Denticon is programmed to adhere to the published ADA claim guidelines, per current editions of the CDT: Dental Procedures Code book.
Offices are advised to obtain and refer to a current copy of the Code book for understanding of the ADA’s guidelines.
Box 25 is labeled on the claim form as “25. Area of Oral Cavity”
According to the ADA:
Offices are advised to obtain and refer to a current copy of the Code book for understanding of the ADA’s guidelines.
Box 25 is labeled on the claim form as “25. Area of Oral Cavity”
According to the ADA:
Tooth Numbering and Areas of the Oral Cavity
the American Dental Association, through policy adopted by the House of Delegates, recognizes two major tooth numbering taxonomies: 1) Universal/National System, which is used primarily in the United States of America; and 2) International Standards Organization System (ANSI/ADA/ISO Specification No. 3950 - 1984 Dentistry Designation System for Tooth and Areas of the Oral Cavity), which is used in many countries outside the USA.
ANSI/ADA/ISO Specification No. 3950
This system (ANSI/ADA/ISO Specification No. 3950 - 1984 Dentistry Designation System for Tooth and Areas of the Oral Cavity) is designed to identify areas of the oral cavity as well as uniquely number permanent and primary dentition. This code set does not yet identify supernumerary teeth. It is used in many countries outside the USA, as well as being a component of developing electronic dental transactions, such as the 'dental laboratory prescription'.
The ISO System is also identified as code set "JO" in references found on the ADA Dental Claim form and on HIPAA standard electronic dental claim transactions. Each component of this numbering system, starting with 'Areas of the Oral Cavity' and followed by 'Designation of Teeth', is described below.
Areas of the Oral Cavity
The areas of the oral cavity are designated by a two-digit code, where at least one of the two digits is zero, as follows:
the American Dental Association, through policy adopted by the House of Delegates, recognizes two major tooth numbering taxonomies: 1) Universal/National System, which is used primarily in the United States of America; and 2) International Standards Organization System (ANSI/ADA/ISO Specification No. 3950 - 1984 Dentistry Designation System for Tooth and Areas of the Oral Cavity), which is used in many countries outside the USA.
ANSI/ADA/ISO Specification No. 3950
This system (ANSI/ADA/ISO Specification No. 3950 - 1984 Dentistry Designation System for Tooth and Areas of the Oral Cavity) is designed to identify areas of the oral cavity as well as uniquely number permanent and primary dentition. This code set does not yet identify supernumerary teeth. It is used in many countries outside the USA, as well as being a component of developing electronic dental transactions, such as the 'dental laboratory prescription'.
The ISO System is also identified as code set "JO" in references found on the ADA Dental Claim form and on HIPAA standard electronic dental claim transactions. Each component of this numbering system, starting with 'Areas of the Oral Cavity' and followed by 'Designation of Teeth', is described below.
Areas of the Oral Cavity
The areas of the oral cavity are designated by a two-digit code, where at least one of the two digits is zero, as follows:
00 – designates the whole of sextant
01 – designates the maxillary area
02 – designates the mandibular area
10 – designates the upper right quadrant
20 – designates the upper left quadrant
30 – designates the lower left quadrant
40 – designates the lower right quadrant
03 – designates the upper right sextant
04 – designates the upper anterior sextant
05 – designates the upper left sextant
06 – designates the lower left sextant
07 – designates the lower anterior sextant
08 – designates the lower right sextant
01 – designates the maxillary area
02 – designates the mandibular area
10 – designates the upper right quadrant
20 – designates the upper left quadrant
30 – designates the lower left quadrant
40 – designates the lower right quadrant
03 – designates the upper right sextant
04 – designates the upper anterior sextant
05 – designates the upper left sextant
06 – designates the lower left sextant
07 – designates the lower anterior sextant
08 – designates the lower right sextant