ADA Schedule Changes 11th Edition
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1 ADA Schedule Changes 11th Edition Created: Updated: As of the 01/04/2016 changes will take effect to the ADA Schedule. This document will step you through the changes that need to be made in Dental4Windows to fit with the 11th edition of the ADA schedule. Note: For any details on amended items, please refer to your ADA schedule. Amended Items The following items numbers have had their description changed, please see below for all changes. In order to make changes to an item numbers description, follow the steps below: 1. Location Setup > Items tab 2. Select Item and change Description on right-hand side Previous Item Code & Description New Item Code & Description 011 Comprehensive oral exam 011 Comprehensive Oral Examination 012 Periodic Oral Examination NIL change in D4W 013 Oral exam limited 013 Oral examination limited 039 Tomography Of Skull Or Parts Thereof 039 Computed Tomography Of Skull Or Parts Thereof 054 Mucosal Screening 054 Oral Mucosal Screening 061 Pulp Testing Per Visit 061 Pulp Testing Per Appointment 071 Diagnostic Model Per Model NIL change in D4W 072 Photographic Record Intraoral 072 Photographic Records Intraoral 073 Photographic Record Extraoral 073 Photographic Records - Extraoral 113 Recontour & Polishing Of Pre-Existing Restoration(s) 113 Recontouring & Polishing Of Pre-Existing Restoration(s) 114 Removal of calculus 1st visit 114 Removal Of Calculus 1st Appointment 115 Removal of calculus subsequent visit 115 Removal of calculus subsequent Appointment 131 Dietary Advice 131 Dietary Analysis & Advice 165 Desensitising Per Visit 165 Desensitising Procedure Per Appointment 213 Treat Acute Perio Infection 213 Treatment Of Acute Periodontal Infection Per Appointment 231 Gingivectomy Per Tooth or Implant 231 Gingivectomy Per Tooth 232 Periodontal Flap Surgery Per tooth or implant 232 Periodontal Flap Surgery Per tooth 235 Gingival Graft Per Quadrant 235 Gingival Graft Per Tooth, Implant Or Extraction Socket 245 Periodontal Surgery One Tooth 245 Periodontal Surgery Involving One Tooth Or Implant 324 Surgical removal of a tooth or fragment requiring NIL change in D4W both removal of bone & tooth division 352 Fracture Of Maxilla No Splinting 352 Fracture Of Maxilla Or Mandible Not Requiring Fixation 381 Surgical Exposure Of U.E. Tooth 381 Surgical Exposure Of Unerupted Tooth Per Tooth 385 Surgical Repositioning Unerupted 385 Surgical Repositioning Of Unerupted Tooth Per Tooth 387 Replantation and splinting of Tooth 387 Replantation And Splinting Of A Tooth Per Tooth 393 Maxillary Antrum Surgery 393 Surgery Involving The Maxillary Antrum 445 Explore Calcified Canal per canal/per visit 445 Explore And/Or Negotiation Of A Calcified Canal Per Canal/Per Appointment 618 Full crown metallic indirect NIL change in D4W 690 Provisional Retention Device 690 Provisional Retention Or Anchorage Device 711 Complete Maxillary Denture NIL change in D4W 712 Complete Mandibular Denture NIL change in D4W 721 Partial Maxillary denture Resin base NIL change in D4W 722 Partial Mandibular denture Resin base NIL change in D4W 727 Partial Maxillary denture Cast metal framework NIL change in D4W 728 Partial Mandibular denture Cast metal framework NIL change in D4W 737 Resilient Lining To New Denture 737 Resilient Lining 823 Functional Orthopaedic Appliance 823 Functional Orthopaedic Appliance Custom Fabrication 825 Sequential plastic Aligners NIL change in D4W 831 Full Arch Banding One Arch NIL change in D4W 841 Fixed Palate Or Lingual Arch 841 Fixed Palate Or Lingual Arch Appliance Page 1 of 11
