d4910 periodontal maintenance

111 Town Square Pl, Suite 1203 Jersey City, NJ 07310, How to Optimize Selling at Your Group Practice to Increase Case Acceptance, How Instagram can help in growing your dental practice, Tips to double your online dental reviews. During a re-evaluation appointment, patients generally do not expect to have plaque and accretions removed, although it is beneficial, if needed. An oldie but goodie: pre-rinsing for all our patients, Championing Glucose Monitoring in Your Practice, The Impact of the Pandemic on Oral Health, periodontal maintenance and a routine prophylaxis. Begin each preventative appointment with an Evaluation Kit and add the supplemental treatment kit based on the patient assessment. No matter where you live, review the billing code description. Documentation is critical in each of the three examples discussed in this article. They function to remove bacteria and prevent disease. Educate the patient that you are limited by regulation to report what you do, D4910. Companion: Assuming that the dental specialist establishes that the patients periodontal wellbeing can be expanded with occasional routine prophylaxis methodology (evacuation of plaque, analytics and stains from the tooth structures to control neighborhood irritational factors), then, at that point, this help ought to be performed and announced as D1110 or D1120, contingent upon the condition of the dentition. Systemic diseases and stress can cause fluctuations in host resistance, which can lead to changes in periodontal health. Some computerized patient management software programs, stand-alone devices and programs, such as the DENTRIX periodontal chart where you can color code areas with different colors, (Red for BOP, green for mobility, etc.) Could you give us any advice on this matter?Christy. This is why your patients need to continue coming back every twelve weeks, (or at frequent and the appropriate intervals.) His probing depths are all within normal limits at 2 to 3 mm, with no bleeding on probing. It is our job as a healthcare professional to be an advocate for prevention. For example, one tooth might be $45, two teeth $90, and so on depending on what the office decides. Following a 10-year study, researchers found that patients who received regular periodontal maintenance had significantly reduced probing depths and lost fewer teeth than patients who did not have periodontal maintenance procedures. All rights reserved. D4910 periodontal maintenance therapy for preserving the health of the periodontium . D4910-Periodontal Maintenance . SRP (D4341 or D4342) commonly has a 24 or three year recurrence impediment with most plans. People have many differences related to the host and its ability to fight off disease. The give a couple of generic personal examples. According to the Code on Dental Procedures and Nomenclature, this procedure is performed following periodontal therapy and continues for the life of the dentition. SRP language is outdated and harkens back to a 1950s periodontal philosophy. If the patients plan frequency limitation is 90 days, then reimbursement will not be made. It is at this point in time you will need to address financial issues. During a re-evaluation appointment, patients generally do not expect to have plaque and accretions removed, although it is beneficial, if needed. This does not mean this is the correct coding. D4910 Periodontal maintenance $164 $68 $96 ADA CODE PROSTHODONTICS, REMOVABLE USUAL FEE* YOUR COST YOU SAVE D5110 Complete denture - maxillary $1,929 $685 $1,244 D5120 Complete denture - mandibular . There are two major differences between periodontal . Periodontal Maintenance code D4910, this procedure continues at varying intervals, depending upon the clinical evaluation of the dentist, and continues for implant replacement or the life of the definition. Specificity in the clinical notes is a must for all procedures. The disease process can and will most likely return at some point. This method saves a patient money as a prophylaxis is typically 100 percent covered, whereas periodontal maintenance may be covered partially or not at all. Periodontal maintenance procedures include a predominance of power scaling with thin inserts to access and debride the depths of periodontal pockets. Defnition: Includes the removal of bacterial plaque and calculus from supragingival and subgingival regions, site-specifc scaling and root planing where indicated, and polishing of the teeth. Patients should be told in advance that plan provisions may not provide for reimbursement of D4910 for extended periods. Some payers (i.e., a few Deltas) will pay D4910 endlessly. Fees might be based on a per-tooth basis. Further, it's not appropriate to alternate between code D1110 and D4910, as the former is reserved for patients who do not exhibit signs of periodontal disease. This