CDHA National List of Service Codes[c].Prepared and published by the Canadian Canadian (kənā`dēən), river, 906 mi (1,458 km) long, rising in NE New Mexico. and flowing E across N Texas and central Oklahoma into the Arkansas River in E Oklahoma. Dental Hygienists dental hygienist n. A person trained and licensed to provide preventive dental services, such as cleaning the teeth, usually in conjunction with a dentist. Association First edition 1998 Revised January January: see month. 2007 Intended for the use of provincial Provincial has several meanings and may refer to:
n. The practice of keeping the mouth, teeth, and gums clean and healthy to prevent disease. Also called oral hygiene. associations and dental hygienists authorized au·thor·ize tr.v. au·thor·ized, au·thor·iz·ing, au·thor·iz·es 1. To grant authority or power to. 2. To give permission for; sanction: by the Canadian Dental Hygienists Association only. Other organizations wishing to use information in this document may only do so after receiving permission in writing from the Canadian Dental Hygienists Association. [c] The Canadian Dental Hygienists Association, 1998-2007 96 Centrepointe Centrepointe is a neighbourhood in Ottawa, Canada and part of the former city of Nepean. The population of Centrepointe is between 4,000 and 4,500 people. It is a newer residential subdivision in the west/central part of Ottawa, developed from 1985 onwards, and is informally Drive, Ottawa Ottawa, city, Canada Ottawa (ŏt`əwə), city (1991 pop. 313,987), capital of Canada, SE Ont., at the confluence of the Ottawa and Rideau rivers. Hull, Que. , ON K2G 6B1 All Rights Reserved. No part of this publication may be reproduced in whole or in part or by any means now or later developed, or copied, fixed, stored or recorded in any material form or in any manner including by any electronic, mechanical or other means, or in or into any information storage and retrieval information storage and retrieval, the systematic process of collecting and cataloging data so that they can be located and displayed on request. Computers and data processing techniques have made possible the high-speed, selective retrieval of large amounts of system, or used in any database or machine-readable ma·chine-read·a·ble adj. Easy to feed directly into a computer, as data that have been stored magnetically. machine-readable Adjective in a form suitable for processing by a computer form or to create any work that is based upon or derived de·rive v. de·rived, de·riv·ing, de·rives v.tr. 1. To obtain or receive from a source. 2. from any part of the publication, without the prior written permission of the Canadian Dental Hygienists Association. CDHA CDHA Capital District Health Authority CDHA Canadian Dental Hygienists Association CDHA California Dental Hygienists' Association CDHA Center for Demography of Health and Aging CDHA Connecticut Dental Hygienists' Association NATIONAL LIST OF SERVICE CODES BACKGROUND "Dental hygienists are the only health professionals whose primary concern is the prevention of oral disease" (Health and Welfare, Canada Canada (kăn`ədə), independent nation (2001 pop. 30,007,094), 3,851,787 sq mi (9,976,128 sq km), N North America. Canada occupies all of North America N of the United States (and E of Alaska) except for Greenland and the French islands of , 1988). These registered primary oral health care providers are integral members of the oral health care system. They provide preventive preventive /pre·ven·tive/ (pre-vent´iv) prophylactic. pre·ven·tive or pre·ven·ta·tive adj. Preventing or slowing the course of an illness or disease; prophylactic. n. , educational, clinical and therapeutic services and apply a process of care that includes assessment, dental hygiene diagnosis, treatment planning In radiotherapy, Treatment Planning is the process in which a team consisting of radiation oncologists, medical radiation physicists and dosimetrists plan the appropriate external beam radiotherapy treatment technique for a patient with cancer. Typically, medical imaging (i.e. , treatment and evaluation. Registered dental hygienists have a unique body of knowledge, distinct expertise, recognized standards of education and practice, and a Code of Ethics Code of Ethics can refer to:
The Canadian Dental Hygienists Association (CDHA) is the national professional organization that provides services to its members including continuing education continuing education: see adult education. continuing education or adult education Any form of learning provided for adults. In the U.S. the University of Wisconsin was the first academic institution to offer such programs (1904). , professional development and representation to various external agencies. The mission of the CDHA is as follows:
"The Canadian Dental Hygienists Association, as the collective voice
and vision of dental hygiene in Canada, advances the profession in
support of our members and contributes to the health and well-being
of the public."
