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APPENDIX M: DETAIL CODES Commander's Guide to ... - Tricare

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ITEM<br />

NBR<br />

STANDARD<br />

ABBR<br />

<strong>APPENDIX</strong> M: <strong>DETAIL</strong> <strong>CODES</strong><br />

DESCRIPTION DEFINITION Additional<br />

Instructions/<br />

Comments<br />

52d DEVAL Dental Evaluation Dental Evaluation: Reserved for a<br />

patient who<br />

53 DEXA DEXA Bone Scan Dual Energy X-ray Absorptiometry<br />

(DEXA): Reserved for a bone<br />

densi<strong>to</strong>metry study used for the<br />

management of osteoporosis. This<br />

study requires special equipment,<br />

trained staff, and scheduling of the<br />

room.<br />

53a DEXAM Dental Examination Dental Examination: Reserved for a<br />

patient who<br />

53b DEXPR Dental<br />

Exam/Prophylactic<br />

Cleaning<br />

Dental Exam/Prophylactic Cleaning:<br />

Reserved for a patient who …<br />

54 DIL Dilation Dilation: Esophageal dilation is used<br />

(accompanying the EGD code) for a<br />

procedure that includes the<br />

esophagogastroduodenoscopy along<br />

with a dilation of esophagus. This is a<br />

specialized procedure, which requires<br />

a detail code for the purpose of<br />

planning and ordering specialized<br />

supplies.<br />

55 DM Diabetes Diabetes: Identified appointments for<br />

diabetic patients. Due <strong>to</strong> the<br />

education component and involvement<br />

of other staff members, the<br />

appointment will be of a longer<br />

duration.<br />

Commander’s <strong>Guide</strong> <strong>to</strong> Access Success Appendix M M-20<br />

101907

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