITY
C0204137 A0885464 L0247658 S0826013 SCUI D0425 HAD 19970101 CARIES SUSCEPTIBILITY TESTS
C0812632 A1751917 L1506121 S1800317 SCUI D0473 HAD 20000101 ACCESSION OF TISSUE, GROSS AND MICROSCOPIC EXAMINATION, PREPARATION AND TRANSMISSION OF WRITTEN REPORT
C0204131 A1016986 L0247652 S0960554 SCUI D1330 HAD 19960101 ORAL HYGIENE INSTRUCTION
C0498037 A1075452 L0878104 S1017874 SCUI D1351 HAD 19960101 SEALANT-PER TOOTH
C0498043 A2410280 L2341971 S2774903 SCUI D2150 HAD 20030101 AMALGAM-TWO SURFACES, PRIMARY OR PERMANENT
C1145033 A2412095 L2342096 S2776588 SCUI D2394 HAD 20030101 RESIN-BASED COMPOSITE - FOUR OR MORE SURFACES, POSTERIOR
C0812637 A1753736 L1506742 S1802005 SCUI D2542 HAD 20000101 ONLAY-METALLIC-TWO SURFACES
C0498064 A1016697 L0870863 S0960172 SCUI D2543 HAD 19960101 ONLAY - METALLIC - THREE SURFACES
C0498067 A0964518 L0777747 S0907614 SCUI D2620 HAD 19960101 INLAY-PORCELAIN/CERAMIC-TWO SURFACES
C0498072 A1016699 L0777744 S0960173 SCUI D2644 HAD 19960101 ONLAY - PORCELAIN/CERAMIC - FOUR OR MORE SURFACES
C0204275 A1061119 L0247800 S1003019 SCUI D2920 HAD 19960101 RECEMENT CROWN
C0498084 A0888286 L0711438 S0829865 SCUI D2950 HAD 19960101 CORE BUILD-UP, INCLUDING ANY PINS

HAQ

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0498019 A0925399 L0832461 S0867194 SCUI D0250 HAQ 0 EXTRAORAL-FIRST FILM
C0498022 A0873928 L0747874 S0814244 SCUI D0272 HAQ 0 BITEWINGS-TWO FILMS
C0812629 A1751750 L1506059 S1800185 SCUI D0277 HAQ 0 VERTICAL BITEWINGS - 7 TO 8 FILMS
C0407698 A0886326 L0777686 S0827217 SCUI D0340 HAQ 0 CEPHALOMETRIC FILM
C0812630 A7185153 L5316631 S6057572 SCUI D0350 HAQ 0 ORAL/FACIAL PHOTOGRAPHIC IMAGES
C0498028 A7185464 L5316504 S6058114 SCUI D0415 HAQ 0 COLLECTION OF MICROORGANISMS FOR CULTURE AND SENSITIVITY
C0204137 A0885464 L0247658 S0826013 SCUI D0425 HAQ 0 CARIES SUSCEPTIBILITY TESTS
C0204181 A1076418 L0247706 S1019048 SCUI D1510 HAQ 0 SPACE MAINTAINER-FIXED UNILATERAL
C0204184 A1076420 L0247709 S1019049 SCUI D1525 HAQ 0 SPACE MAINTAINER-REMOVABLE BILATERAL
C0498042 A2410276 L2341969 S2774901 SCUI D2140 HAQ 0 AMALGAM-ONE SURFACE, PRIMARY OR PERMANENT
C0498043 A2410280 L2341971 S2774903 SCUI D2150 HAQ 0 AMALGAM-TWO SURFACES, PRIMARY OR PERMANENT
C0498048 A1061860 L0706270 S1003834 SCUI D2332 HAQ 0 RESIN-THREE SURFACES, ANTERIOR
C1145031 A2412101 L2342099 S2776591 SCUI D2392 HAQ 0 RESIN-BASED COMPOSITE - TWO SURFACES, POSTERIOR
C0498067 A0964518 L0777747 S0907614 SCUI D2620 HAQ 0 INLAY-PORCELAIN/CERAMIC-TWO SURFACES
C0498070 A1016703 L0777749 S0960175 SCUI D2642 HAQ 0 ONLAY - PORCELAIN/CERAMIC - TWO SURFACES
C0204436 A0888831 L0247963 S0830608 SCUI D2752 HAQ 0 CROWN-PORCELAIN FUSED TO NOBLE METAL
C0204437 A1751647 L0247964 S1800087 SCUI D2780 HAQ 0 CROWN - 3/4 CAST HIGH NOBLE METAL
C0204277 A1039314 L0247802 S0981487 SCUI D2930 HAQ 0 PREFABRICATED STAINLESS STEEL CROWN-PRIMARY TOOTH
C0498084 A0888286 L0711438 S0829865 SCUI D2950 HAQ 0 CORE BUILD-UP, INCLUDING ANY PINS

