| Code |
System |
Display |
| 1101 |
http://terminology.hl7.org/CodeSystem/ex-USCLS |
Exam, comp, primary |
| 1102 |
http://terminology.hl7.org/CodeSystem/ex-USCLS |
Exam, comp, mixed |
| 1103 |
http://terminology.hl7.org/CodeSystem/ex-USCLS |
Exam, comp, permanent |
| 1201 |
http://terminology.hl7.org/CodeSystem/ex-USCLS |
Exam, recall |
| 1205 |
http://terminology.hl7.org/CodeSystem/ex-USCLS |
Exam, emergency |
| 2101 |
http://terminology.hl7.org/CodeSystem/ex-USCLS |
Radiograph, series (12) |
| 2102 |
http://terminology.hl7.org/CodeSystem/ex-USCLS |
Radiograph, series (16) |
| 2141 |
http://terminology.hl7.org/CodeSystem/ex-USCLS |
Radiograph, bitewing |
| 2601 |
http://terminology.hl7.org/CodeSystem/ex-USCLS |
Radiograph, panoramic |
| 11101 |
http://terminology.hl7.org/CodeSystem/ex-USCLS |
Polishing, 1 unit |
| 11102 |
http://terminology.hl7.org/CodeSystem/ex-USCLS |
Polishing, 2 unit |
| 11103 |
http://terminology.hl7.org/CodeSystem/ex-USCLS |
Polishing, 3 unit |
| 11104 |
http://terminology.hl7.org/CodeSystem/ex-USCLS |
Polishing, 4 unit |
| 21211 |
http://terminology.hl7.org/CodeSystem/ex-USCLS |
Amalgam, 1 surface |
| 21212 |
http://terminology.hl7.org/CodeSystem/ex-USCLS |
Amalgam, 2 surface |
| 27211 |
http://terminology.hl7.org/CodeSystem/ex-USCLS |
Crown, PFM |
| 67211 |
http://terminology.hl7.org/CodeSystem/ex-USCLS |
Maryland Bridge |
| 99111 |
http://terminology.hl7.org/CodeSystem/ex-USCLS |
Lab, commercial |
| 99333 |
http://terminology.hl7.org/CodeSystem/ex-USCLS |
Lab, in office |
| 99555 |
http://terminology.hl7.org/CodeSystem/ex-USCLS |
Expense |