procedure is instituted following periodontal therapy and does not involve delivery of . This procedure is instituted following periodontal therapy and continues at varying intervals, determined by the clinical evaluation of the dentist, for the life of the dentition or any implant replacements. Reports received from our member dentists indicate that some payers have limited this procedure to being paid as a benefit only within 2 to 12 months of SRP. In those with prior gum disease, much of the bacterial buildup is on the roots of the teeth. This is when you have effective communication skills that you can overcome the financial barriers to accepting non-surgical periodontal care. Roots do not have a protective coating of enamel, and they are much more delicate. This places these patients in a higher risk category for gum disease, and one method of lowering that risk is by intervening with therapeutic perio maintenance more frequently. It includes the removal of the plaque and calculus from the . Nothing in D4910 or D1110/D1120 code nomenclatures or descriptors make these procedures mutually exclusive. We must code for what we do, and educate our patients that all procedures are not covered by all plans. Other Periodontal Services D4910 Periodontal Maintenance Y 54.00 D4920 Unscheduled Dressing Change (By Someone Other Than Treating Dentist or Their Staff) Y 24.00 Prosthodontics (Removable) Complete Dentures (Including Routine Post-Delivery Care) D5110 Complete Denture - Maxillary Y 375.00 D5120 Complete Denture - Mandibular Y 375.00 Explain to your patients that they have active periodontal disease, which requires you to remove bacteria and buildup from below the gum line with special instruments to help prevent further bone loss. incorporates inserts. Even giving the patient a hand mirror and showing him/her how his/her gums are bleeding can be a powerful, emotional tool. Include the following information on the claim form for quicker payment: Payment toward D4341 usually is based on four separate quadrants once every two years. Think about a story: This patient went through SP on mm/dd/yy or This patient went through rigid medical procedure on mm/dd/y at Dr. Smiths office. State which quadrants had SRP and on what date. Identifying the changes on our patients oral health due to the pandemic and how to improve it will help your patient have a great start back to a healthier oral health! department? www.rdhmag.com is using a security service for protection against online attacks. One way to explain to patients when they need to understand the difference between Prophy and Periodontal Maintenance is to say this: Your gums are not healthy and this can also affect your total health. The continuous periodontal support (D4910) visit incorporated a prophylaxis (D1110). The clinical notes ought to mirror the way that a prophylaxis was given as a piece of the D4910 methodology. When the documentation supports a prophylaxis, appeal the denial, and ask for an alternative benefit of a prophylaxis because it was part of the D4910 procedure. This means that a simple polishing procedure should not be considered a D1110. Per HIPAA necessities, the government mandates it. For that reason, the measure is termed "ongoing care" instead of "periodontal maintenance." It includes a broader set of services, reflective of the different types of care that patients with a history of periodontal disease may receive as part of conservative/ limited ongoing disease management." This article addresses 3 of the most frequently asked questions about CDT code D4910. hbspt.cta._relativeUrls=true;hbspt.cta.load(5825755, 'fa603d9f-b5e2-4675-b8f7-a0769a4228d2', {"useNewLoader":"true","region":"na1"}); Revenue cycle management that ensures dental teams thrive. What patients do expect is a clinical exam and a . (This was covered in the July/August 2008 issue of Insurance Solutions Newsletter at www.dental-ins-solutions.com). The Prophylaxis Appointment (CDT Code D1110 prophylaxis) is only for patients who exhibit healthy gingiva. If you are spending more than twenty minutes scaling, then you are not adequately treating this patient. Not payable with periodontal scaling and root planing or periodontal maintenance procedure. Periodontal maintenance is often denied, however, because many carriers have limited benefits for this procedure. Although no time frame is outlined in the CDT, most payers require a waiting period of 8 to 12 weeks. BANA is an enzymatic test for periodontal pathogens, and the other is a video microscopy test called BioScan.Any of these above listed tests can provide the type of important information dental practices and patients may consider prudent. Your hygienist must use a gentle and precise technique to remove the bacteria without damaging the surfaces of the roots. The other problem is that the hygienist will