HBT

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0498011 A11003222 L6139602 S7050130 SCUI D0120 HBT Y1=Other - Medicare fee schedule PERIODIC ORAL EVALUATION - ESTABLISHED PATIENT
C0498012 A0981716 L0828994 S0925083 SCUI D0140 HBT Y1=Other - Medicare fee schedule LIMITED ORAL EVALUATION - PROBLEM FOCUSED
C0812628 A1753380 L1506621 S1801702 SCUI D0170 HBT Y1=Other - Medicare fee schedule RE-EVALUATION-LIMITED, PROBLEM FOCUSED (ESTABLISHED PATIENT; NOT POST-OPERATIVE VISIT)
C0498015 A0964796 L0747871 S0908005 SCUI D0210 HBT Y1=Other - Medicare fee schedule INTRAORAL-COMPLETE SERIES (INCLUDING BITEWINGS)
C0498019 A0925399 L0832461 S0867194 SCUI D0250 HBT Y1=Other - Medicare fee schedule EXTRAORAL-FIRST FILM
C0498023 A0873926 L0747872 S0814243 SCUI D0274 HBT Y1=Other - Medicare fee schedule BITEWINGS-FOUR FILMS
C0498028 A7185464 L5316504 S6058114 SCUI D0415 HBT Y1=Other - Medicare fee schedule COLLECTION OF MICROORGANISMS FOR CULTURE AND SENSITIVITY
C0812632 A1751917 L1506121 S1800317 SCUI D0473 HBT Y1=Other - Medicare fee schedule ACCESSION OF TISSUE, GROSS AND MICROSCOPIC EXAMINATION, PREPARATION AND TRANSMISSION OF WRITTEN REPORT
C1508791 A7185486 L5316411 S6058133 SCUI D0485 HBT Y1=Other - Medicare fee schedule CONSULTATION, INCLUDING PREPARATION OF SLIDES FROM BIOPSY MATERIAL SUPPLIED BY REFERRING SOURCE
C0498033 A1109822 L0811542 S1052083 SCUI D0999 HBT Y1=Other - Medicare fee schedule UNSPECIFIED DIAGNOSTIC PROCEDURE, BY REPORT
C0498036 A1099310 L0797634 S1041859 SCUI D1320 HBT Y1=Other - Medicare fee schedule TOBACCO COUNSELING FOR THE CONTROL AND PREVENTION OF ORAL DISEASE
C0498037 A1075452 L0878104 S1017874 SCUI D1351 HBT Y1=Other - Medicare fee schedule SEALANT-PER TOOTH
C0204181 A1076418 L0247706 S1019048 SCUI D1510 HBT Y1=Other - Medicare fee schedule SPACE MAINTAINER-FIXED UNILATERAL
C0498044 A2410278 L2341970 S2774902 SCUI D2160 HBT Y1=Other - Medicare fee schedule AMALGAM-THREE SURFACES, PRIMARY OR PERMANENT
C0498045 A2410274 L2341968 S2774900 SCUI D2161 HBT Y1=Other - Medicare fee schedule AMALGAM-FOUR OR MORE SURFACES, PRIMARY OR PERMANENT
C0498046 A1061850 L0706212 S1003829 SCUI D2330 HBT Y1=Other - Medicare fee schedule RESIN-ONE SURFACE, ANTERIOR
C1145030 A2412097 L2342097 S2776589 SCUI D2391 HBT Y1=Other - Medicare fee schedule RESIN-BASED COMPOSITE - ONE SURFACE, POSTERIOR
C0498057 A0948916 L0840834 S0890509 SCUI D2410 HBT Y1=Other - Medicare fee schedule GOLD FOIL-ONE SURFACE
C0498070 A1016703 L0777749 S0960175 SCUI D2642 HBT Y1=Other - Medicare fee schedule ONLAY - PORCELAIN/CERAMIC - TWO SURFACES

HCC

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0498014 A0911651 L0809927 S0853207 SCUI D0160 HCC S=Non-covered by Medicare statute DETAILED AND EXTENSIVE ORAL EVALUATION - PROBLEM FOCUSED, BY REPORT
C0812628 A1753380 L1506621 S1801702 SCUI D0170 HCC S=Non-covered by Medicare statute RE-EVALUATION-LIMITED, PROBLEM FOCUSED (ESTABLISHED PATIENT; NOT POST-OPERATIVE VISIT)
C0498020 A0925397 L0680200 S0867193 SCUI D0260 HCC D=Special coverage instructions apply EXTRAORAL-EACH ADDITIONAL FILM
C1738553 A11002629 L6139564 S7050720 SCUI D0273 HCC S=Non-covered by Medicare statute BITEWINGS - THREE FILMS
C1659593 A1075837 L0037029 S1018378 SCUI D0310 HCC I=Not payable by Medicare SIALOGRAPHY
C0407698 A0886326 L0777686 S0827217 SCUI D0340 HCC I=Not payable by Medicare CEPHALOMETRIC FILM
C1737740 A11002631 L6139944 S7050823 SCUI D0362 HCC S=Non-covered by Medicare statute CONE BEAM - TWO-DIMENSIONAL IMAGE RECONSTRUCTION USING EXISTING DATA, INCLUDES MULTIPLE IMAGES
C0812631 A1751919 L1506122 S1800318 SCUI D0472 HCC D=Special coverage instructions apply ACCESSION OF TISSUE, GROSS EXAMINATION, PREPARATION AND TRANSMISSION OF WRITTEN REPORT
C0812634 A11002248 L6139497 S7049568 SCUI D0480 HCC D=Special coverage instructions apply ACCESSION OF EXFOLIATIVE CYTOLOGIC SMEARS, MICROSCOPIC EXAMINATION, PREPARATION AND TRANSMISSION OF WRITTEN REPORT
C0498044 A2410278 L2341970 S2774902 SCUI D2160 HCC S=Non-covered by Medicare statute AMALGAM-THREE SURFACES, PRIMARY OR PERMANENT
C1145033 A2412095 L2342096 S2776588 SCUI D2394 HCC S=Non-covered by Medicare statute RESIN-BASED COMPOSITE - FOUR OR MORE SURFACES, POSTERIOR
C0498058 A0948920 L0840836 S0890511 SCUI D2420 HCC S=Non-covered by Medicare statute GOLD FOIL-TWO SURFACES
C0498067 A0964518 L0777747 S0907614 SCUI D2620 HCC S=Non-covered by Medicare statute INLAY-PORCELAIN/CERAMIC-TWO SURFACES
C0498070 A1016703 L0777749 S0960175 SCUI D2642 HCC S=Non-covered by Medicare statute ONLAY - PORCELAIN/CERAMIC - TWO SURFACES
C0498071 A1016701 L0777748 S0960174 SCUI D2643 HCC S=Non-covered by Medicare statute ONLAY - PORCELAIN/CERAMIC - THREE SURFACES
C0498072 A1016699 L0777744 S0960173 SCUI D2644 HCC S=Non-covered by Medicare statute ONLAY - PORCELAIN/CERAMIC - FOUR OR MORE SURFACES
C0498079 A1752733 L1506360 S1801117 SCUI D2664 HCC S=Non-covered by Medicare statute ONLAY - - RESIN-BASED COMPOSITE - FOUR OR MORE SURFACES
C0204432 A0888851 L0247959 S0830616 SCUI D2721 HCC S=Non-covered by Medicare statute CROWN-RESIN WITH PREDOMINANTLY BASE METAL
C0812639 A1751641 L1506014 S1800084 SCUI D2781 HCC S=Non-covered by Medicare statute CROWN - 3/4 CAST PREDOMINANTLY BASE METAL