The content, organization and management of dental hygiene care is guided by the principles of accessibility for all Canadians This is a list of Canadians. Architects
Over ninety percent of dental hygienists in Canada are self-regulating self-reg·u·lat·ing adj. 1. Regulating oneself or itself. 2. Regulating itself automatically. self . The regulation of dental hygiene care is the responsibility of provincial dental hygiene regulatory authorities Noun 1. regulatory authority - a governmental agency that regulates businesses in the public interest regulatory agency administrative body, administrative unit - a unit with administrative responsibilities , as mandated by provincial legislation. The legislative trend in health care reform in Canada reflects increased direct access by the public to dental hygiene services. The CDHA National List of Service Codes described in this document is intended for use by provincial dental hygiene associations for the purpose of selecting codes they wish to incorporate into their fee guides. Assignment of suggested fees to the service codes is not the mandate A judicial command, order, or precept, written or oral, from a court; a direction that a court has the authority to give and an individual is bound to obey. A mandate might be issued upon the decision of an appeal, which directs that a particular action be taken, or upon a of CDHA, but rather, the provincial dental hygiene associations. This document also provides the list of service codes and their definitions for dental hygienists using the CDHA National List of Service Codes and for third party dental dental /den·tal/ (den´t'l) pertaining to a tooth or teeth. den·tal adj. 1. Of, relating to, or for the teeth. 2. Of, relating to, or intended for dentistry. plan administrators. As a result of changes in legislation in select Canadian provinces Noun 1. Canadian province - Canada is divided into 12 provinces for administrative purposes province, state - the territory occupied by one of the constituent administrative districts of a nation; "his state is in the deep south" , dental hygienists working in alternative practice settings now have the need to bill their clients directly and/or and/or conj. Used to indicate that either or both of the items connected by it are involved. Usage Note: And/or is widely used in legal and business writing. submit claims, on their clients' behalf, for reimbursement Reimbursement Payment made to someone for out-of-pocket expenses has incurred. from dental benefit plans. Dental hygienists practicing independently may refer to the appropriate provincial dental hygiene fee guide to assist in billing clients. Direct billing direct billing Managed care The submission of bills for services rendered–eg lab work directly to the party–ie Pt or financially responsible third party–insurance company, for whom the service was performed, rather than to the physician who ordered the test is not intended for use by dental hygienists employed within traditional dental offices or in provinces where direct public access to dental hygiene care has not been legislated. All codes within the National List of Codes are not necessarily applicable to every province since regulations and scope of practice differ from province to province. It is the ethical eth·i·cal adj. 1. Of, relating to, or dealing with ethics. 2. Being in accordance with the accepted principles of right and wrong that govern the conduct of a profession. , moral and legal responsibility of dental hygienists utilizing these codes to do so in a manner not conflicting with their provincial regulations. Dental hygienists should ensure the services for which they provide and bill are included within their scope of practice. Dental hygienists with questions regarding the scope of practice should contact the provincial dental hygiene regulatory authority for clarification Clarification The removal of small amounts of fine, particulate solids from liquids. The purpose is almost invariably to improve the quality of the liquid, and the removed solids often are discarded. . BENEFIT PLAN ACCEPTANCE The CDHA recommends that benefit plans include dental hygienists as eligible providers. Benefit plan administrators may need to review and adapt their current processes to accommodate dental hygiene claims. The CDHA will continue to work with the benefits industry to support this process. CODE SET REVIEW On an ongoing basis, the CDHA will review the national list of service codes for additions, deletions and revisions ReVisions is a 2004 anthology of alternate history short-stories. It is edited by Julie E. Czerneda and Isaac Szpindel. Contents Title Author The Resonance of Light James Alan Gardner Out of China Julie E. . The CDHA encourages input into its review from provincial dental hygiene associations, dental hygienists, benefit plan administrators and other interested parties. Comments should be sent to the Canadian Dental Hygienists Association, 96 Centrepointe Drive, Ottawa, Ontario Ontario, city, United States Ontario, city (1990 pop. 133,179), San Bernardino co., S Calif., near Los Angeles, in a region of vineyards; inc. 1891. K2G 6B1. GUIDELINES guidelines, n.pl a set of standards, criteria, or specifications to be used or followed in the performance of certain tasks. FOR USE 1. The CDHA has organized the service codes in relation to the five phases of care: Assessment, Dental Hygiene Diagnosis, Treatment Planning, Treatment and Evaluation. Dental hygiene services have been classified into the following categories:
