SoftDent: Understanding Transaction and Procedure Code Ranges

Document created by tshaw Employee on May 6, 2016
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Transaction codes specify transaction types. Standard ADA procedure codes include standard dental procedures. Medical procedures are indicated by CPT codes. Explosion codes group a series of procedures that are often performed together.

  • Diagnosis codes are not maintained in the same database as transaction and procedure codes.

These ranges and any codes marked as Reserved cannot be changed. The ten code ranges are:

 

Code Type

Code Range

Payment Codes

1.00 - 20.99

Payment Adjustments

21.00 - 39.99

Charge Adjustments

40.00 - 60.99

Charge Codes

61.00 - 91.99

Reserved Codes

92.00 - 99.99

ADA Procedure Codes

100.00 - 9999.99

CPT Procedure Codes

10000.00 - 99999.99

Explosion Codes

100000.00 - 100999.99

Statement Text or Notes

101000.00 - 101999.99

Fee Schedule Titles

102000.00 - 102026.99

 

Detailed description of each code range and how it affects the software:

Tip: Customize codes by adding a two-digit extension from .00 to .89. Extensions .90 through .99 are reserved by the software and cannot be customized.

 

Code Type

Code Range

Description

Effect

Payment Code

  1. 1.00

Reserved Cash

The account balance is decreased.

The account collection amount is increased.

Payment Code

  1. 1.01 - 1.89

Other Cash

The account balance is decreased.

The account collection amount is increased.

Payment Code

  1. 2.00

Reserved

Insurance check

The account balance is decreased.

The account collection amount is increased.

Payment Code

  1. 2.01 - 2.89

Other insurance checks

The account balance is decreased.

The account collection amount is increased.

Payment Code

  1. 2.90

Reserved

Electronic funds transfer

The account balance is decreased.

The account collection amount is increased.

Payment Code

  1. 3.00-10.89

Checks

The account balance is decreased.

The account collection amount is increased.

Payment Code

  1. 11.00 - 20.89

Credit cards

The account balance is decreased.

The account collection amount is increased.

Payment Adjustment

  1. 21.00 - 29.89

Collection Adjustments

The account balance is decreased.

The account collection amount is increased.

Payment Adjustment

  1. 29.00

Reserved

Initial credit balance

The account balance is decreased.

The account collection amount is increased.

Payment Adjustment

  1. 29.01

Reserved

Compression starting credit balance

The account balance is decreased.

The account collection amount is increased.

Payment Adjustment

  1. 30.00 - 39.89

Collection debit adjustments

The account balance is increased.

The account collection amount is decreased.

Charge Adjustment

  1. 40.00 - 49.89

Production debit adjustments

The production amount is increased.

The account balance is increased.

Charge Adjustment

  1. 40.90

Reserved

DMO per-visit charge

The production amount is increased.

The account balance is increased.

Charge Adjustment

  1. 48.00

Reserved

Monthly budget plan charge

The production amount is increased.

The account balance is increased.

Charge Adjustment

  1. 48.01

Reserved

Budget plan production debit adjustment

The production amount is increased.

The account balance is increased.

Charge Adjustment

  1. 48.90

Reserved

Monthly ortho budget plan charge

The production amount is increased.

The account balance is increased.

Charge Adjustment

  1. 49.00

Reserved

Initial debit balance

The production amount is increased.

The account balance is increased.

Charge Adjustment

  1. 49.01

Reserved

Compression starting debit balance

The production amount is increased.

The account balance is increased.

Charge Adjustment

  1. 50.00 - 60.89

Production credit adjustments

The production amount is decreased.

The account balance is decreased.

Charge Adjustment

  1. 50.90

Reserved

Write-off adjustment

The production amount is decreased.

The account balance is decreased.

Charge Adjustment

  1. 50.91

Reserved

Risk write-off

The production amount is decreased.

The account balance is decreased.

Charge Adjustment

60

Reserved

Budget plan transfer code

The production amount is decreased.

The account balance is decreased.

Charge Code

  1. 61.00 - 91.89

General debit codes

The production amount is increased.

The account balance is increased.

Reserved Code

  1. 92.00 - 98.89

Reserved

Internal codes

N/A

Reserved Code

  1. 96.00

Reserved

Money transfer credit code

The account balance is decreased.

The collection amount is increased.

Reserved Code

  1. 96.90

Reserved

Move patient balance transfer debit code

The account balance is decreased.

The collection amount is increased.

Reserved Code

  1. 97.00

Reserved

Monthly billing charge

The production amount is increased.

The account balance is increased.

Reserved Code

  1. 98.00

Reserved

Money transfer debit code

The account balance is increased.

The collection amount is decreased.

Reserved Code

  1. 98.90

Reserved

Move patient balance transfer debit codes

The account balance is increased.

The production amount is increased.

Reserved Code

  1. 99.00 - 99.89

Reserved

Finance charges

The account balance is increased.

The production amount is increased.

ADA Procedure Code

  1. 100.00 - 9999.89

Production codes

The account balance is increased.

The production amount is increased.

CPT Procedure Code

  1. 10000.00 - 99999.89

Medical codes

The account balance is increased.

The production amount is increased.

Explosion Code

  1. 100000.00 - 100999.89

Explosion codes

N/A

Statement Text or Notes

  1. 101000.00 - 101999.99

Notes that are attached to statements

N/A

Fee Schedule Title

  1. 102000.00 - 102026.00

Fee schedules

N/A

 

  1. 103000.00

Reserved

Statement sent code

N/A

 

  1. 103000.50

Reserved

Transfer old insurance to patient code

N/A

 

  1. 103000.90

Reserved

Patient walkout given

N/A

 

  1. 103000.91

Reserved

Account walkout given

N/A

 

  1. 103000.92

Reserved

Recall notice sent

N/A

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