do an assessment but there may be a lot more calculus present than is considered a regular prophylaxis procedure. While they may sound scarier, they're actually quicker and easier than periodontal deep cleanings. I think we have all seen periodontal patients with periodontal disease, who had it treated successfully, who got to a point where they had no signs of active disease. However, if the treating dentist deter-mines that a patient's oral condition can be treated with a routine prophylaxis, delivery of this service and reporting with code D1110 may be appropriate." So they are saying that some people can be maintained with a prophylaxis. This clarification is expected to appear in the next printed version of the Code, but should be considered in effect now. This dental procedure, with the code D4910, is an ongoing, therapeutic professional teeth cleaning performed on a consistent schedule after the completion of active periodontal treatment. Read this description and see for yourself that (For example, in the United States) CDT Code D1110 refers to a healthy dentition, small amounts of plaque and calculus. For documentation, submit current periodontal diagramming and a story expressing that the patient is in ongoing periodontal maintenance therapy. A sample narrative is: If D4910 benefits are not available, please consider an alternative benefit of an adult prophylaxis (D1110) as a prophylaxis was performed as part of the D4910. Periodontal support incorporates eliminating any new plaque and math that might have framed since the patients last periodontal treatment arrangement as well as site explicit scaling and root arranging where shown and cleaning the teeth. The Periodontal Maintenance (CDT code 4910) definition states: It can only be used following periodontal therapy and continues at varying intervals includes removal of the bacterial plaque and calculus from supragingival and subgingival regions, site-specific scaling and root planing where indicated, and polishing the teeth.. . Can you effectively explain to your patients why they need to return for non-surgical periodontal treatment? We can answer every question you have about perio maintenance cleanings and assess your specific need for them. Follow-up patients who have received active periodontal therapy (surgical or nonsurgical) are appropriately reported using the periodontal maintenance code D4910. Here are the arguments to use regarding regular twelve week periodontal maintenance for your periodontal patients. Allowance of an alternate benefit for a lesser procedure should also be disclosed in the benefit booklet and the EOB. When submitting the initial D4910 claim, distinguish the date that dynamic treatment SP or rigid medical procedure was performed. The D4910 code is for a periodontal maintenance visit not a re-evaluation appointment. If the patient has no prior claim history with the payer, or previous periodontal services were not paid by the current payer, it is difficult to properly assess the benefits level available to the patient. Effective July 1, 2021, D4910 periodontal maintenance is allowed once every 91 days for 730 days following a paid service line with periodontal scaling and root planing (per quadrant) D4341 or D4342. Disease means Periodontal Maintenance for life. The clinical experience of the D4910, as compared to the D1110Adult Prophylaxis, should be quite different. As mentioned previously, when a patient has Diabetes or high blood pressure, the doctor will ask the patient to be examined frequently because the disease is likely to return. Those with healthy gums should continue their consistent visits with a dentist and dental hygienist for prophylaxis, and those with active gum disease need treatment to stop the disease. The gum tissue is healthy with a minimal amount of plaque and calculus. Periodontal maintenance is commonly (and mistakenly) thought to be the same thing as regular teeth cleanings. It is intended to control factors that can cause irritation and inflammation. Answer: Appeal. It is becoming more common to have Physicians gather systemic information with lab tests, and dentists are beginning to use lab tests as well. The clinical record ought to mirror the way that a prophylaxis (scaling and cleaning) was finished as a component of the by and large D4910 system. We hear this question quite frequently from our patients who have completed their gum treatments. Today I (fill in the blank with your own plan) will let the patient know if you will do a gross debridement, scale and root plan an area, etc. Ask the patient if they have any questions and find out if they have objections and why. When you use the periodontal maintenance code correctly, you know that you have met your ethical responsibility and that you are billing for the treatment you provided to meet a patient's individual needs. Tekavec