00100-00499 Assessment, Dental Hygiene Diagnosis and Treatment
Planning
00500-00999 Dental Hygiene Treatment and Evaluation
2. Specific service codes may refer to "units of time" or other charges. These are defined as follows: "Unit of Time" -- each unit of time is fifteen (15) minutes "+ Lab" -- an additional laboratory expense may be assessed "+ E" -- an additional fee may be added for extra expenses incurred 3. Where a specific service code indicates a "tooth number" is required, the two-digit International System of tooth numbering is to be applied. The first digit A single character in a numbering system. In decimal, digits are 0 through 9. In binary, digits are 0 and 1. digit - An employee of Digital Equipment Corporation. See also VAX, VMS, PDP-10, TOPS-10, DEChead, double DECkers, field circus. indicates the quadrant quadrant, in analytic geometry quadrant. 1 In analytic geometry, one of the four regions of the plane determined by two lines, the x-axis and the y-axis. , the second digit indicates the tooth within the quadrant. First Digit Assignment Permanent Teeth: Quadrant "1" -- maxillary right " "2" -- maxillary left " "3" -- mandibular left " "4" -- mandibular right Deciduous Teeth: Quadrant "5" -- maxillary right " "6" -- maxillary left " "7" -- mandibular left " "8" -- mandibular right Second Digit Assignment The first tooth at the midline mid·line n. A medial line, especially the medial line or plane of the body. midline, n the line equidistant from bilateral features of the head. of the arch is assigned as·sign tr.v. as·signed, as·sign·ing, as·signs 1. To set apart for a particular purpose; designate: assigned a day for the inspection. 2. tooth number "1". Counting continues to the third molar third molar n. The eighth permanent tooth in the upper and lower jaw on either side. assigned tooth number "8". As an example, the permanent maxillary max·il·lar·y adj. Of or relating to a jaw or jawbone, especially the upper one. n. A maxillar; a jawbone. maxillary (mak´siler´ē), adj right first bicuspid bicuspid /bi·cus·pid/ (-kus´pid) 1. having two cusps. 2. pertaining to a mitral(bicuspid) valve. 3. premolar tooth. bi·cus·pid adj. would be assigned tooth number "14". Supernumerary supernumerary /su·per·nu·mer·ary/ (-noo´mer-ar?e) in excess of the regular or normal number. su·per·nu·mer·ar·y adj. Exceeding the normal or usual number; extra. teeth should be assigned tooth number "99". CDHA NATIONAL LIST OF SERVICE CODES
00100-00499 ASSESSMENT, DENTAL HYGIENE DIAGNOSIS AND TREATMENT PLANNING
00100 Dental Hygiene Examination, Complete
Includes:
a) History--personal, medical, dental, oral health risk
factors.
b) Vital signs--may include blood pressure, pulse, temperature.
c) Extra oral examination of the head and neck includes
temporomandibular joint, lymph nodes, symmetry and skin
lesions.
d) Intra oral examination includes examining the lips, oral
mucosa, frena, hard and soft palate, tonsillar pillars,
oropharnyx, tongue, floor of the mouth and salivary flow. It
may also include oral cytology (collecting cells for
pathological evaluation by a specialist) and assessment of
edentulous arches.
e) Dental examination includes developmental anomalies, risk
assessment for caries and carious lesions, existing
restorations, missing teeth, twists and rotations, diastemas,
contacts, occlusal relationships, parafunctional habits,
attrition, abrasion, abfraction, erosion, pulp vitality,
sensitivity and pain. The dental examination may include
collaboration with a dentist or referral for further care.
f) Periodontal assessment includes risk assessment for
periodontal disease, bleeding on probing, medications, local
contributing factors, history of periodontitis, gingival
health, sulcus depths, adequacy of attached gingiva, gingival
inflammation, signs of disease progression: recession,
clinical attachment level, furcation involvement, tooth
mobility, occlusal trauma, mucogingival conditions, radiograph
interpretation and referral as necessary.
g) Self-care assessment includes oral hygiene and possibly
microbiological assessment, general health activities and
nutrition related to oral health.
Radiographs are not included. Radiographs are described in
section 00200.
