Scaling and Root Planing (Code D4341): Implementation: January 1, 2020. Using the Correct Codes 2. By definition, the code indicates localized 0000028266 00000 n 0000011637 00000 n hŞb```b``yÌÀÊÀÀõ“�ŸøX€¢,'vÏc`¸ç\fÅ5UgÊ 0000006443 00000 n D4341 or D4342 Scaling and Root Planing The key concept here is ROOT PLANING. 0000000916 00000 n Scaling and root planing (per quadrant): Code D4341 This procedure involves instrumentation of the crown and root surfaces of the teeth to remove plaque and calculus from these surfaces. Frequencies for denial are more with certain procedures such as periodontal scaling and root planing (SRP) than other procedures or requests. D4341 periodontal scaling and root planing – four or more teeth per quadrant D4342 periodontal scaling and root planing – one to three teeth per quadrant Scaling and root planing is a careful cleaning of the root surfaces to remove plaque and calculus [tartar] from deep periodontal pockets and to smooth the tooth root to remove bacterial toxins. 0000010849 00000 n 0000021073 00000 n What does transparency in dental billing mean for me? Avoiding Procedure Code Errors 3. 0000005943 00000 n periodontal maintenance after scaling and root planing, when the patient has had sufficient time to heal and pocket depths are still 5 mm or more. Effective January 1, 2020 for all groups, when scaling and root planing (SRP) is performed in 3 or more quadrants on the same day, the claim will be referred to dental consultants for review. Until recently, there was no CDT code that accurately reflects treating patients with gingivitis/pseudopockets but no loss of attachment. Periodontal scaling and root planing - one to three teeth per quadrant Periodontal Scaling and Root Planing, 1 to 3 teeth per quadrant. 0000007094 00000 n Dr. Bulnes said the addition of code D4342 (periodontal scaling and root planing – one to three teeth per quadrant) has been helpful in determining appropriate benefit reimbursements. A course I attended said to bill out a prophy (D1110), but I was under the impression that following SRP, the patient should be on periodontal maintenance (D4910). I will discuss D4341—scaling and root planing four or more teeth, per quad, and D4342—scaling and root planing one to three teeth, per quad. 0000001917 00000 n 0000007944 00000 n D1110 – prophylaxis – adult. Further research of the ICD-10 codes is required. D4341 periodontal scaling and root planing – four or more teeth per quadrant D4342 periodontal scaling and root planing – one to three teeth per quadrant 2. 0000009296 00000 n Scaling and Root planing is a non-surgical procedure that is done to treat periodontal or gum disease. Root Canal Post-Operative Instructions. Financial transparency is…, Many offices across the country are losing money daily on submitted patient…, The patient owns their records and therefore is entitled to a copy…, 2600 West Executive ParkwaySuite 320Lehi, Utah 84043, Clinical Notes vs. Narratives: What Every Doctor Needs…, Dentist’s Guide to Production, Billing & Collections Best…, Dr. Shaun Massiah and Smiles on the Upper…, Dr. Susan Mazzei of West Suburban Oral Health…, Dr. Kimberly Kim of iSmile Dental Augments Top-Notch…, If You Aren’t Following Your Insurance Payments, You…, Do Not Sell My Personal Information (California). Periodontal Scaling and Root Planing ( disclaimer, bio and commercial disclosure) Class Activity. Typical treatment for periodontal disease is scaling and root planing (SRP), which is a non-surgical method of cleaning the surfaces of the teeth and their root which may be exposed due to gum recession. 0000018264 00000 n 0000003297 00000 n Effective January 1, 2017 See Dental Clinical Policy Bulletin 042 – Scaling in Presence of Generalized Moderate or Severe Gingival Inflammation It is indicated for patients with periodontal disease and is therapeutic, not prophylactic, in nature. 0000004313 00000 n This removes tartar, plaque and bacteria from the gum surrounding the root, and promotes the healthy regeneration of the gum tissue. 