2 842 Partial Banding for inter-maxillary elastics (Or Cross NIL change in D4W elastics) 843 Maxillary expansion appliance 843 Expansion Appliance Fixed Per Arch 845 Passive fixed appliance 845 Passive Appliance - Fixed 851 Extra Oral Appliance 851 Extraoral Appliance 862 Bond Attachment Apply Ortho Force 862 Bonding Of Attachment For Application Of Orthodontic Force 878 Relining removable appliance processed 878 Relining Removable Appliance - Processed 881 Complete Ortho Course By Gen. Dent 881 Complete Course Of Orthodontic Treatment 949 Treatment Under General Anaesthesia/Sedation NIL change in D4W 961 Minor Occlusal Adjustment 961 Minor Occlusal Adjustment Per Appointment 965 Occlusal Splint NIL change in D4W 966 Adjustment Of Occlusal Splint 966 Adjustment Of Pre-Existing Occlusal Splint Per Appointment 968 Occlusal Adjustment per visit 968 Occlusal Adjustment Following Occlusal Analysis Per Appointment 971 Adjunctive Phys. Therapy- T M J 971 Adjunctive Physical Therapy For Temporomandibular Joint And Associated Structures Per Appointment 982 Enamel Stripping Per Visit 982 Enamel Stripping Per Appointment 983 Single Arch oral appliance for diagnosed snoring NIL change in D4W 984 Bi-maxillary oral appliance for diagnosed snoring NIL change in D4W Renumbered Items The following item numbers have been renumbered 576 now now 526 or now 556 Mark each item (576, 582, and 583) as obsolete, by ticking the obsolete box found on the right of the item code field. Enter the date that this item will become obsolete. Date should be 01/04/2016. Take note of the fees associated to each item number so that you can apply them to the newly added item numbers. Follow these steps to assign a fee amount to the above items: Location Management > Fees tab 1. Location Management > Fees tab > locate item/s beneath the fee level 2. Record the fee of the previous items 3. Create a New Period Start date 4. Locate the renumbered new item numbers 5. Enter the amount of the item into the Fee ($) box If needing further assistance with entering fee amounts for item numbers, please request the How to work in Fees HowTo document. Deleted Items Items 281 and 282 have been deleted from the schedule. In Dental4Windows the items should be made obsolete. 1. Open the category e.g. PERIODONTICS 2. Open the sub-category e.g. Perio 3. Place a tick in the Obsolete tick box in item Enter the date the change is to take effect: 01/04/ Repeat steps 1-4 for the next item number Items Not Chartable The following items have been added to the schedule and should also be added to Dental4Windows (D4W) New Items: 026, 059, 075, 087, 088, 089, 090, 091, 142, 223, 233, 234, 246, 247, 571, 713, 714, 715, 723, 724, 824, 833, 872, 873, 874, 945, 948, 985 and 987. Follow these steps to add the above items: Location Setup > Items tab Page 2 of 11
3 Item Open the Sub-Category Radiological 4. Enter the Item Code: Enter the Description: Cone Beam Volumetric Tomography Scan Acquisition Per Appointment Item Enter the Item Code: Enter the Description: Comprehensive Head And Neck Cancer Examination And Risk Assessment Item Enter the Item Code: Enter the Description: Diagnostic Modelling Item Enter the Item Code: Enter the Description: Cone Beam Volumetric Tomography Analysis And /Or Interpretation Small Field Of View (Less Than One Complete Dental Arch) Item Enter the Item Code: Enter the Description: Cone Beam Volumetric Tomography Analysis And /Or Interpretation Maxillary Or Mandibular Dentition (Single Arch) Item Enter the Item Code: Enter the Description: Cone Beam Volumetric Tomography Analysis And /Or Interpretation Maxillary And Mandibular Dentition (Both Arches) Item Enter the Item Code: Enter the Description: Cone Beam Volumetric Tomography Analysis And /Or Interpretation Temporomandibular Joints Only Page 3 of 11
4 Item Enter the Item Code: Enter the Description: Cone Beam Volumetric Tomography Analysis And /Or Interpretation Orofacial Structures Item Open the Category PREVENTATIVE 4. Enter the Item Code: Enter the Description: Tobacco Counselling Item Open the Category PERIODONTICS 2. Open the Sub-Category Perio 4. Enter the Item Code: Enter the Description: Non-Surgical Treatment Of Peri-Implant Disease Per Implant Item Open the Category PERIODONTICS 2. Open the Sub-Category Perio 4. Enter the Item Code: Enter the Description: Surgical Treatment Of Peri-Implant Disease Per Implant Item Open the Category PERIODONTICS 2. Open the Sub-Category Perio 4. Enter the Item Code: Enter the Description: Application Of Biologically Active Material Item Open the Category PERIODONTICS 2. Open the Sub-Category Perio 4. Enter the Item Code: Enter the Description: Maxillary Sinus Augmentation Trans-Alveolar Technique Per Sinus Item Open the Category PERIODONTICS 2. Open the Sub-Category Perio 4. Enter the Item Code: Enter the Description: Maxillary Sinus Augmentation Lateral Wall Approach Per Sinus Item Open the Category RESTORATIVE Page 4 of 11