The dental hygienist may not use more than one examination from
section 00100 at the same visit (e.g., cannot use both 00113 and
00115).
00111 Dental Hygiene Examination -- Complete: Primary Dentition
Full mouth dental hygiene examination and dental hygiene
assessment on primary dentition, recording history, charting,
treatment planning and case presentation, including above
description as per 00100.
00112 Dental Hygiene Examination -- Complete: Mixed Dentition
Includes:
a) Full mouth dental hygiene examination and dental hygiene
assessment on mixed dentition, recording history, charting,
treatment planning and case presentation, including above
description as per 00100.
b) Eruption sequence, tooth size-jaw size assessment.
00113 Dental Hygiene Examination -- Complete: Permanent Dentition
Full mouth dental hygiene examination and dental hygiene
assessment on permanent dentition, recording history, charting,
treatment planning and case presentation, including above
description as per 00100.
00114 Dental Hygiene Examination -- Complete: Edentulous (both arches)
Full mouth dental hygiene examination and dental hygiene
assessment of edentulous arches, recording history, charting,
treatment planning and case presentation, including above
description as per 00100.
00115 Dental Hygiene Examination -- Complete: Periodontal
Full mouth dental hygiene examination and dental hygiene
assessment (with emphasis on periodontal issues), recording
history, charting, treatment planning and case presentation,
including above description as per 00100.
00120 Dental Hygiene Examination, Previous Client
00121 Dental Hygiene Examination: Reassessment/Recall
Dental hygiene examination with mirror and explorer of hard and
soft tissues, which may include checking of occlusion and
appliances (but not including specific tests) and periodontal
probing (either screening and/or full mouth periodontal probing
depending on the client). Update of services listed in 00100.
00122 Dental Hygiene Examination: Specific
Dental hygiene examination and evaluation of a specific situation
00123 Dental hygiene Examination: Emergency
Dental hygiene examination for the investigation of discomfort
and/or infection in a localized area.
00124 Dental Hygiene Examination: Periodontal, Limited
Dental hygiene examination for the investigation of discomfort
and/or infection of a specific area of the periodontium.
00130 First Dental Hygiene Visit/Orientation
Oral dental hygiene assessment for clients up to and including 3
years of age. Assessment to include family dental history, oral
hygiene, oral care practices (including daily care, diet, and
fluoride use and exposure) and oral habits.
00131 First Dental Hygiene Visit/Orientation
00200 Radiographs and Photographs
00210 Intraoral, Bitewing
00211 Single film
00212 Two films
00213 Three films
00214 Four films
00215 Five films
00216 Six films
00220 Intraoral, Periapical
00221 Single film
00222 Two films
00223 Three films
00224 Four films
00225 Five films
00226 Six films
00227 Seven films
00228 Eight films
00229 Each additional film over eight
00230 Intraoral, Full Mouth Series
00231 Minimum of 14 films
00240 Panoramic
00241 One film
00250 Cephalometric
00251 One film
00259 Each additional film over one
00260 Duplication of Radiographs
00261 One film
00262 Two films
00263 Three films
00264 Four films
00265 Five films
00266 Six films
00267 Seven films
00268 Eight films
00269 Each additional film over eight
00270 Photographs
00271 One photo
00272 Two photos
00273 Three photos
00279 Each additional photo over three
00300 Microbiological and Histological Tests
00310 Caries Susceptibility Test
00311 Bacteriological Test for the Determination of Dental
Caries Susceptibility (+ Lab)
00320 Periodontal Disease Activity Test
00321 Microbiological Test for the Determination of Pathological
Agents (or enzyme, immunological) (+ Lab)
00330 Cancer Testing
00331 Cancer Testing may include Cytological Smear from the Oral
Cavity, Vital Staining of Oral Mucosal Tissues
00400 Study Models
00401 Taking of Impressions
00402 Fabrication/Pouring and Preparing Casts (+ Lab)
00500-00999 DENTAL HYGIENE TREATMENT AND EVALUATION
Each unit of time is 15 minutes.
00500 Periodontal Treatment
00510 Debridement
May include supra and/or subgingival scaling and/or subgingival
deplaquing.