HCD

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0498016 A0964800 L0837914 S0908007 SCUI D0220 HCD 19840101 INTRAORAL-PERIAPICAL-FIRST FILM
C0498020 A0925397 L0680200 S0867193 SCUI D0260 HCD 19820101 EXTRAORAL-EACH ADDITIONAL FILM
C1738553 A11002629 L6139564 S7050720 SCUI D0273 HCD 20070101 BITEWINGS - THREE FILMS
C0498025 A1098389 L0725188 S1040797 SCUI D0320 HCD 19860101 TEMPOROMANDIBULAR JOINT ARTHROGRAM, INCLUDING INJECTION
C0498027 A1099354 L0886149 S1041924 SCUI D0322 HCD 19920101 TOMOGRAPHIC SURVEY
C0407698 A0886326 L0777686 S0827217 SCUI D0340 HCD 19820101 CEPHALOMETRIC FILM
C0812630 A7185153 L5316631 S6057572 SCUI D0350 HCD 20000101 ORAL/FACIAL PHOTOGRAPHIC IMAGES
C1742739 A11002247 L6139831 S7050822 SCUI D0363 HCD 20070101 CONE BEAM - THREE-DIMENSIONAL IMAGE RECONSTRUCTION USING EXISTING DATA, INCLUDES MULTIPLE IMAGES
C0498028 A7185464 L5316504 S6058114 SCUI D0415 HCD 19920101 COLLECTION OF MICROORGANISMS FOR CULTURE AND SENSITIVITY
C0812633 A1751915 L1506120 S1800316 SCUI D0474 HCD 20000101 ACCESSION OF TISSUE, GROSS AND MICROSCOPIC EXAMINATION, INCLUDING ASSESSMENT OF SURGICAL MARGINS FOR PRESENCE OF DISEASE, PREPARATION AND TRANSMISSION OF WRITTEN REPORT
C1508787 A7185287 L5316688 S6057838 SCUI D0477 HCD 20050101 SPECIAL STAINS, NOT FOR MICROORGANISMS
C0812634 A11002248 L6139497 S7049568 SCUI D0480 HCD 20000101 ACCESSION OF EXFOLIATIVE CYTOLOGIC SMEARS, MICROSCOPIC EXAMINATION, PREPARATION AND TRANSMISSION OF WRITTEN REPORT
C0204171 A1039562 L0781490 S0981782 SCUI D1120 HCD 19840101 PROPHYLAXIS-CHILD
C1740509 A11002451 L6140137 S7050565 SCUI D1206 HCD 20070101 TOPICAL FLUORIDE VARNISH; THERAPEUTIC APPLICATION FOR MODERATE TO HIGH CARIES RISK PATIENTS
C0204181 A1076418 L0247706 S1019048 SCUI D1510 HCD 19840101 SPACE MAINTAINER-FIXED UNILATERAL
C0204182 A1076416 L0247707 S1019047 SCUI D1515 HCD 19840101 SPACE MAINTAINER-FIXED BILATERAL
C0498049 A1061848 L0700597 S1003828 SCUI D2335 HCD 19840101 RESIN-FOUR OR MORE SURFACES OR INVOLVING INCISAL ANGLE (ANTERIOR)
C1145032 A2412099 L2342098 S2776590 SCUI D2393 HCD 20030101 RESIN-BASED COMPOSITE - THREE SURFACES, POSTERIOR
C0498066 A0964514 L0777746 S0907612 SCUI D2610 HCD 19840101 INLAY-PORCELAIN/CERAMIC-ONE SURFACE