5 4. Enter the Item Code: Enter the Description: Adaptation Of New Restoration To Existing Removable Prosthesis Per Tooth Item Open the Category PROSTHODONTICS 2. Open the Sub-Category New Dentures/Components 4. Enter the Item Code: Enter the Description: Provisional Complete Maxillary Denture Item Open the Category PROSTHODONTICS 2. Open the Sub-Category New Dentures/Components 4. Enter the Item Code: Enter the Description: Provisional Complete Mandibular Denture Item Open the Category PROSTHODONTICS 2. Open the Sub-Category New Dentures/Components 4. Enter the Item Code: Enter the Description: Provisional Complete Maxillary And Mandibular Dentures Item Open the Category PROSTHODONTICS 2. Open the Sub-Category New Dentures/Components 4. Enter the Item Code: Enter the Description: Provisional Partial Maxillary Denture Item Open the Category PROSTHODONTICS 2. Open the Sub-Category New Dentures/Components 4. Enter the Item Code: Enter the Description: Provisional Partial Mandibular Denture Item Open the Category ORTHODONTICS 2. Open the Sub-Category Removal Appliances 4. Enter the Item Code: Enter the Description: Functional Orthopaedic Appliance Prefabricated Item Open the Category ORTHODONTICS 2. Open the Sub-Category Fixed Appliances 4. Enter the Item Code: 833 Page 5 of 11
6 5. Enter the Description: Removal Of Banding Per Arch Item Open the Category ORTHODONTICS 4. Enter the Item Code: Enter the Description: Re-Attachment Of Passive Appliance Fixed Item Open the Category ORTHODONTICS 4. Enter the Item Code: Enter the Description: Repair Of Passive Appliance Fixed 6. Enter the F5 button on the keyboard to refresh the screen Item Open the Category ORTHODONTICS 4. Enter the Item Code: Enter the Description: Removal Of Passive Appliance Fixed 6. Enter the F5 button on the keyboard to refresh the screen Item Open the Category GENERAL 2. Open the Sub-Category Anaesthesia and Sedation 4. Enter the Item Code: Enter the Description: Low Level Laser Therapy Per Appointment Item Open the Category GENERAL 2. Open the Sub-Category Anaesthesia and Sedation 4. Enter the Item Code: Enter the Description: Dental Acupuncture Per Appointment Item Open the Category GENERAL 2. Open the Sub-Category Occlusal Therapy 4. Enter the Item Code: Enter the Description: Repair/Addition Snoring Or Sleep Apnoea Device Item Open the Category GENERAL 2. Open the Sub-Category Occlusal Therapy 4. Enter the Item Code: Enter the Description: Re-Contour Tissue Per Appointment Page 6 of 11
7 Items Chartable The following items have been added to the schedule and should also be added to Dental4Windows (D4W) as chartable items. New Items: 526, 536, 556, 586, 587 and 588 Follow these steps to add the above items: Location Setup > Items tab Item 526 b. Open the Sub-Category GIC, Composite d. Enter the Item Code: 526 e. Enter the Description: Adhesive Restoration Veneer - Direct f. Select the Applied Area: Surface b. Select the Image Position: Surface i. Image File: select veneer.bmp e. Item Done i. Image File: select veneer.bmp ii. Filling colour: Aqua b. Select the 3D Image Position: Cell d. Planned: i. Cell colour: Pink ii. Content: Symbol on background iii. Symbol: V iv. Text Colour: Red v. Background colour: Aqua e. Done: i. Cell colour: Aqua ii. Content: Symbol iii. Symbol: V iv. Text colour: Black f. Hint: Anterior Veneer g. Always show hint: Yes 4. Press the F5 button on the keyboard to refresh the screen Item 536 b. Open the Sub-Category GIC, Composite d. Enter the Item Code: 536 e. Enter the Description: Adhesive Restoration Veneer Posterior Tooth Direct f. Select the Applied Area: Surface b. Select the Image Position: Surface Page 7 of 11