00511 One unit of time
00512 Two units of time
00513 Three units of time
00514 Four units of time
00515 Five units of time
00516 Six units of time
00517 One-half unit of time
00519 Each additional unit over six
00520 Root Planing
00521 One unit of time
00522 Two units of time
00523 Three units of time
00524 Four units of time
00525 Five units of time
00526 Six units of time
00527 One-half unit of time
00529 Each additional unit over six
00530 Stain Removal
May include manual or mechanical methods, prophylaxis,
ultrasonic, etc.
00531 One unit of time
00532 Two units of time
00537 One-half unit of time
00539 Each additional unit over two
00540 Subgingival Periodontal Irrigation
00541 One unit of time
00547 One-half unit of time
00549 Each additional unit over one
00550 Management of Oral Disease
00551 One unit of time
00552 Two units of time
00553 Three units of time
00554 Four units of time
00557 One-half unit of time
00559 Each additional unit over four
00600 Additional Oral Health Services
00601 Sealants
Tooth number must be indicated on claim form.
00602 First tooth in quadrant
00603 Each additional tooth in same quadrant
00605 Application of Anticariogenic/Antimicrobial Agents
00606 One unit of time (+E)
00607 One-half unit of time (+E)
00609 Each additional unit over one (+E)
00610 Fluoride Applications
Fluoride Applications -- In Office
00611 Fluoride Treatment -- topical application
00612 Fluoride Treatment -- supervised, self-administered
brush-on
Fluoride, Custom Appliances -- Home Application
00613 Fluoride, Custom Appliance -- Maxillary Arch (+ Lab)
00614 Fluoride, Custom Appliance -- Mandibular Arch (+ Lab)
00615 Fluoride, Custom Appliances -- Maxillary + Mandibular
Combined (+ Lab)
00620 Finishing Restorations
May include polishing/finishing, removal of over-hangs, refining
marginal ridges and occlusal surfaces, etc.
00621 One unit of time
00622 Two units of time
00623 Three units of time
00624 Four units of time
00627 One-half unit of time
00629 Each additional unit over four
00630 Fabrication of Mouthguards
May include the taking of impressions and the preparation of
study models for the purpose of fabricating a mouthguard and
subsequent insertion, fitting and education/instruction.
00631 Mouthguards, Preformed -- Maxillary Arch
00632 Mouthguards, Preformed -- Mandibular Arch
00633 Mouthguards, Preformed -- Maxillary + Mandibular Combined
00634 Mouthguards, Processed -- Maxillary Arch (+ Lab)
00635 Mouthguards, Processed -- Mandibular Arch (+ Lab)
00636 Mouthguards, Processed -- Maxillary + Mandibular Combined
(+ Lab)
00638 Labelling of Removable Prosthesis
00640 Desensitization
May involve the application of chemotherapeutic aids or the use
of a variety of therapeutic procedures. More than one appointment
or application may be necessary.
00641 One unit of time
00642 Two units of time
00647 One-half unit of time
00649 Each additional unit over two
00650 Bleaching of Vital Teeth in Office
00651 One unit of time
00652 Two units of time
00653 Three units of time
00657 One-half unit of time
00659 Each additional unit over three
00660 Bleaching of Vital Teeth at Home
Includes the fabrication of bleaching trays, product system for
home use and follow-up care.
00661 Maxillary Arch (+ Lab/E)
00662 Mandibular Arch (+ Lab/E)
00663 Maxillary and Mandibular Arches (+ Lab/E)
00665 Placement of Temporary Restoration
Tooth number must be indicated on the claim form.
00666 First tooth
00667 Each additional tooth in the same quadrant
00670 Recementation
Recementation may be permanent or temporary.
00671 One unit of time
00672 Two units of time
00673 Three units of time
00677 One-half unit of time
00679 Each additional unit over three
00680 Pulp Vitality Testing
00681 One unit of time
00687 One-half unit of time
00689 Each additional unit of time over one
00690 Dentures/Removable Oral Prosthesis, Prophylaxis and Polishing
00691 One unit of time
00697 One-half unit of time
00699 Each additional unit of time over one
00700 Pain Management
00710 Electronic Dental Anesthesia
00711 One unit of time
00712 Two units of time
00713 Three units of time
00714 Four units of time
00717 One-half unit of time
00719 Each additional unit over four
00720 Anesthesia, Local (not in conjunction with treatment procedures)
00721 Regional Block
00722 Trigeminal Division Block
00723 Supraperiosteal Infiltration
00730 Acupuncture
00731 One unit of time
00732 Two units of time
00733 Three units of time
00734 Four units of time
00737 One-half unit of time
00739 Each additional unit over four
00740 Nitrous Oxide, Conscious Sedation
00741 One unit of time
00742 Two units of time
00743 Three units of time
00744 Four units of time
00747 One-half unit of time
00749 Each additional unit over four
00800 Education
00810 Counselling for Diet as Related to Oral Health
Includes recording and analysis (up to seven days) of dietary
intake and consultation.