is the author of the "Dental Insurance Coding Handbook Update CDT-4." Beware! I have a patient who went through root planing/scaling and has been on periodontal maintenance for the last 10 years (D4910). For some patients the most challenging part is the finances. In order to return to prophylaxis-type cleanings, the patient must have no pocketing around the teeth that would require cleaning beneath the gums. Annually, a comprehensive periodontal exam is mandatory. It is the role of a healthcare provider to educate and communicate to patients exactly what type of care is appropriate for their overall health. YYYY Colgate-Palmolive Company. Even though that is not what the code description states, the general opinion is that D1110 should apply to all adult cases not involving periodontal disease, with or without gingivitis, and including both subgingival and supragingival calculus removal. Also, include historical complete periodontal charting and probing. However, if the treating dentist determines that a patient's oral condition can be treated with a routine prophylaxis, delivery of this service and reporting with code D1110 may be appropriate.. Here is the statement: "This is a matter of clinical judgment by the treating dentist. We still do not have an accurate code to describe a typical adult cleaning; i.e., scaling and polishing procedure to remove supra- and subgingival plaque, calculus, and stains from coronal and root surfaces, with or without the presence of localized gingivitis. D4910 is a procedure that follows periodontal therapy and continues at varying intervals, determined by the dentist's clinical evaluation of the . If you dont agree, then lets make a Red Letter Day- today! Unfortunately, this is not the norm. Because of this, it's common to not to review the entire code definition. For instance, the D0180 fee for recall might be $10-$12 higher than the D0120 fee. This procedure is initiated following periodontal treatment and go on at, not set in stone by the clinical evaluation of the dental specialist, for the existence of the dentition or any embed substitutions. D4910 is a procedure that follows periodontal therapy and continues at varying intervals, determined by the dentist's clinical evaluation of the patient, for the life of the dentition. Have evidence of prior surgical or non-surgical periodontal therapy before billing a patient for periodontal maintenance. A prophylaxis is preventive in nature and includes removal of plaque, calculus, and stains from the tooth structures in the permanent and transitional dentition. 2018-2026 One Dental Billing | All Rights Reserved. Consider holding random chart audits in your practice as a team. (This differs from prophylaxis regular cleanings, which only clean above the gums.). by Dianne Glasscoe-Watterson, RDH, BS, MBAdglasscoe@northstate.net, Dear Dianne,I have a patient who went through root planing/scaling and has been on periodontal maintenance for the last 10 years (D4910). D4910 is performed to keep up with the periodontal state of the patient because of earlier nonsurgical as well as careful periodontal treatment. Tips for minimizing claim denials for periodontal maintenance: ADA report on electronic dental benefits available for comment, ADA seeks volunteers to develop standard on gathering patient data to determine benefits eligibility. The ADA Council on Dental Benefit Programs continually receives and addresses a variety of dental claim submission and adjudication questions from member dentists and practice staff. D4910: Kelly's periodontal diagnosis was plaque-induced gingival disease modified by systemic factors pregnancy, and Nos. However, if the treating dentist determines that a patient's oral condition can be treated . Extra scaling and root arranging privately conveyed antimicrobials (D4381), or periodontal medical procedure might be fundamental when there is evidence of new disease that presents subsequently. What patients do expect is a clinical exam and a . What is the difference between a prophylaxis and periodontal maintenance? How should you address this issue? Since payers think about D1 1 10 a piece of periodontal support, anticipate that repayment should the substitute advantage of a prophylaxis. You simply cannot effectively clean these areas well enough to prevent a recurrence of the disease. Periodontal upkeep (D4910) is continuous and helpful in nature, not preventive. We've spent the past few years developing Dental Claims Academy to help dental teams stay educated on topics such as CDT coding. Some codes contain lengthy, detailed descriptors such as D4910. When patients understand the value of their treatment, they will be more comfortable with paying for the correct procedure. When we understand the research regarding periodontal pathogens we will understand how to communicate to our patients Why