05100 TREATMENT PLANNING
| 00000 | DIAGNOSTIC |
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| 05000 | CASE PRESENTATION/TREATMENT PLANNING |
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| 05100 | TREATMENT PLANNING | ||
| Additional Information: | Add'l Info: | (This service is only for extra time spent on unusually complicated cases or where the patient |
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| 05101 | One unit of time |
77.9 | 77.9 |
| 05102 | Two units |
155.8 | 155.8 |
| 05103 | Three units |
233.72 | 233.72 |
| 05104 | Four units |
311.62 | 311.62 |
| 05109 | Each additional unit over four |
77.9 | 77.9 |