00811 One unit of time
00812 Two units of time
00813 Three units of time
00814 Four units of time
00817 One-half unit of time
00819 Each additional unit over four
00820 Counselling for Tobacco Use Cessation
00821 One unit of time
00822 Two units of time
00823 Three units of time
00824 Four units of time
00827 One-half unit of time
00829 Each additional unit over four
00830 Counselling for Oral Self-Examination
00831 One unit of time
00832 Two units of time
00833 Three units of time
00834 Four units of time
00837 One-half unit of time
00839 Each additional unit over four
00840 Instruction in Oral Self-Care
Individual instruction (one instructor to one client) that may
include, but is not limited to, brushing and/or flossing and/or
embrasure cleaning. This excludes audio-visual time.
00841 One unit of time
00842 Two units of time
00843 Three units of time
00844 Four units of time
00847 One-half unit of time
00849 Each additional unit over four
00850 Group Presentations (including preparation)
00851 One unit of time
00852 Two units of time
00853 Three units of time
00854 Four units of time
00857 One-half unit of time
00859 Each additional unit over four
00900 Outcome Evaluation
Outcome evaluation includes the evaluation of periodontal health
as a follow-up assessment to ongoing dental hygiene care/therapy.
00910 Evaluation of Dental Hygiene Care/Therapy
00911 One unit of time
00912 Two units of time
00917 One-half unit of time
00919 Each additional unit over two
00920 Professional Communications/Case Presentation
May include family members, institution and/or other members of
health-care team. Only to be used in particularly complex or
time-intensive cases.
00921 One unit of time
00922 Two units of time
00927 One-half unit of time
00929 Each additional unit over two
00950 Mobile Dental Hygiene Services
May include, but is not limited to, mobile dental hygiene
services being delivered to a single client in their primary
place of residence (e.g. private home or care facility) in
addition to procedures performed.
00951 Home Visit (Scheduled, Non-emergency)
00952 Institutional Visit (Scheduled, Non-emergency)
00953 Emergency Home Visit (Non-scheduled)
00954 Emergency Institutional Visit (Non-scheduled)
00990 Laboratory and Expense Services
00991 "+Lab" Laboratory procedures
00992 "+E" Additional expense of materials
Appendix appendix, small, worm-shaped blind tube, about 3 in. (7.6 cm) long and 1-4 in. to 1 in. (.64–2.54 cm) thick, projecting from the cecum (part of the large intestine) on the right side of the lower abdominal cavity. A CORRESPONDING CANADIAN DENTAL ASSOCIATION The Canadian Dental Association, also known as the Association dentaire canadienne in French was founded in 1902. It is a non-profit professional association representing Canada's 18,000 dentists. CODES The following chart includes a brief description of each service code and, where applicable, the corresponding CDA (1) (Compact Disc Audio) The compact disc file extension that is seen on the computer in Explorer or some other file manager. CDA files are actually pointers to the locations of the individual tracks on the CD medium. See CD-DA. code (for comparison purposes).