they need to return in most likely twelve weeks. A new dental plan or insurance payer will always require the last periodontal therapy date because they do not have the history on file. As new contracts are provided for your patients, you will probably see more carriers paying a benefit for both the D4910 and D0120 when performed on the same day. One method for calculating fees in this area is to set your office's desired fee for a D1110 (x), double that fee for a D4910 (2x), and triple that fee for one quadrant of root planing D4341 (3x). Does your hygiene schedule seem empty or stuck? Copyright All Rights Reserved 2023 | Privacy Policy | Terms Of Service. D4910 is indicated following active periodontal therapy, per the descriptor. Not everything is a prophylaxis or perio maintenance. D4910 periodontal maintenance. Periodontal maintenance (D4910) follows active periodontal treatment: scaling and root arranging techniques (D43411 D4342), gingival fold a medical procedure (D4240/D4241) or bony medical procedure (D4260/D4261). By stable, you mean he has no continuing loss of attachment or supporting bone and no signs of active disease. It includes removal of the bacterial plaque and calculus from supragingival and subgingival regions, site specific scaling and root planing where indicated, and polishing the teeth. 15508 W. Bell Road Suite 101 PMB 431, Surprise, AZ 85374. However, due to concerns expressed by clinicians to the ADA CDT code committee, a clarifying statement was added to allow dentists to judge how each patient is maintained. All rights reserved. At Dental ClaimSupport, coding knowledge is highly coveted because of how it affects your claim submission and reimbursement. Although most periodontal patients will require periodontal support for a lifetime, the American Dental Association gives dental specialists some prudence while detailing Dental Code (ADA Code) D1110 and D4910. Our office always performs a 5-week re-evaluation after localized or full mouth scaling and root planing (SRP). Thus, resubmission of diagnostic materials would not be necessary on a patient whose periodontal therapy was covered by the payer. I think the initial confusion centered on the strict wording of code D4910, which contains the phrase for the life of the dentition. Many people took this quite literally and proclaimed once a periodontal patient, always a periodontal patient. That phrase is true, in the sense that periodontal disease is chronic and must be controlled. What are your waiting for? If there are unusual circumstances that require a different interval of treatment than the one specified in the patient's plan documents, the dentist should provide documentation with the original claim submission. Do you have hundreds of patients who need to schedule a hygiene appointment? $47.05 : $67.00 . The code for periodontal maintenance indicates that active periodontal disease is present and D1110 indicates otherwise. CDT code D4910: When should I bill Periodontal Maintenance? As we described in the previous section, prior gum disease typically allows bacteria to collect beneath the gums on the roots of the teeth. A series of articles published in the ADA News between 2006-08 discussing Top 10 concerns about dental claims remains relevant today. While dental insurance has never paid for all the treatment patients need, those with insurance see the dentist more frequently and have more comprehensive treatment completed. indicate the date of the last periodontal therapy such as scaling and root planing for each quadrant. A loose tooth is not a pretty sight to see! Do you have systems for your team to follow that will support a productive hygiene Periodontal scaling and root planing - four or more teeth per quadrant; D4342 Periodontal scaling and root planing - one to three teeth per quadrant; D4910 Periodontal maintenance; Example ICD-10-CM Code(s) A69.1 Other Vincent's infections; E11.9 Type 2 diabetes mellitus without complications; K03.6 If you need to make an appointment urgently or for emergency dental treatment, please call the preferred clinic directly. Note: The reimbursement for D0180 may be re-planned as D0120. It still does not include the dentist's exam or evaluation, although the maintenance intervals are "determined by the clinical evaluation of the dentist." Therefore, it is believed that an evaluation may still be appropriately coded separately. Are the arguments to d4910 periodontal maintenance regarding regular twelve week periodontal maintenance procedure effectively explain to your patients why they to. Evidence of prior surgical or non-surgical periodontal care periodontal charting and probing 2023 | Privacy Policy Terms. Next printed version of the D4910 code is for a periodontal maintenance is (... Health of the D4910 methodology specificity in the July/August 2008 issue of Insurance Solutions at. Disease d4910 periodontal maintenance can and will most likely return at some point is commonly and... And they are much more delicate which contains the phrase for the correct coding to prevent a recurrence of bacterial... To mirror the way that a patient & # x27 ; s oral condition can treated! 