American Dental Association Universal Numbering Value Set - CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®) v2.2.0

CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®), published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/carin-bb/ and changes regularly. See the Directory of published versions

ValueSet: American Dental Association Universal Numbering Value Set

Official URL: http://hl7.org/fhir/us/carin-bb/ValueSet/ADAUniversalNumberingSystem

Version: 2.2.0

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Standards status: Trial-use Active as of 2026-03-03

Computable Name: ADAUniversalNumberingSystem

Copyright/Legal: American Dental Association (ADA) developed Current Dental Terminology (CDT®) as a standardized language to help dentists and other members of the healthcare industry communicate effectively. CDT is revised and updated every year.

The ADA is the exclusive copyright owner of CDT, the Code on Dental Procedures and Nomenclature (the Code), and the ADA Dental Claim Form. Except as permitted by law, all use, copying or distribution of CDT, or any portion thereof (including the Code on Dental Procedures and Nomenclature) in any product or services (including works prepared for clients by consultants and other professionals), whether in printed, electronic or other format, requires a valid commercial user license from the ADA.

For more information : https://www.ada.org/en/publications/ada-catalog/cdt-products/licensing-for-commercial-users

The American Dental Association Universal Numbering System is a tooth notation system primarily used in the United States.

Teeth are numbered from the viewpoint of the dental practitioner looking into the open mouth, clockwise starting from the distalmost right maxillary teeth.

References

C4BB ExplanationOfBenefit Oral Basis

Logical Definition (CLD)

Include all codes defined in http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem version 📦1.0.1

Expansion

Expansion performed internally based on codesystem ADA Universal Tooth Designation System v1.0.1 (CodeSystem)