REFLECTED IN
CDHA CODE CDHA NATIONAL LIST OF SERVICE CODES CDA CODE
00000-00499 Assessment, Dental Hygiene Diagnosis and
Treatment Planning
00100 Examination, New Client
00111 Primary Dentition 01101
00112 Mixed Dentition 01102
00113 Permanent Dentition 01103
00114 Edentulous (both arches) 01701
00115 Periodontal 01501
00120 Examination, Previous Client
00121 Routine Reassessment/Recall 01202
00122 Specific 01204
00123 Emergency 01205
00124 Periodontal, Limited 01204
00130 First Dental Hygiene Visit/Orientation
00131 First Dental Hygiene Visit/Orientation 00011
00200 Radiographs and Photographs
00211-00216 Intraoral, Bitewing 02141-02146
00221-00229 Intraoral, Periapical 02111-02125
00231 Intraoral, Full Mouth Series 02101-02102
00241 Panoramic 02601
00251-00259 Cephalometric 02701-02709
00261-00269 Duplication of Radiographs 02911-02919
00271-00279 Photographs 04801-04809
00300 Microbiological and Histological Tests
00311 Caries Susceptibility Test 04201
00321 Periodontal Disease Activity Test 04101
00331 Oral Cancer Testing 04401-04402
00400 Study Models
00401 Taking of Impressions 04911
00402 Fabrication 04911
00500-00999 Dental Hygiene Treatment and Evaluation
00500 Periodontal Treatment
00511-00519 Debridement (supra/subgingival scaling and/ 11111-11119
or subgingival deplaquing)
00521-00529 Root Planing 43421-43429
00531-00539 Stain Removal 11101-11109
00541-00549 Subgingival Periodontal Irrigation 49211-49219
00551-00559 Management of Oral Disease 41211-41219
00600 Additional Oral Health Services
00602 Sealants -- First tooth in quadrant 13401
00603 Sealants -- Each additional tooth in same 13409
quadrant
00606-00609 Application of Antiocariogenic/ 13601-13609
Antimicrobial Agents
00611 In Office -- Fluoride Treatment -- topical 12101
application
00612 In Office -- Fluoride Treatment -- 12102
supervised, self-administered brush-on
00613 At Home -- Custom Fluoride Appliance -- 12601
Maxillary Arch
00614 At Home -- Custom Fluoride Appliance -- 12602
Mandibular Arch
00615 At Home -- Custom Fluoride Appliance -- 12603
Maxillary + Mandibular Combined
00621-00629 Finishing Restorations 16101-16109
00631-00633 Mouthguard -- Preformed 14501
00634-00636 Mouthguard -- Processed 14502
00638 Labelling of Removable Prosthesis
00641-00649 Desensitization 41301-41309
00651-00659 Bleaching of Vital Teeth In Office 97111-97119
00661 Bleaching of Vital Teeth at Home -- 97121
Maxillary Arch
00662 Bleaching of Vital Teeth at Home -- 97122
Mandibular Arch
00663 Bleaching of Vital Teeth at Home -- Both 97123
Maxillary and Mandibular Arches
00666 Placement of Temporary Restorations -- 20111
First tooth in quadrant
00667 Placement of Temporary Restorations -- Each 20119
additional tooth in same quadrant
00671-00679 Recementation 29101-29109
00681-00689 Pulp Vitality Testing 04501-04509
00691-00697 Dentures Removable Oral Prosthesis, 55501-55509
Prophylaxis and Polishing
00700 Pain Management
00711-00719 Electronic Dental Anesthesia 92531-92539
00721 Anesthesia -- Regional Block 92101
00722 Anesthesia -- Trigeminal Division Block 92102
00723 Anesthesia -- Supraperiosteal Infiltration
00731-00739 Acupuncture 92521-92529
00741-00749 Nitrous Oxide 92411-92419
00500-00999 Dental Hygiene Treatment and Evaluation
00800 Education
00811-00819 Counselling for Diet As Related to Oral 13101-13109
Health
00821-00829 Counselling for Tobacco Use Cessation 98101-98109
00831-00839 Counselling for Oral Self-Examination
00841-00849 Instruction in Oral Self-Care 13211-13219
00851-00859 Group Presentations (including preparation) 13221-13229
00900 Outcome Evaluation
00911-00919 Evaluation of Dental Hygiene Care/Therapy 49101-49109
00920 Professional Communications/Case
Presentation
00921-00929 Professional Communications/Case 93111-93119
Presentation
00950 Mobile Dental Hygiene Services
00951 Home Visit (Scheduled, Non-emergency) 94101
00952 Institutional Visit (Scheduled, Non- 94301
emergency)
00953 Emergency Home Visit (Non-scheduled) 94102
00954 Emergency Institutional Visit (Non- 94302
scheduled)
00990 Laboratory and Expense Services
00991 "+L" Laboratory procedures 99111
99222
99333
00992 "+E" Additional expense of materials 99555