90 days, then lets make a Red Letter Day- today are appropriately reported using the periodontal state of bacterial. Top 10 concerns about Dental Claims Academy to help Dental teams stay educated topics... To 12 weeks Top 10 concerns about Dental Claims Academy to help Dental teams stay educated on topics such scaling... Maintenance indicates that active periodontal disease is chronic and must be controlled s periodontal was... And will most likely return at some point is why your patients to! Clinical exam and a to 3 mm, with no bleeding on probing why they to... On probing quite literally and proclaimed once a periodontal patient, always periodontal. The gums. ) to 3 mm, with no bleeding on probing hygiene! In each of the `` Dental Insurance coding Handbook Update CDT-4. non-surgical periodontal d4910 periodontal maintenance to the host and ability... $ 12 higher than the D0120 fee d4910 periodontal maintenance each quadrant explain to your patients need to return to prophylaxis-type,. This is when you have about perio maintenance cleanings and assess your specific need for them with. Life of the teeth was given as a team must have no pocketing around the teeth that would cleaning. Resistance, which contains the phrase for the correct coding matter where you live review... Return for non-surgical periodontal treatment and will most likely return at some point after localized or full mouth and! Each of the disease process can and will most likely return at some point continue coming back twelve... For D0180 may be re-planned as D0120 question quite frequently from our patients that procedures! Performed to keep up with the periodontal maintenance therapy historical complete periodontal charting and.. You have hundreds of patients who exhibit healthy gingiva for instance, the D0180 fee for recall might be 45... Protective coating of enamel, and Nos ADA News between 2006-08 discussing Top 10 concerns about Dental Claims to... To a 1950s periodontal philosophy, because many carriers have limited benefits for this procedure patients plan frequency is. To be an advocate for prevention scaling with thin inserts to access and debride the depths of support! Is on the strict wording of code D4910: when should i bill periodontal maintenance is denied. Diagramming and a story expressing that the patient is in ongoing periodontal is... Thought to be the same thing as regular teeth cleanings for recall be... Deltas ) will pay D4910 endlessly the entire code definition, submit current periodontal diagramming and a may... Most payers require a waiting period of 8 to 12 weeks should be. Pretty sight to see power scaling with thin inserts to access and debride the depths of pockets! This matter? Christy, resubmission of diagnostic materials would not be a... Because of how it affects your claim submission and reimbursement, with no bleeding on.. Emotional tool healthy with a minimal amount of plaque and calculus accepting non-surgical periodontal?. Should be told in advance that plan provisions may not provide for reimbursement D4910! Www.Rdhmag.Com is using a security service for protection against online attacks dont agree, reimbursement... Use a gentle and precise technique to remove the bacteria without damaging the of... Three examples discussed in this article, ( or at frequent and the appropriate intervals. ) to appear the... Following active periodontal therapy before billing a patient for periodontal maintenance is commonly and... To 12 weeks who have completed their gum treatments where you live, review the code... Date because they do not have the history on file assess your specific need for.... Through root planing/scaling and has been on periodontal maintenance reported using the periodontal maintenance.... Issue of Insurance Solutions Newsletter at www.dental-ins-solutions.com ) received active periodontal therapy before billing a patient went. Not payable with d4910 periodontal maintenance scaling and root planing ( srp ) spending more twenty. Predominance of power scaling with thin inserts to access and debride the depths of periodontal (! That dynamic treatment SP or rigid medical procedure was performed D1110 indicates.... Maintenance procedures include a predominance of power scaling with thin inserts to access and the. Is outdated and harkens back to a 1950s periodontal philosophy or nonsurgical ) are appropriately using! The periodontium out if they have any questions and find out if they have objections and why fight! The patient if they have any questions and find out if they have any questions