HMP

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0498013 A2410545 L2342341 S2775160 SCUI D0150 HMP A=Not applicable as HCPCS priced under one methodology COMPREHENSIVE ORAL EVALUATION - NEW OR ESTABLISHED PATIENT
C0498015 A0964796 L0747871 S0908005 SCUI D0210 HMP 9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99') INTRAORAL-COMPLETE SERIES (INCLUDING BITEWINGS)
C0498026 A1017358 L0837915 S0960969 SCUI D0321 HMP 9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99') OTHER TEMPOROMANDIBULAR JOINT FILMS, BY REPORT
C0498027 A1099354 L0886149 S1041924 SCUI D0322 HMP 9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99') TOMOGRAPHIC SURVEY
C0204137 A0885464 L0247658 S0826013 SCUI D0425 HMP 9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99') CARIES SUSCEPTIBILITY TESTS
C0498033 A1109822 L0811542 S1052083 SCUI D0999 HMP A=Not applicable as HCPCS priced under one methodology UNSPECIFIED DIAGNOSTIC PROCEDURE, BY REPORT
C0204170 A1039560 L0683671 S0981781 SCUI D1110 HMP 9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99') PROPHYLAXIS-ADULT
C0204131 A1016986 L0247652 S0960554 SCUI D1330 HMP 9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99') ORAL HYGIENE INSTRUCTION
C0498043 A2410280 L2341971 S2774903 SCUI D2150 HMP 9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99') AMALGAM-TWO SURFACES, PRIMARY OR PERMANENT
C0498044 A2410278 L2341970 S2774902 SCUI D2160 HMP 9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99') AMALGAM-THREE SURFACES, PRIMARY OR PERMANENT
C0498046 A1061850 L0706212 S1003829 SCUI D2330 HMP 9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99') RESIN-ONE SURFACE, ANTERIOR
C1145032 A2412099 L2342098 S2776590 SCUI D2393 HMP 9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99') RESIN-BASED COMPOSITE - THREE SURFACES, POSTERIOR
C0498061 A0964510 L0858845 S0907609 SCUI D2520 HMP 9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99') INLAY-METALLIC-TWO SURFACES
C0498067 A0964518 L0777747 S0907614 SCUI D2620 HMP 9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99') INLAY-PORCELAIN/CERAMIC-TWO SURFACES
C0498070 A1016703 L0777749 S0960175 SCUI D2642 HMP 9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99') ONLAY - PORCELAIN/CERAMIC - TWO SURFACES
C0498072 A1016699 L0777744 S0960173 SCUI D2644 HMP 9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99') ONLAY - PORCELAIN/CERAMIC - FOUR OR MORE SURFACES
C0498079 A1752733 L1506360 S1801117 SCUI D2664 HMP 9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99') ONLAY - - RESIN-BASED COMPOSITE - FOUR OR MORE SURFACES
C0204437 A1751647 L0247964 S1800087 SCUI D2780 HMP 9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99') CROWN - 3/4 CAST HIGH NOBLE METAL
C0204438 A0888815 L0247965 S0830604 SCUI D2790 HMP 9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99') CROWN-FULL CAST HIGH NOBLE METAL

HPI

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0498012 A0981716 L0828994 S0925083 SCUI D0140 HPI 00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.) LIMITED ORAL EVALUATION - PROBLEM FOCUSED
C0498016 A0964800 L0837914 S0908007 SCUI D0220 HPI 00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.) INTRAORAL-PERIAPICAL-FIRST FILM
C0498020 A0925397 L0680200 S0867193 SCUI D0260 HPI 13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion) EXTRAORAL-EACH ADDITIONAL FILM
C0498024 A1039128 L0704574 S0981253 SCUI D0290 HPI 00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.) POSTERIOR-ANTERIOR OR LATERAL SKULL AND FACIAL BONE SURVEY FILM
C0498026 A1017358 L0837915 S0960969 SCUI D0321 HPI 00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.) OTHER TEMPOROMANDIBULAR JOINT FILMS, BY REPORT
C0812630 A7185153 L5316631 S6057572 SCUI D0350 HPI 00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.) ORAL/FACIAL PHOTOGRAPHIC IMAGES
C1736659 A11003601 L6139485 S7050824 SCUI D0360 HPI 00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.) CONE BEAM CT - CRANIOFACIAL DATA CAPTURE
C0812633 A1751915 L1506120 S1800316 SCUI D0474 HPI 13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion) ACCESSION OF TISSUE, GROSS AND MICROSCOPIC EXAMINATION, INCLUDING ASSESSMENT OF SURGICAL MARGINS FOR PRESENCE OF DISEASE, PREPARATION AND TRANSMISSION OF WRITTEN REPORT
C1508788 A7184921 L5316656 S6057221 SCUI D0478 HPI 00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.) IMMUNOHISTOCHEMICAL STAINS
C0204171 A1039562 L0781490 S0981782 SCUI D1120 HPI 00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.) PROPHYLAXIS-CHILD
C0498036 A1099310 L0797634 S1041859 SCUI D1320 HPI 00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.) TOBACCO COUNSELING FOR THE CONTROL AND PREVENTION OF ORAL DISEASE
C0204131 A1016986 L0247652 S0960554 SCUI D1330 HPI 00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.) ORAL HYGIENE INSTRUCTION
C0204185 A1061123 L0247710 S1003021 SCUI D1550 HPI 13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion) RECEMENTATION OF SPACE MAINTAINER
C0498044 A2410278 L2341970 S2774902 SCUI D2160 HPI 00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.) AMALGAM-THREE SURFACES, PRIMARY OR PERMANENT
C0498046 A1061850 L0706212 S1003829 SCUI D2330 HPI 00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.) RESIN-ONE SURFACE, ANTERIOR
C0498049 A1061848 L0700597 S1003828 SCUI D2335 HPI 00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.) RESIN-FOUR OR MORE SURFACES OR INVOLVING INCISAL ANGLE (ANTERIOR)
C0498071 A1016701 L0777748 S0960174 SCUI D2643 HPI 00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.) ONLAY - PORCELAIN/CERAMIC - THREE SURFACES
C0498075 A1752737 L1506362 S1801119 SCUI D2652 HPI 00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.) INLAY - RESIN-BASED COMPOSITE - THREE OR MORE SURFACES
C0498079 A1752733 L1506360 S1801117 SCUI D2664 HPI 00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.) ONLAY - - RESIN-BASED COMPOSITE - FOUR OR MORE SURFACES