Unique Identifier With reference to a given (possibly implicit) set of objects, a unique identifier is any identifier which is guaranteed to be unique among all identifiers used for those objects and for a specific purpose. Number A Unique Identifier Number (UIN UIN Unique Identification Number UIN University Identification Number UIN User Identification Number (ICQ) UIN Quincy, IL, USA - Baldwin Field (Airport Code) UIN Unit Identification Number ) is required for submitting claims to an insurance provider. To apply for a UIN, you can download To receive a file transmitted over a network. In any communications session, "download" means receive, and "upload" means send. The download/upload often implies a big/little scenario, in which data is being downloaded from the "big" server into the "little" user's computer. the application form available in the Resources and Tools section of the members-only section of the CDHA website at www.cdha.ca/members/content/resources&tools/claim_form.asp. You may also send a request, including your CDHA member number, name, address, telephone number, email address See Internet address. , signature and proof of active provincial registration to the CDHA office, 96 Centrepointe Drive, Ottawa, Ontario, K2G 6B1, or by fax to 613-224-7283. This UIN will be reassessed on an annual basis following a renewal of your CDHA active membership. The insurance industry in Canada is provided with a current list of valid Unique Identifier Numbers each year. National Dental Hygiene Claim Form The complete National Dental Hygiene Claim Form is available for download under Resources and Tools in the members-only section of the CDHA website at www.cdha.ca/members/content/resources&tools/claim_form.asp. This form is intended for use by dental hygienists in submitting claims to an insurance provider. The form records a description of the service, the CDHA service code and the cost of the service, in addition to other pertinent PERTINENT, evidence. Those facts which tend to prove the allegations of the party offering them, are called pertinent; those which have no such tendency are called impertinent, 8 Toull. n. 22. By pertinent is also meant that which belongs. Willes, 319. information. Appendix B ABOUT THE NATIONAL DENTAL HYGIENE CLAIM FORM The National Dental Hygiene Claim Form facilitates direct billing for services provided by dental hygienists to third-party payors. All dental hygienists should use the CDHA National Dental Hygiene Claim Form and not a Canadian Dental Association (CDA) dental claim form, so as not to infringe in·fringe v. in·fringed, in·fring·ing, in·fring·es v.tr. 1. To transgress or exceed the limits of; violate: infringe a contract; infringe a patent. 2. upon the CDA's copyright. Accountability The traceability of actions performed on a system to a specific system entity (user, process, device). For example, the use of unique user identification and authentication supports accountability; the use of shared user IDs and passwords destroys accountability. To increase accountability, the CDHA requires both the client and dental hygienist to sign the National Dental Hygiene Claim Form and each entry in the client's record (file/chart), outlining the services provided on that day. Completion of the Dental Hygiene Claim Form
Part 1 -- UIN Every dental hygienist completing a claim
form for a client requires a seven-digit
unique identifier number (UIN) that can be
obtained from the CDHA. The UIN identifies,
through the combination of the first and
second digits, the provider as a dental
hygienist along with her/his province of
residence. The last five digits uniquely
identify the provider for direct billing
and reimbursement purposes.
Part 1 -- Address Box -- Enter the dental hygienist owner/practitioner
Hygienist business address information.
Part 1 -- Address Box -- Enter the client's address.
Client
Part 1 -- CDHA Service Use the appropriate CDHA service code from
Code Box the appropriate provincial dental hygiene
fee guide.
Part 1 -- INTL Tooth Code Enter the two-digit International Tooth Code
Box where applicable. (e.g., Sealants).
Part 1 -- Description of Enter a written description for each service
Services Provided provided. (For assistance, refer to the
National List of Service Codes.)
Part 1 -- Assignment of Assignment of benefits requests that the plan
Benefits administrator forward payment directly to the
dental hygienist (rather than the plan
beneficiary). For your protection the client
should be informed to sign the Client
Accountability Box in the second paragraph.
Part 1 -- Client This box is fundamental to the CDHA direct-
Accountability (second billing process. It serves to identify
paragraph) accountability with the client regarding
responsibility for all fees and communicates
to the plan administrator that the client
affirms he/she understands the services and
confirms that the services have been provided
to him/her. The providing registered dental
hygienist and client should both sign in this
box and the client record. If the client is
unable to sign (e.g., dementia, power of
attorney), then indicate N/A and the reason.
Parts 2 and 3 The client should complete these parts as
required by his/her dental plan
administrator.
The complete National Dental Hygiene Claim Form is available for download under Resources and Tools in the members-only section of the CDHA website at www.cdha.ca/members/content/resources&tools/claim_form.asp. |
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