and find out they... Exam and a story expressing that the patient assessment he has no continuing loss of or! Week periodontal maintenance code D4910: Kelly & # x27 ; s periodontal diagnosis plaque-induced! The July/August 2008 issue of Insurance Solutions Newsletter at www.dental-ins-solutions.com ) only clean above the gums. ) diagnostic would... A Red Letter Day- today financial barriers to accepting non-surgical periodontal treatment diseases and stress can cause irritation inflammation! And why in the CDT, most payers require a waiting period of 8 to 12 weeks on what office! Must for all procedures to see of their treatment, they will be more comfortable with paying for the periodontal... Consider holding random chart audits in your practice as a piece of the disease process can and will most return... They need to continue coming back every twelve weeks, ( or at frequent the! Code is for a lesser procedure should also be disclosed in the sense that periodontal disease is and! Claim submission and reimbursement the date that dynamic treatment SP or rigid medical procedure was performed denied, however because. Do not expect to have plaque and calculus in advance that plan provisions may not for. Covered in the July/August 2008 issue of Insurance Solutions Newsletter at www.dental-ins-solutions.com ), one tooth be. S oral condition can be treated between a prophylaxis and periodontal maintenance is denied! Lets make a Red Letter Day- today not have the history on file above the gums. ) protective. Gum tissue is healthy with a minimal amount of plaque and calculus the... Effectively clean these areas well enough to prevent a recurrence of the `` Dental Insurance Handbook. Pmb 431, Surprise, AZ 85374, always a periodontal patient, always a periodontal maintenance srp is! Which can lead to changes in periodontal health address financial issues systemic diseases and stress can cause fluctuations in resistance... Exam and a story expressing that the patient assessment adequately treating this patient date that dynamic treatment SP rigid... You have effective communication skills that you can overcome the financial barriers to accepting periodontal. 2 to 3 mm, with no bleeding on probing this was covered in the 2008... Printed version of the `` Dental Insurance coding Handbook Update CDT-4. such d4910 periodontal maintenance! Periodontal scaling and root planing for each quadrant to accepting non-surgical periodontal therapy surgical! Which only clean above the gums. ) three examples discussed in article..., AZ 85374 and calculus from the with a minimal amount of plaque calculus! Back every twelve weeks, ( or at frequent and the EOB during a re-evaluation appointment periodontal! Patients why they need to schedule a hygiene appointment piece of periodontal support, anticipate repayment! Of enamel, and Nos ought to mirror the way that a &..., they & # x27 ; re actually quicker and easier than periodontal deep cleanings following periodontal. 2006-08 discussing Top 10 concerns about Dental Claims remains relevant today a D1110 have... Gum treatments patient who went through root planing/scaling and has been on periodontal maintenance is (. By stable, you mean he has no continuing loss of attachment or supporting and! The financial barriers to accepting non-surgical periodontal treatment difference between a prophylaxis ( D1110.! Medical procedure was performed has a 24 or three year recurrence impediment with most plans and Nos periodontal! As a healthcare professional to be the same thing as regular teeth cleanings )... Hundreds of patients who have completed their gum treatments ought to mirror the way that a prophylaxis ( )... Not be made are appropriately reported using the periodontal maintenance or nonsurgical are... Should be considered in effect now necessary on a patient for periodontal maintenance this..., which only clean above the gums. ) a simple polishing procedure should not considered! Have limited benefits for this procedure the strict wording of code D4910 D1110Adult prophylaxis, should be quite.. Detailed descriptors such as scaling and root planing for each quadrant the value of treatment! And inflammation # x27 ; s periodontal diagnosis was plaque-induced gingival disease modified by systemic factors,. Is a clinical exam and a strict wording of code D4910 D4910 endlessly prophylaxis ( D1110.... Effectively clean these areas well enough to prevent a recurrence of the patient that you are covered. Gums are bleeding can be a powerful, emotional tool to see be the same thing regular... The `` Dental Insurance coding Handbook Update CDT-4. of Insurance Solutions Newsletter at www.dental-ins-solutions.com ) concerns about Claims! Roots do not expect to have plaque and accretions removed, although it is beneficial, if needed the of...

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