This value set contains 93 concepts

System	Code	Display (en)	Definition	JSON	XML
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	1	Permanent maxillary right third molar tooth	Permanent maxillary right third molar tooth; Universal designation 1; ISO designation 18
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	2	Permanent maxillary right second molar tooth	Permanent maxillary right second molar tooth; Universal designation 2; ISO designation 17
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	3	Permanent maxillary right first molar tooth	Permanent maxillary right first molar tooth; Universal designation 3; ISO designation 16
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	4	Permanent maxillary right second premolar tooth	Permanent maxillary right second premolar tooth; Universal designation 4; ISO designation 15
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	5	Permanent maxillary right first premolar tooth	Permanent maxillary right first premolar tooth; Universal designation 5; ISO designation 14
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	6	Permanent maxillary right canine tooth	Permanent maxillary right canine tooth; Universal designation 6; ISO designation 13
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	7	Permanent maxillary right lateral incisor tooth	Permanent maxillary right lateral incisor tooth; Universal designation 7; ISO designation 12
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	8	Permanent maxillary right central incisor tooth	Permanent maxillary right central incisor tooth; Universal designation 8; ISO designation 11
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	9	Permanent maxillary left central incisor tooth	Permanent maxillary left central incisor tooth; Universal designation 9; ISO designation 21
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	10	Permanent maxillary left lateral incisor tooth	Permanent maxillary left lateral incisor tooth; Universal designation 10; ISO designation 22
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	11	Permanent maxillary left canine tooth	Permanent maxillary left canine tooth; Universal designation 11; ISO designation 23
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	12	Permanent maxillary left first premolar tooth	Permanent maxillary left first premolar tooth; Universal designation 12; ISO designation 24
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	13	Permanent maxillary left second premolar tooth	Permanent maxillary left second premolar tooth; Universal designation 13; ISO designation 25
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	14	Permanent maxillary left first molar tooth	Permanent maxillary left first molar tooth; Universal designation 14; ISO designation 26
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	15	Permanent maxillary left second molar tooth	Permanent maxillary left second molar tooth; Universal designation 15; ISO designation 27
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	16	Permanent maxillary left third molar tooth	Permanent maxillary left third molar tooth; Universal designation 16; ISO designation 28
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	17	Permanent mandibular left third molar tooth	Permanent mandibular left third molar tooth; Universal designation 17; ISO designation 38
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	18	Permanent mandibular left second molar tooth	Permanent mandibular left second molar tooth; Universal designation 18; ISO designation 37
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	19	Permanent mandibular left second molar tooth	Permanent mandibular left first molar tooth; Universal designation 19; ISO designation 36
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	20	Permanent mandibular left second premolar tooth	Permanent mandibular left second premolar tooth; Universal designation 20; ISO designation 35
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	21	Permanent mandibular lower left first premolar tooth	Permanent mandibular left first premolar tooth; Universal designation 21; ISO designation 34
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	22	Permanent mandibular left canine tooth	Permanent mandibular left canine tooth; Universal designation 22; ISO designation 33
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	23	Permanent mandibular left lateral incisor tooth	Permanent mandibular left lateral incisor tooth; Universal designation 23; ISO designation 32
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	24	Permanent mandibular left central incisor tooth	Permanent mandibular left central incisor tooth; Universal designation 24; ISO designation 31
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	25	Permanent mandibular right central incisor tooth	Permanent mandibular right central incisor tooth; Universal designation 25; ISO designation 41
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	26	Permanent mandibular right lateral incisor tooth	Permanent mandibular right lateral incisor tooth; Universal designation 26; ISO designation 42
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	27	Permanent mandibular right canine tooth	Permanent mandibular right canine tooth; Universal designation 27; ISO designation 43
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	28	Permanent mandibular right first premolar tooth	Permanent mandibular right first premolar tooth; Universal designation 28; ISO designation 44
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	29	Permanent mandibular right second premolar tooth	Permanent mandibular right second premolar tooth; Universal designation 29; ISO designation 45
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	30	Permanent mandibular right first molar tooth	Permanent mandibular right first molar tooth; Universal designation 30; ISO designation 46
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	31	Permanent mandibular right second molar tooth	Permanent mandibular right second molar tooth; Universal designation 31; ISO designation 47
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	32	Permanent mandibular right third molar tooth	Permanent mandibular right third molar tooth; Universal designation 32; ISO designation 48
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	51	Supernumerary permanent maxillary right third molar tooth	Supernumerary permanent maxillary right third molar tooth, Universal designation 51
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	52	Supernumerary permanent maxillary right second molar tooth	Supernumerary permanent maxillary right second molar tooth; Universal designation 52
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	53	Supernumerary permanent maxillary right first molar tooth	Supernumerary permanent maxillary right first molar tooth; Universal designation 53
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	54	Supernumerary permanent maxillary right second premolar tooth	Supernumerary permanent maxillary right second premolar tooth; Universal designation 54
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	55	Supernumerary permanent maxillary right first premolar tooth	Supernumerary permanent maxillary right first premolar tooth; Universal designation 55
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	56	Supernumerary permanent maxillary right canine tooth	Supernumerary permanent maxillary right canine tooth; Universal designation 56
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	57	Supernumerary permanent maxillary right lateral incisor tooth	Supernumerary permanent maxillary right lateral incisor tooth; Universal designation 57
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	58	Supernumerary permanent maxillary right central incisor tooth	Supernumerary permanent maxillary right central incisor tooth; Universal designation 58
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	59	Supernumerary permanent maxillary left central incisor tooth	Supernumerary permanent maxillary left central incisor tooth; Universal designation 59
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	60	Supernumerary permanent maxillary left lateral incisor tooth	Supernumerary permanent maxillary left lateral incisor tooth; Universal designation 60
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	61	Supernumerary permanent maxillary left canine tooth	Supernumerary permanent maxillary left canine tooth; Universal designation 61
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	62	Supernumerary permanent maxillary left first premolar tooth	Supernumerary permanent maxillary left first premolar tooth, Universal designation 62
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	63	Supernumerary permanent maxillary left second premolar tooth	Supernumerary permanent maxillary left second premolar tooth; Universal designation 63
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	64	Supernumerary permanent maxillary left first molar tooth	Supernumerary permanent maxillary left first molar tooth; Universal designation 64
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	65	Supernumerary permanent maxillary left second molar tooth	Supernumerary permanent maxillary left second molar tooth; Universal designation 65
