Code
Change Request Forms
There are three Code Change
Request Forms available, one each for the
specific actions noted below. These forms
are Microsoft Word © documents
that are intended to be downloaded to your
computer, completed at your convenience and returned, preferably
by e-mail, to dentalcode@ada.org.
After reviewing the Guidelines, Evaluation Criteria and Instructions,
please complete and return the applicable change request form (plus
any attachments) as noted in the Instructions page.
Please answer
all the questions that are
on each type of change request:
Please include additional sheets as necessary where written answers
exceed the space available on the form. When doing so please include
the number of the question being addressed.
The change request forms includes questions that concern the
various components of a dental procedure code (e.g., Nomenclature,
Descriptor). Please review the Components of A Dental Procedure
Code for an explanation of each of the three parts.
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