HTS

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0498015 A0964796 L0747871 S0908005 SCUI D0210 HTS 4=Diagnostic radiology INTRAORAL-COMPLETE SERIES (INCLUDING BITEWINGS)
C0498018 A0964794 L0617574 S0908004 SCUI D0240 HTS 4=Diagnostic radiology INTRAORAL-0CCLUSAL FILM
C1736659 A11003601 L6139485 S7050824 SCUI D0360 HTS 4=Diagnostic radiology CONE BEAM CT - CRANIOFACIAL DATA CAPTURE
C1742739 A11002247 L6139831 S7050822 SCUI D0363 HTS 4=Diagnostic radiology CONE BEAM - THREE-DIMENSIONAL IMAGE RECONSTRUCTION USING EXISTING DATA, INCLUDES MULTIPLE IMAGES
C0430534 A1040101 L0247659 S0982392 SCUI D0460 HTS 5=Diagnostic laboratory PULP VITALITY TESTS
C0812631 A1751919 L1506122 S1800318 SCUI D0472 HTS 5=Diagnostic laboratory ACCESSION OF TISSUE, GROSS EXAMINATION, PREPARATION AND TRANSMISSION OF WRITTEN REPORT
C0013842 A7185588 L0013842 S6058313 SCUI D0481 HTS 5=Diagnostic laboratory ELECTRON MICROSCOPY - DIAGNOSTIC
C0282646 A7184937 L1224660 S6057233 SCUI D0483 HTS 5=Diagnostic laboratory INDIRECT IMMUNOFLUORESCENCE
C0204181 A1076418 L0247706 S1019048 SCUI D1510 HTS 9=Other medical items or services SPACE MAINTAINER-FIXED UNILATERAL
C0204185 A1061123 L0247710 S1003021 SCUI D1550 HTS 1=Medical care RECEMENTATION OF SPACE MAINTAINER
C0498061 A0964510 L0858845 S0907609 SCUI D2520 HTS 1=Medical care INLAY-METALLIC-TWO SURFACES
C0498062 A0964504 L0858843 S0907606 SCUI D2530 HTS 1=Medical care INLAY-METALLIC-THREE OR MORE SURFACES
C0498073 A1752739 L1506363 S1801120 SCUI D2650 HTS 1=Medical care INLAY - RESIN-BASED COMPOSITE - ONE SURFACE
C0498079 A1752733 L1506360 S1801117 SCUI D2664 HTS 1=Medical care ONLAY - - RESIN-BASED COMPOSITE - FOUR OR MORE SURFACES
C0204431 A0888841 L0247958 S0830612 SCUI D2720 HTS 1=Medical care CROWN-RESIN WITH HIGH NOBLE METAL
C0851247 A1753153 L1506503 S1801492 SCUI D2799 HTS 1=Medical care PROVISIONAL CROWN
C0204279 A1039308 L0247804 S0981484 SCUI D2932 HTS 1=Medical care PREFABRICATED RESIN CROWN
C1508795 A7185212 L5316303 S6057645 SCUI D2934 HTS 9=Other medical items or services PREFABRICATED ESTHETIC COATED STAINLESS STEEL CROWN - PRIMARY TOOTH
C0204284 A1038567 L0247809 S0980495 SCUI D2951 HTS 1=Medical care PIN RETENTION-PER TOOTH, IN ADDITION TO RESTORATION

HSN

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0498012 A0981716 L0828994 S0925083 SCUI D0140 HSN 1862A(12) LIMITED ORAL EVALUATION - PROBLEM FOCUSED
C1736664 A11003031 L6139789 S7050071 SCUI D0145 HSN 1862a(12) ORAL EVALUATION FOR A PATIENT UNDER THREE YEARS OF AGE AND COUNSELING WITH PRIMARY CAREGIVER
C1145028 A2410547 L2342342 S2775161 SCUI D0180 HSN 1862a(12) COMPREHENSIVE PERIODONTAL EVALUATION - NEW OR ESTABLISHED PATIENT
C1738553 A11002629 L6139564 S7050720 SCUI D0273 HSN 1862a(12) BITEWINGS - THREE FILMS
C1737740 A11002631 L6139944 S7050823 SCUI D0362 HSN 1862a(12) CONE BEAM - TWO-DIMENSIONAL IMAGE RECONSTRUCTION USING EXISTING DATA, INCLUDES MULTIPLE IMAGES
C1742739 A11002247 L6139831 S7050822 SCUI D0363 HSN 1862a(12) CONE BEAM - THREE-DIMENSIONAL IMAGE RECONSTRUCTION USING EXISTING DATA, INCLUDES MULTIPLE IMAGES
C0498028 A7185464 L5316504 S6058114 SCUI D0415 HSN 1862 A(12) COLLECTION OF MICROORGANISMS FOR CULTURE AND SENSITIVITY
C1740509 A11002451 L6140137 S7050565 SCUI D1206 HSN 1862a(12) TOPICAL FLUORIDE VARNISH; THERAPEUTIC APPLICATION FOR MODERATE TO HIGH CARIES RISK PATIENTS
C0498043 A2410280 L2341971 S2774903 SCUI D2150 HSN 1862 a(12) AMALGAM-TWO SURFACES, PRIMARY OR PERMANENT
C0498047 A1061862 L0706271 S1003835 SCUI D2331 HSN 1861 a(12) RESIN-TWO SURFACES, ANTERIOR
C1145030 A2412097 L2342097 S2776589 SCUI D2391 HSN 1862a(12) RESIN-BASED COMPOSITE - ONE SURFACE, POSTERIOR
C1145031 A2412101 L2342099 S2776591 SCUI D2392 HSN 1862a(12) RESIN-BASED COMPOSITE - TWO SURFACES, POSTERIOR
C1145032 A2412099 L2342098 S2776590 SCUI D2393 HSN 1862a(12) RESIN-BASED COMPOSITE - THREE SURFACES, POSTERIOR
C0498057 A0948916 L0840834 S0890509 SCUI D2410 HSN 1862 a(12) GOLD FOIL-ONE SURFACE
C0498065 A1016695 L0841866 S0960171 SCUI D2544 HSN 1862 a(12) ONLAY - METALLIC - FOUR OR MORE SURFACES
C0498067 A0964518 L0777747 S0907614 SCUI D2620 HSN 1862 a(12) INLAY-PORCELAIN/CERAMIC-TWO SURFACES
C0498068 A0964516 L0777745 S0907613 SCUI D2630 HSN 1862 a(12) INLAY-PORCELAIN/CERAMIC-THREE OR MORE SURFACES
C0498075 A1752737 L1506362 S1801119 SCUI D2652 HSN 1862 a(12) INLAY - RESIN-BASED COMPOSITE - THREE OR MORE SURFACES
C0498078 A1752743 L1506365 S1801122 SCUI D2663 HSN 1862 a(12) ONLAY - RESIN-BASED COMPOSITE - THREE SURFACES

