DIAGNOSTIC

EXAMINATION AND DIAGNOSIS, CLINICAL ORAL

FIRST DENTAL VISIT/ORIENTATION

Oral assessment for patients up to the age of 3 years inclusive. Assessment to include: Medical history,
familial dental history; dietary/feeding practices; oral habits; oral hygiene; fluoride exposure.
Anticipatory guidance with parent/guardian

EXAMINATIONS, AND DIAGNOSIS COMPLETE ORAL, to include:

History, Medical and Dental.
Clinical Examination and Diagnosis of Hard and Soft tissues, including the following as necessary:
Carious lesions, missing teeth, determination of sulcular depth, gingival contours, mobility of teeth,
interproximal tooth contact relationships, occlusion of teeth, TMJ, pulp vitality test/analysis, where
necessary and any other pertinent factors;
Radiographs extra, as required.

Examination and Diagnosis, Complete, Primary Dentition, to include:

Extended examination and diagnosis on primary dentition, recording history, charting, treatment
planning and case presentation, including above description as per 01100.

Examination and Diagnosis, Complete, Mixed Dentition, to include:

Extended examination and diagnosis on mixed dentition, recording history, charting, treatment
planning and case presentation, including above description as per 01100.
Eruption sequence, tooth size - jaw size assessment.

Examination and Diagnosis, Complete, Permanent Dentition, to include:

Extended examination on permanent dentition, recording history, charting, treatment planning and
case presentation, including above description as per 01100.

EXAMINATIONS AND DIAGNOSIS, LIMITED ORAL

Examination and Diagnosis, Limited, Oral, New Patient. Examination and diagnosis of hard and soft
tissues, including checking of occlusion and appliances, but not including specific test/ analysis as for
01100. (May include PSR)

Examination and diagnosis, Limited oral, Previous Patient (recall). Examination of hard and soft
tissues, including checking of occlusion and appliances, but not including specific tests, as for 01100.

Examination and Diagnosis, Specific Examination and evaluation of a specific situation in a localized
area. Not to be used as a substitute for limited exam codes (01201, 01202)

Examination and Diagnosis, Emergency. Examination and Diagnosis for the investigation of discomfort
and/or infection in a localized area. Not to be used as a substitute for limited exam codes (01201,
01202).

Analysis, Mixed Dentition

EXAMINATIONS AND DIAGNOSIS, STOMATOGNATHIC, DYSFUNCTIONAL

Examination and Diagnosis, Stomatognathic Dysfunctional, Comprehensive, to include:

History, Medical , Dental, Pain/Dysfunction
Clinical examination to include, general appraisal, examination of head and neck, musculoskeletal
system (static and functional); intraoral examination of hard and soft tissues, including occlusal
analysis; consultation with other health care professionals, review of previous records, including
radiographs, ordering of appropriate test/analysis and consultations.

Examination and Diagnosis, Stomatognathic Dysfunctional, Limited

EXAMINATIONS AND DIAGNOSIS, ORAL PATHOLOGY

Examination and Diagnosis, Oral Pathology, General, to include:

Initial consultation with referring dentist or physician,
History, Medical and Dental
Clinical examination including in-depth analysis of medical status,
Diagnosis, prognosis and formulation of a treatment plan.

Examination and Diagnosis, Oral Pathology, Specific (or repeat examination within 90 days for the
same illness).

EXAMINATION AND DIAGNOSIS, PERIODONTAL

Examination and Diagnosis, Periodontal, General Recording History, Charting, Treatment Planning and
Case Presentation:

History, Medical and Dental
Clinical Examination includes evaluation of topography of the gingiva and related structures; degree of
gingival inflammation; location, extent, sulcular depth; furcation involvement, mobility of teeth;
tooth contact relationships; evaluation of occlusion; TMJ; examination of oral soft tissue pathosis;
evaluation of the existing restorative and/or prosthetic appliances; caries and pulpal vitality.

Examination and Diagnosis, Periodontal, Limited (previous patient)

Examination and Diagnosis, Periodontal, Specific

EXAMINATIONS AND DIAGNOSIS, SURGICAL

Examination and Diagnosis, Surgical, General

History, Medical and Dental
Clinical Examination as above, may include in-depth analysis of medical status, medication,
anaesthetic and surgical risk, initial consultation with referring dentist or physician, parent or
guardian, evaluation of source of chief complaint, evaluation of pulpal vitality, mobility of teeth,
occlusal factors, TMJ, or where the patient is to be admitted to hospital for dental procedures.

Examination and Diagnosis, Surgical, Specific

EXAMINATIONS AND DIAGNOSIS, PROSTHODONTIC

Examination and Diagnosis, Prosthodontic, Edentulous

Extended Examination of the Edentulous Mouth, including detailed Medical and Dental History (incl.
prosthetic history), visual and digital examination of the oral structures, head and neck (incl. TMJ), lips,
oral mucosa, tongue, oral pharynx, salivary glands and lymph nodes, and including evaluation for
implant-supported or retained prosthesis.

Examination and Diagnosis, Prosthodontic, Specific

Examination and Diagnosis, Prosthodontic, Fixed Oral Rehabilitation, to include:

History, Medical and Dental
Clinical Examination of Hard and Soft Tissues, including carious lesions, missing teeth, determination
of sulcular depth, gingival contours, mobility of teeth, interproximal tooth contact relationships,
occlusion of teeth, TMJ, pulp vitality test/analysis, where necessary and any other pertinent factors.
Evaluation of specific sites for implant-supported or retained prosthesis;
Radiographs extra, as required

EXAMINATION AND DIAGNOSIS, ENDODONTIC

Examination and Diagnosis, Endodontic, Complete Endodontic examination and/or complicated
diagnosis. Recording history, charting treatment planning and case history. Includes the following:

History, Medical and Dental
Clinical Examination and Diagnosis may include vitality test/analysis, thermal test/analysis, cracked
tooth test/analysis, occlusal exams, percussion, palpation, transillumination, anaesthetic test/analysis
and mobility test/analysis.

Examination and Diagnosis, Endodontic, Specific Endodontic examination and evaluation of a specific
situation in a localized area and vitality tests/analysis.

EXAMINATION AND DIAGNOSIS, ORTHODONTIC

Examination and Diagnosis, Orthodontic, General. To include:

Diagnostic models, complete intraoral radiograph series, or panoramic film, cephalograms, facial and
intraoral photographs, consultation and case presentation.

Examination and Diagnosis, Orthodontic, Specific

RADIOGRAPHS (including radiographic examination and diagnosis and interpretation)

RADIOGRAPHS, REGIONAL/LOCALIZED

Radiographs, Complete Series (minimum of 12 images incl. bitewings)