What is difference between D4341 and D4342?

Codes D4341 and D4342 have a similar description in CDT 2016. The only differences are whether the disease being treated is four or more teeth per quadrant or one to three teeth. The most accurate code determines the correct diagnosis.

What is dental Code D4342?

D4342 periodontal scaling and root planing One to three teeth per quadrant Definition: A therapeutic procedure involving instrumentation of the crown and root surfaces of the teeth designed to remove plaque and calculus, as well as remove cementum and dentin that is rough, and/or permeated by calculus or contaminated …

What is the dental code for deep cleaning?

Deep cleaning Periodontal scaling and root planing (D4341) “involves instrumentation of the crown and root surfaces or the teeth to remove deposit and/or roughness and is therapeutic, not prophylactic, in nature.

What is dental Code D4346?

D4346 scaling in presence of generalized moderate or severe gingival inflammation – full mouth, after oral evaluation. The removal of plaque, calculus and stains from supra- and sub-gingival tooth surfaces when there is generalized moderate or severe gingival inflammation in the absence of periodontitis.

How is SRP diagnosed?

During your annual oral health examination, your dentist will check the condition of your gums and measure your gum pockets. If you are diagnosed with gingivitis, your dentist will most likely recommend a scaling and root planing procedure (also known as SRP therapy).

When do you bill perio maintenance?

As stated in the Code on Dental Procedures and Nomenclature, this procedure is instituted after periodontal therapy. Although no time frame is outlined in the CDT, most payers require a waiting period of 8 to 12 weeks.

How do I bill D4342?

This code must be correctly used such as if you do consecutive teeth that go from one quadrant to another quadrant you must bill D4342 twice 7,8 upper right quadrant, 9,10,11 upper left quadrant.

Can you alternate D4910 and D1110?

In January 2006, a dentist from the ADA Dental Benefits office said, “D1110 and D4910 are not interchangeable and should not be alternated. The dentist must make the diagnosis, but then the proper code for the procedure provided needs to be used.

What is the difference between periodontal cleaning and deep cleaning?

While a periodontal cleaning, sometimes called periodontal maintenance care or deep cleaning, also removes tartar, plaque, and other debris, it is a much deeper cleaning. A dentist goes below the gum line to remove any buildup, so that a patient’s gum disease does not become problematic.

Is periodontal cleaning the same as deep cleaning?

Periodontal maintenance is only needed for people who have periodontal disease, so if your oral health is in great shape, you won’t need to get a deep cleaning. Deep cleaning is performed to stop periodontal disease from advancing.

Does insurance cover D4346?

Submitting D4346 on insurance claims Include a current full mouth perio chart as an attachment with the claim. Since D4346 is a treatment based on a diagnosis, the claim should include the periodontal diagnosis in a narrative or on the accompanying perio charting. Include information about bleeding on probing.

How do I bill D4346?

Code Tip: Coding for D4346

  1. Evaluation is complete;
  2. Patient is diagnosed with Generalized Moderate Gingivitis or Generalized Severe Gingivitis;
  3. Generalized pocket depths 4mm or greater are present and charted.
  4. Moderate to severe bleeding on probing is present; AND.
  5. Radiographs show that there is no bone loss.

What does dental code d4341 mean?

• D4341 periodontal scaling and root planing Four or more teeth per quadrant • D4342 periodontal scaling and root planing One to three teeth per quadrant Definition: A therapeutic procedure involving instrumentation of the crown and root surfaces of the teeth designed to remove plaque and

What is the description of CPT codes?

Recognizing CPT ® Codes. CPT ® codes consist of 5 characters.

  • Understanding the Types of CPT ® Codes.
  • Learning How to Use CPT ® Codes.
  • Building Confidence with CPT ® Coding Guidelines.
  • Appending Modifiers to CPT ® Codes.
  • Relating CPT ® to Other Codes Sets.
  • Establishing Medical Necessity.
  • Preparing for a Career in Medical Coding.
  • What is the CPT code for home services?

    Category I: Procedures,services,devices,and drugs,including vaccines

  • Category II: Performance measures and quality of care
  • Category III: Services and procedures using emerging technology
  • PLA codes,which are alpha-numeric CPT codes used for lab testing
  • The procedure aims at removing the dental plaque and tartar that has accumulated on the teeth. Dental procedure code D1110 applies to dental cleanings for adults. ADA defines Prophylaxis-Adult as a dental prophylaxis that is performed on transitional or permanent dentition.