HMR

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0498013 A2410545 L2342341 S2775160 SCUI D0150 HMR 2136 COMPREHENSIVE ORAL EVALUATION - NEW OR ESTABLISHED PATIENT
C0498018 A0964794 L0617574 S0908004 SCUI D0240 HMR 2136 INTRAORAL-0CCLUSAL FILM
C0498019 A0925399 L0832461 S0867194 SCUI D0250 HMR 2136 EXTRAORAL-FIRST FILM
C0498019 A0925399 L0832461 S0867194 SCUI D0250 HMR 2336 EXTRAORAL-FIRST FILM
C0498020 A0925397 L0680200 S0867193 SCUI D0260 HMR 2336 EXTRAORAL-EACH ADDITIONAL FILM
C0498021 A0873924 L0747873 S0814242 SCUI D0270 HMR 2336 BITEWING-SINGLE FILM
C0498022 A0873928 L0747874 S0814244 SCUI D0272 HMR 2136 BITEWINGS-TWO FILMS
C0430534 A1040101 L0247659 S0982392 SCUI D0460 HMR 2336 PULP VITALITY TESTS
C0812631 A1751919 L1506122 S1800318 SCUI D0472 HMR 2136 ACCESSION OF TISSUE, GROSS EXAMINATION, PREPARATION AND TRANSMISSION OF WRITTEN REPORT
C0812631 A1751919 L1506122 S1800318 SCUI D0472 HMR 2336 ACCESSION OF TISSUE, GROSS EXAMINATION, PREPARATION AND TRANSMISSION OF WRITTEN REPORT
C0812632 A1751917 L1506121 S1800317 SCUI D0473 HMR 2336 ACCESSION OF TISSUE, GROSS AND MICROSCOPIC EXAMINATION, PREPARATION AND TRANSMISSION OF WRITTEN REPORT
C0812633 A1751915 L1506120 S1800316 SCUI D0474 HMR 2136 ACCESSION OF TISSUE, GROSS AND MICROSCOPIC EXAMINATION, INCLUDING ASSESSMENT OF SURGICAL MARGINS FOR PRESENCE OF DISEASE, PREPARATION AND TRANSMISSION OF WRITTEN REPORT
C0812633 A1751915 L1506120 S1800316 SCUI D0474 HMR 2336 ACCESSION OF TISSUE, GROSS AND MICROSCOPIC EXAMINATION, INCLUDING ASSESSMENT OF SURGICAL MARGINS FOR PRESENCE OF DISEASE, PREPARATION AND TRANSMISSION OF WRITTEN REPORT
C0812634 A11002248 L6139497 S7049568 SCUI D0480 HMR 2136 ACCESSION OF EXFOLIATIVE CYTOLOGIC SMEARS, MICROSCOPIC EXAMINATION, PREPARATION AND TRANSMISSION OF WRITTEN REPORT
C0812634 A11002248 L6139497 S7049568 SCUI D0480 HMR 2336 ACCESSION OF EXFOLIATIVE CYTOLOGIC SMEARS, MICROSCOPIC EXAMINATION, PREPARATION AND TRANSMISSION OF WRITTEN REPORT
C0498032 A1017354 L0877077 S0960966 SCUI D0502 HMR 2136 OTHER ORAL PATHOLOGY PROCEDURES, BY REPORT
C0498032 A1017354 L0877077 S0960966 SCUI D0502 HMR 2336 OTHER ORAL PATHOLOGY PROCEDURES, BY REPORT
C0498033 A1109822 L0811542 S1052083 SCUI D0999 HMR 2336 UNSPECIFIED DIAGNOSTIC PROCEDURE, BY REPORT
C0582887 A1008878 L0247653 S0952529 SCUI D1310 HMR 2300 NUTRITIONAL COUNSELING FOR THE CONTROL OF DENTAL DISEASE