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	66	Supernumerary permanent maxillary left third molar tooth	Supernumerary permanent maxillary left third molar tooth; Universal designation 66
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	67	Supernumerary permanent mandibular left third molar tooth	Supernumerary permanent mandibular left third molar tooth; Universal designation 67
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	68	Supernumerary permanent mandibular left second molar tooth	Supernumerary permanent mandibular left second molar tooth; Universal designation 68
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	69	Supernumerary permanent mandibular left first molar tooth	Supernumerary permanent mandibular left first molar tooth; Universal designation 69
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	70	Supernumerary permanent mandibular left second premolar tooth	Supernumerary permanent mandibular left second premolar tooth; Universal designation 70
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	71	Supernumerary permanent mandibular left first premolar tooth	Supernumerary permanent mandibular left first premolar tooth ; Universal designation 71
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	72	Supernumerary permanent mandibular left canine tooth	Supernumerary permanent mandibular left canine tooth; Universal designation 72
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	73	Supernumerary permanent mandibular left lateral incisor tooth	Supernumerary permanent mandibular left lateral incisor tooth; Universal designation 73
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	74	Supernumerary permanent mandibular left central incisor tooth	Supernumerary permanent mandibular left central incisor tooth; Universal designation 74
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	75	Supernumerary permanent mandibular right central incisor tooth	Supernumerary permanent mandibular right central incisor tooth; Universal designation 75
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	76	Supernumerary permanent mandibular right lateral incisor tooth	Supernumerary permanent mandibular right lateral incisor tooth; Universal designation 76
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	77	Supernumerary permanent mandibular right canine tooth	Supernumerary permanent mandibular right canine tooth; Universal designation 77
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	78	Supernumerary permanent mandibular right first premolar tooth	Supernumerary permanent mandibular right first premolar tooth; Universal designation 78
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	79	Supernumerary permanent mandibular right second premolar tooth	Supernumerary permanent mandibular right second premolar tooth; Universal designation 79
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	80	Supernumerary permanent mandibular right first molar tooth	Supernumerary permanent mandibular right first molar tooth; Universal designation 80
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	81	Supernumerary permanent mandibular right second molar tooth	Supernumerary permanent mandibular right second molar tooth; Universal designation 81
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	82	Supernumerary permanent mandibular right third molar tooth	Supernumerary permanent mandibular right third molar tooth; Universal designation 82
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	A	Deciduous maxillary right second molar tooth	Deciduous maxillary right second molar tooth; Universal designation A; ISO designation 55
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	B	Deciduous maxillary right first molar tooth	Deciduous maxillary right first molar tooth; Universal designation B; ISO designation 54
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	C	Deciduous maxillary right canine tooth	Deciduous maxillary right canine tooth; Universal designation C; ISO designation 53
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	D	Deciduous maxillary upper right lateral incisor tooth	Deciduous maxillary right lateral incisor tooth; Universal designation D; ISO designation 52
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	E	Deciduous maxillary right central incisor tooth	Deciduous maxillary right central incisor tooth; Universal designation E; ISO designation 51
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	F	Deciduous maxillary left central incisor tooth	Deciduous maxillary left central incisor tooth; Universal designation F; ISO designation 61
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	G	Deciduous maxillary left lateral incisor tooth	Deciduous maxillary left lateral incisor tooth; Universal designation G; ISO designation 62
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	H	Deciduous maxillary left canine tooth	Deciduous maxillary left canine tooth; Universal designation H; ISO designation 63
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	I	Deciduous maxillary left first molar tooth	Deciduous maxillary left first molar tooth; Universal designation I; ISO designation 64
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	J	Deciduous maxillary left second molar tooth	Deciduous maxillary left second molar tooth; Universal designation J; ISO designation 65
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	K	Deciduous mandibular left second molar tooth	Deciduous mandibular left second molar tooth; Universal designation K; ISO designation 75
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	L	Deciduous mandibular left first molar tooth	Deciduous mandibular left first molar tooth; Universal designation L; ISO designation 74
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	M	Deciduous mandibular left canine tooth	Deciduous mandibular left canine tooth; Universal designation M; ISO designation 73
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	N	Deciduous mandibular left lateral incisor tooth	Deciduous mandibular left lateral incisor tooth; Universal designation N; ISO designation 72
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	O	Deciduous mandibular left central incisor tooth	Deciduous mandibular left central incisor tooth: Universal designation O; ISO designation 71
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	P	Deciduous mandibular right central incisor tooth	Deciduous mandibular right central incisor tooth; Universal designation P; ISO designation 81
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	Q	Deciduous mandibular right lateral incisor tooth	Deciduous mandibular right lateral incisor tooth; Universal designation Q; ISO designation 82
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	R	Deciduous mandibular right canine tooth	Deciduous mandibular right canine tooth; Universal designation R; ISO designation 83
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	S	Deciduous mandibular right first molar tooth	Deciduous mandibular right first molar tooth: Universal designation S; ISO designation 84
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	T	Deciduous mandibular right second molar tooth	Deciduous mandibular right second molar tooth; Universal designation T; ISO designation 85
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	FS	Supernumerary deciduous maxillary left central incisor tooth	Supernumerary deciduous maxillary left central incisor tooth; Universal designation FS
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	IS	Supernumerary deciduous maxillary left first molar tooth	Supernumerary deciduous maxillary left first molar tooth; Universal designation IS
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	GS	Supernumerary deciduous maxillary left lateral incisor tooth	Supernumerary deciduous maxillary left lateral incisor tooth; Universal designation GS
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	JS	Supernumerary deciduous maxillary left second molar tooth	Supernumerary deciduous maxillary left second molar tooth; Universal designation JS
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	CS	Supernumerary deciduous maxillary right canine tooth	Supernumerary deciduous maxillary right canine tooth; Universal designation CS
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	ES	Supernumerary deciduous maxillary right central incisor tooth	Supernumerary deciduous maxillary right central incisor tooth; Universal designation ES
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	BS	Supernumerary deciduous maxillary right first molar tooth	Supernumerary deciduous maxillary right first molar tooth; Universal designation BS
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	DS	Supernumerary deciduous maxillary right lateral incisor tooth	Supernumerary deciduous maxillary right lateral incisor tooth; Universal designation DS
`http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem`	AS	Supernumerary deciduous maxillary right second molar tooth	Supernumerary deciduous maxillary right second molar tooth; Universal designation AS

Description of the above table(s).