8 i. Image File: select veneer.bmp e. Item Done: i. Image File: select veneer.bmp ii. Filling colour: Aqua b. Select the 3D Image Position: Cell d. Planned: i. Cell colour: Pink ii. Content: Symbol on background iii. Symbol: V iv. Text colour: Red v. Background colour: Aqua e. Done: i. Cell colour: Aqua ii. Content: Symbol iii. Symbol: V iv. Text colour: Black f. Hint: Posterior Veneer g. Always show hint: Yes 3. Press the F5 button on the keyboard to refresh the screen Item 556 b. Open the Sub-Category Inlays / Onlays d. Enter the Item Code: 556 e. Enter the Description: Tooth Coloured Restoration Veneer - Indirect f. Select the Applied Area: Surface b. Select the Image Position: Surface i. Image File: select veneer.bmp e. Item Done: i. Image File: select venner.bmp ii. Filling colour: Aqua b. Select the 3D Image Position: Cell d. Planned: i. Cell colour: Pink ii. Content: Symbol on background iii. Symbol: Au iv. Text colour: Red v. Background colour: Aqua e. Done: i. Cell colour: Aqua ii. Content: Symbol iii. Symbol: Au iv. Text colour: Black f. Hint: Posterior Veneer g. Always show hint: Yes Page 8 of 11
9 4. Press the F5 button on the keyboard to refresh the screen Item 586 b. Open the Sub-Category Other d. Enter the Item Code: 586 e. Enter the Description: Crown Metallic With Tooth Preparation Preformed f. Select the Applied Area: Tooth b. Select the Image Position: Over Tooth c. Select the Priority: Normal e. Item Done: ii. Filling colour: Grey b. Select the 3D Image Position: Crown c. Select Crown type: Crown d. Select the Priority: Normal e. Planned: i. Crown colour: Pink ii. Crown Material: Steel Crown iii. Material text colour: Red f. Done: i. Crown colour: Grey ii. Crown Material: Steel Crown iii. Material text colour: White 4. Press the F5 button on the keyboard to refresh the screen Item 587 b. Open the Sub-Category Other d. Enter the Item Code: 587 e. Enter the Description: Crown Metallic Minimal Tooth Preparation Preformed f. Select the Applied Area: Tooth b. Select the Image Position: Over Tooth c. Select the Priority: Normal e. Item Done: ii. Filling colour: Grey b. Select the 3D Image Position: Crown c. Select Crown type: Crown d. Select the Priority: Normal e. Planned: Page 9 of 11
10 i. Crown colour: Pink ii. Crown Material: Steel Crown iii. Material text colour: Red f. Done: i. Crown colour: Grey ii. Crown Material: Steel Crown iii. Material text colour: White 4. Press the F5 button on the keyboard to refresh the screen Item 588 b. Open the Sub-Category Other d. Enter the Item Code: 588 e. Enter the Description: Crown Metallic Preformed f. Select the Applied Area: Tooth b. Select the Image Position: Over Tooth c. Select the Priority: Normal e. Item Done: ii. Filling colour: Yellow b. Select the 3D Image Position: Crown c. Select Crown type: Crown d. Select the Priority: Normal e. Planned: i. Crown colour: Pink ii. Crown Material: Non Metallic crown iii. Material text colour: Red f. Done: i. Crown colour: Yellow ii. Crown Material: Non Metallic iii. Material text colour: Black 4. Press the F5 button on the keyboard to refresh the screen Operations Added Items The following items have been added to the schedule and should also be added to Dental4Windows (D4W) within existing operations. Follow these steps to add the items into each operation: Location Setup > Operations tab Veneer Operation 1. Open the Category Restorative 2. Open the Group Veneer 3. Select the Operation 4 Veneer 4. Press the [Add new] button at the bottom of the screen 5. Select items 526, 536 and 556 from the list Page 10 of 11
11 Crown Operation 1. Open the Category Crown / Bridges 2. Open the Group Crown 3. Select the Operation 9 Crown 4. Press the [Add new] button at the bottom of the screen 5. Select items 586, 587 and 588 from the list Page 11 of 11
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