ASC X12 004010

1361 Oral Cavity Designation Code
TYPE=ID MIN=1 MAX=3

Code Identifying the area of the oral cavity in which service is rendered


L        Left
R        Right
00       Entire Oral Cavity
01       Maxillary Area
02       Mandibular Area
03       Upper Right Sextant
04       Upper Anterior Sextant
05       Upper Left Sextant
06       Lower Left Sextant
07       Lower Anterior Sextant
08       Lower Right Sextant
09       Other Area of Oral Cavity
10       Upper Right Quadrant
20       Upper Left Quadrant
30       Lower Left Quadrant
40       Lower Right Quadrant