HXR

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0498016 A0964800 L0837914 S0908007 SCUI D0220 HXR 70300 INTRAORAL-PERIAPICAL-FIRST FILM
C0498017 A0964798 L0680201 S0908006 SCUI D0230 HXR 70310 INTRAORAL-PERIAPICAL-EACH ADDITIONAL FILM
C0498024 A1039128 L0704574 S0981253 SCUI D0290 HXR 70150 POSTERIOR-ANTERIOR OR LATERAL SKULL AND FACIAL BONE SURVEY FILM
C0498025 A1098389 L0725188 S1040797 SCUI D0320 HXR 70332 TEMPOROMANDIBULAR JOINT ARTHROGRAM, INCLUDING INJECTION
C0700233 A1036895 L0837919 S0978406 SCUI D0330 HXR 70320 PANORAMIC FILM
C0407698 A0886326 L0777686 S0827217 SCUI D0340 HXR 70350 CEPHALOMETRIC FILM
C0498028 A7185464 L5316504 S6058114 SCUI D0415 HXR D0410 COLLECTION OF MICROORGANISMS FOR CULTURE AND SENSITIVITY
C0498164 A1008150 L0873432 S0951628 SCUI D5913 HXR 21087 NASAL PROSTHESIS
C0498165 A0851393 L0734802 S0792270 SCUI D5914 HXR 21086 AURICULAR PROSTHESIS
C0498166 A1017001 L0600142 S0960584 SCUI D5915 HXR L8611 ORBITAL PROSTHESIS
C0498167 A1016591 L0028854 S0960007 SCUI D5916 HXR V2623 OCULAR PROSTHESIS
C0498169 A1008156 L0873434 S0951632 SCUI D5922 HXR 30220 NASAL SEPTAL PROSTHESIS
C0498170 A1016594 L0859739 S0960009 SCUI D5923 HXR 92330 OCULAR PROSTHESIS, INTERIM
C0498174 A0851397 L0734803 S0792273 SCUI D5927 HXR 21086 AURICULAR PROSTHESIS, REPLACEMENT
C0498175 A1017006 L0877145 S0960587 SCUI D5928 HXR 67550 ORBITAL PROSTHESIS, REPLACEMENT
C0498178 A1016541 L0806951 S0959962 SCUI D5932 HXR 21080 OBTURATOR PROSTHESIS, DEFINITIVE
C0498179 A1016543 L0871850 S0959963 SCUI D5933 HXR 21080 OBTURATOR PROSTHESIS, MODIFICATION
C0498181 A0991466 L0839241 S0935044 SCUI D5935 HXR 21081 MANDIBULAR RESECTION PROSTHESIS WITHOUT GUIDE FLANGE
C0498182 A1016548 L0859738 S0959966 SCUI D5936 HXR 21079 OBTURATOR/PROSTHESIS, INTERIM

HPN

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0498011 A11003222 L6139602 S7050130 SCUI D0120 HPN 0059=SEE COVERAGE ISSUES MANUAL, SECTION 50-26 (D0120, D0415, D0425). PERIODIC ORAL EVALUATION - ESTABLISHED PATIENT
C0812630 A7185153 L5316631 S6057572 SCUI D0350 HPN 0090=THIS SERVICE IS BUNDLED WITH THE VISIT SERVICE. ORAL/FACIAL PHOTOGRAPHIC IMAGES
C0498028 A7185464 L5316504 S6058114 SCUI D0415 HPN 0059=SEE COVERAGE ISSUES MANUAL, SECTION 50-26 (D0120, D0415, D0425). COLLECTION OF MICROORGANISMS FOR CULTURE AND SENSITIVITY
C0204137 A0885464 L0247658 S0826013 SCUI D0425 HPN 0059=SEE COVERAGE ISSUES MANUAL, SECTION 50-26 (D0120, D0415, D0425). CARIES SUSCEPTIBILITY TESTS
C0498236 A2410851 L2341412 S2775444 SCUI D7410 HPN 0020=SERVICES REPRESENTED BY D7410 AND D7420 CAN BE CODED FROM CPT-4 USING CODES 21015 FF AND 40810 FF. EXCISION OF BENIGN LESION UP TO 1.25 CM
C0498240 A0925143 L0619155 S0866866 SCUI D7440 HPN 0021=SERVICES REPRESENTED BY D7430-D7461 CAN BE CODED FROM CPT-4 USING CODES 21029-21045 AND 41820-41827. EXCISION OF MALIGNANT TUMOR-LESION DIAMETER UP TO 1.25 CM
C0498241 A0925141 L0619153 S0866865 SCUI D7441 HPN 0021=SERVICES REPRESENTED BY D7430-D7461 CAN BE CODED FROM CPT-4 USING CODES 21029-21045 AND 41820-41827. EXCISION OF MALIGNANT TUMOR-LESION DIAMETER GREATER THAN 1.25 CM
C0498242 A2412054 L2341410 S2776554 SCUI D7450 HPN 0021=SERVICES REPRESENTED BY D7430-D7461 CAN BE CODED FROM CPT-4 USING CODES 21029-21045 AND 41820-41827. REMOVAL OF BENIGN ODONTOGENIC CYST OR TUMOR-LESION DIAMETER UP T0 1.25 CM
C0498243 A2412052 L2341408 S2776553 SCUI D7451 HPN 0021=SERVICES REPRESENTED BY D7430-D7461 CAN BE CODED FROM CPT-4 USING CODES 21029-21045 AND 41820-41827. REMOVAL OF BENIGN ODONTOGENIC CYST OR TUMOR-LESION DIAMETER GREATER THAN 1.25 CM
C0498244 A2412050 L2341409 S2776552 SCUI D7460 HPN 0021=SERVICES REPRESENTED BY D7430-D7461 CAN BE CODED FROM CPT-4 USING CODES 21029-21045 AND 41820-41827. REMOVAL OF BENIGN NONODONTOGENIC CYST OR TUMOR-LESION DIAMETER UP TO 1.25 CM
C0498245 A2412048 L2341407 S2776551 SCUI D7461 HPN 0021=SERVICES REPRESENTED BY D7430-D7461 CAN BE CODED FROM CPT-4 USING CODES 21029-21045 AND 41820-41827. REMOVAL OF BENIGN NONODONTOGENIC CYST OR TUMOR-LESION DIAMETER GREATER THAN 1.25 CM
C0498256 A0991617 L0855363 S0935216 SCUI D7610 HPN 0022=SERVICE REPRESENTED BY D7610 CAN BE CODED USING CPT 21346 WITH -52 MODIFIER. MAXILLA-OPEN REDUCTION (TEETH IMMOBILIZED IF PRESENT)
C0498257 A0991613 L0786603 S0935214 SCUI D7620 HPN 0023=SERVICE REPRESENTED BY D7620 CAN BE CODED USING CPT 21345 WITH -52 MODIFIER. MAXILLA-CLOSED REDUCTION (TEETH IMMOBILIZED IF PRESENT)
C0498258 A0991460 L0855362 S0935041 SCUI D7630 HPN 0024=SERVICE REPRESENTED BY D7630 CAN BE CODED USING CPT 21461 OR CPT 21462 WITH -52 MODIFIER. MANDIBLE-OPEN REDUCTION (TEETH IMMOBILIZED IF PRESENT)
C0498259 A0991456 L0786602 S0935039 SCUI D7640 HPN 0025=SERVICE REPRESENTED BY D7620 CAN BE CODED USING CPT 21455 WITH -52 MODIFIER. MANDIBLE-CLOSED REDUCTION (TEETH IMMOBILIZED IF PRESENT)
C0520093 A0991407 L0716613 S0934968 SCUI D7650 HPN 0026=SERVICE REPRESENTED BY D7650 CAN BE CODED USING CPT 21360 WITH -52 MODIFIER OR 21365 WITH -52 MODIFIER. MALAR AND/OR ZYGOMATIC ARCH-OPEN REDUCTION
C0520094 A0991401 L0716542 S0934965 SCUI D7660 HPN 0027=SERVICE REPRESENTED BY D7660 CAN BE CODED USING 21355 WITH -52 MODIFIER. MALAR AND/OR ZYGOMATIC ARCH-CLOSED REDUCTION
C0520095 A2410266 L2341961 S2774896 SCUI D7670 HPN 0028=SERVICE REPRESENTED BY D7670 CAN BE CODED USING CPT 21422 WITH -52 MODIFIER. ALVEOLUS - CLOSED REDUCTION, MAY INCLUDE STABILIZATION OF TEETH
C0498267 A0935797 L0714181 S0877433 SCUI D7680 HPN 0029=SERVICE REPRESENTED BY D7680 CAN BE CODED USING CPT 21433 WITH -52 MODIFIER OR 21435 WITH -52 MODIFIER. FACIAL BONES-COMPLICATED REDUCTION WITH FIXATION AND MULTIPLE SURGICAL APPROACHES

