Understanding Transaction and Procedure Code Ranges

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:

Code Type	Code Range	Description	Effect
Payment Code	1.00	Reserved Cash	The account balance is decreased. The account collection amount is increased.
Payment Code	1.01 - 1.89	Other Cash	The account balance is decreased. The account collection amount is increased.
Payment Code	2.00	Reserved Insurance check	The account balance is decreased. The account collection amount is increased.
Payment Code	2.01 - 2.89	Other insurance checks	The account balance is decreased. The account collection amount is increased.
Payment Code	2.90	Reserved Electronic funds transfer	The account balance is decreased. The account collection amount is increased.
Payment Code	3.00-10.89	Checks	The account balance is decreased. The account collection amount is increased.
Payment Code	11.00 - 20.89	Credit cards	The account balance is decreased. The account collection amount is increased.
Payment Adjustment	21.00 - 29.89	Collection Adjustments	The account balance is decreased. The account collection amount is increased.
Payment Adjustment	29.00	Reserved Initial credit balance	The account balance is decreased. The account collection amount is increased.
Payment Adjustment	29.01	Reserved Compression starting credit balance	The account balance is decreased. The account collection amount is increased.
Payment Adjustment	30.00 - 39.89	Collection debit adjustments	The account balance is increased. The account collection amount is decreased.
Charge Adjustment	40.00 - 49.89	Production debit adjustments	The production amount is increased. The account balance is increased.
Charge Adjustment	40.90	Reserved DMO per-visit charge	The production amount is increased. The account balance is increased.
Charge Adjustment	48.00	Reserved Monthly budget plan charge	The production amount is increased. The account balance is increased.
Charge Adjustment	48.01	Reserved Budget plan production debit adjustment	The production amount is increased. The account balance is increased.
Charge Adjustment	48.90	Reserved Monthly ortho budget plan charge	The production amount is increased. The account balance is increased.
Charge Adjustment	49.00	Reserved Initial debit balance	The production amount is increased. The account balance is increased.
Charge Adjustment	49.01	Reserved Compression starting debit balance	The production amount is increased. The account balance is increased.
Charge Adjustment	50.00 - 60.89	Production credit adjustments	The production amount is decreased. The account balance is decreased.
Charge Adjustment	50.90	Reserved Write-off adjustment	The production amount is decreased. The account balance is decreased.
Charge Adjustment	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	61.00 - 91.89	General debit codes	The production amount is increased. The account balance is increased.
Reserved Code	92.00 - 98.89	Reserved Internal codes	N/A
Reserved Code	96.00	Reserved Money transfer credit code	The account balance is decreased. The collection amount is increased.
Reserved Code	96.90	Reserved Move patient balance transfer debit code	The account balance is decreased. The collection amount is increased.
Reserved Code	97.00	Reserved Monthly billing charge	The production amount is increased. The account balance is increased.
Reserved Code	98.00	Reserved Money transfer debit code	The account balance is increased. The collection amount is decreased.
Reserved Code	98.90	Reserved Move patient balance transfer debit codes	The account balance is increased. The production amount is increased.
Reserved Code	99.00 - 99.89	Reserved Finance charges	The account balance is increased. The production amount is increased.
ADA Procedure Code	100.00 - 9999.89	Production codes	The account balance is increased. The production amount is increased.
CPT Procedure Code	10000.00 - 99999.89	Medical codes	The account balance is increased. The production amount is increased.
Explosion Code	100000.00 - 100999.89	Explosion codes	N/A
Statement Text or Notes	101000.00 - 101999.99	Notes that are attached to statements	N/A
Fee Schedule Title	102000.00 - 102026.00	Fee schedules	N/A
	103000.00	Reserved Statement sent code	N/A
	103000.50	Reserved Transfer old insurance to patient code	N/A
	103000.90	Reserved Patient walkout given	N/A
	103000.91	Reserved Account walkout given	N/A
	103000.92	Reserved Recare notice sent	N/A

Tip

To view a printable job aid that lists the default transaction and procedure codes, see Transaction Codes.