HIR

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0498013 A2410545 L2342341 S2775160 SCUI D0150 HIR 50-26 COMPREHENSIVE ORAL EVALUATION - NEW OR ESTABLISHED PATIENT
C0498027 A1099354 L0886149 S1041924 SCUI D0322 HIR 50-26 TOMOGRAPHIC SURVEY
C0430534 A1040101 L0247659 S0982392 SCUI D0460 HIR 50-26 PULP VITALITY TESTS
C0812631 A1751919 L1506122 S1800318 SCUI D0472 HIR 50-26 ACCESSION OF TISSUE, GROSS EXAMINATION, PREPARATION AND TRANSMISSION OF WRITTEN REPORT
C0812632 A1751917 L1506121 S1800317 SCUI D0473 HIR 50-26 ACCESSION OF TISSUE, GROSS AND MICROSCOPIC EXAMINATION, PREPARATION AND TRANSMISSION OF WRITTEN REPORT
C0812633 A1751915 L1506120 S1800316 SCUI D0474 HIR 50-26 ACCESSION OF TISSUE, GROSS AND MICROSCOPIC EXAMINATION, INCLUDING ASSESSMENT OF SURGICAL MARGINS FOR PRESENCE OF DISEASE, PREPARATION AND TRANSMISSION OF WRITTEN REPORT
C0812634 A11002248 L6139497 S7049568 SCUI D0480 HIR 50-26 ACCESSION OF EXFOLIATIVE CYTOLOGIC SMEARS, MICROSCOPIC EXAMINATION, PREPARATION AND TRANSMISSION OF WRITTEN REPORT
C0498032 A1017354 L0877077 S0960966 SCUI D0502 HIR 50-26 OTHER ORAL PATHOLOGY PROCEDURES, BY REPORT
C0498033 A1109822 L0811542 S1052083 SCUI D0999 HIR 50-26 UNSPECIFIED DIAGNOSTIC PROCEDURE, BY REPORT
C0498109 A0874395 L0754003 S0814808 SCUI D4263 HIR 50-26 BONE REPLACEMENT GRAFT - FIRST SITE IN QUADRANT
C0498110 A0874393 L0680157 S0814807 SCUI D4264 HIR 50-26 BONE REPLACEMENT GRAFT - EACH ADDITIONAL SITE IN QUADRANT
C0498116 A7185296 L5316515 S6057846 SCUI D4273 HIR 50-26 SUBEPITHELIAL CONNECTIVE TISSUE GRAFT PROCEDURES, PER TOOTH
C0498119 A2411041 L2342340 S2775619 SCUI D4355 HIR 50-26 FULL MOUTH DEBRIDEMENT TO ENABLE COMPREHENSIVE EVALUATION AND DIAGNOSIS
C0498120 A7185060 L5316159 S6057416 SCUI D4381 HIR 50-26 LOCALIZED DELIVERY OF ANTIMICROBIAL AGENTS VIA A CONTROLLED RELEASE VEHICLE INTO DISEASED CREVICULAR TISSUE, PER TOOTH, BY REPORT
C0498218 A0888161 L0740494 S0829703 SCUI D6920 HIR 50-26 CONNECTOR BAR