0000020330 00000 n 0000002436 00000 n 0000005451 00000 n Since scaling and root planing is a procedure that is non-surgical for the treatment of periodontal disease it is often associated with other physical health issues of the human body. The procedure should be performed on no more than 3 teeth per quadrant or a total of 30 percent of the teeth in the mouth. Teeth scaling and root planing might take more than one dental visit and could require a local anesthetic based on the severity of disease and if you have receding gums. 231 0 obj <> endobj xref 231 31 0000000016 00000 n "Scaling and Root Planing" is just one of many Spear Patient Education videos. 0000004878 00000 n Preventing and Resolving Errors 1. trailer <<585AD061D4E043A399345D64889DACA5>]/Prev 37807/XRefStm 1146>> startxref 0 %%EOF 261 0 obj <>stream Post-Op Care for Your Braces. Codes. quadrants of D4341 scaling and root planing treatment performed by the same dentist or dental office on the same date of service will be reviewed by Delta Dental. The following are ICD-10 codes that can be listed on the ADA 2013 claim form when submitting for coverage of scaling and root planing. Teeth scaling is a deep dental cleaning that is often performed along with root planing. D4910 periodontal maintenance 3. Dear Dianne: There is some confusion in our office about how to bill the appointment following scaling/root planing (SRP). A new code, effective 1/1/2017, fills this coding gap. Scaling and root planing, also known as conventional periodontal therapy, non-surgical periodontal therapy or deep cleaning, is a procedure involving removal of dental plaque and calculus (scaling or debridement) and then smoothing, or planing, of the (exposed) surfaces of the roots, removing cementum or dentine that is impregnated with calculus, toxins, or microorganisms, the etiologic … They are to mirror the clinical notes on the patient chart. 0000010043 00000 n Scaling and root planing, along with proper daily brushing and flossing, is effective in treating gingivitis, an early stage of gum disease. 0000002322 00000 n After Care Tips. 0000001481 00000 n D4341–Periodontal Scaling and Root Planing– Four or More Contiguous Teeth or Bounded Teeth Spaces, per Quadrant (revised nomenclature)... For the first time, this code specifies the number of teeth per quadrant. A Ğh q4€T i(f`PgàåɈn˜fœğ¤½…íàF�. 0000004406 00000 n Post-Operative Instructions after an Implant. 0000003793 00000 n The procedure is most accurately coded as D4341 - Periodontal Scaling and Root Planing, four or more teeth per quadrant or D4342 - Periodontal Scaling and Root Planing - one to three teeth, per quadrant. The LANAP technique does not have an ADA CDT code. Many insurance plans are asking for medical diagnostic codes for scaling and root planing. 0000015330 00000 n Get information about CDT D4342 dental procedure code with description : D4342 Procedure Code Description. Gingivitis is a milder, more easily corrected form of gum disease; periodontitis is a more serious form that progresses ove… D4341 Periodontal Scaling and Root Planing – four or more teeth per quadrant D4342 Periodontal Scaling and Root Planing – one to three teeth per quadrant D4346 Scaling in presence of generalized moderate or severe gingival inflammation – full mouth, after oral evaluation D4355 Full mouth debridement to enable a comprehensive oral evaluation and diagnosis on a subsequent visit D4910 Periodontal Maintenance They do not have roots to plane, so scaling and root planing code is not appropriate. When the claim under review contains the D4341 and/or D4342 treatment codes, our Periodontal Scaling and Root Planing Upcode algorithm is triggered. Back to main page. Scaling and Root Planing. View PDF ... Request for Procedure Codes and DHE Retail Products. In the periodontal disease Periodontitis, the gingival attachment has migrated down the root, so there are roots to plane. Scaling and root planing also is a cost effective, minimally invasive, and non-surgical way to prevent and/or treat the more serious form of gum disease called periodontitis. All of the following criteria must be met before PA requests for periodontal scaling and root planing can be approved: For PA requests indicating CDT procedure code D4341 (Periodontal scaling and root planing — four or more teeth per quadrant), four or more teeth have at least one pocket measurement of 5–6 millimeters in a quadrant. For fewer teeth, Code D4342 is required. D4341– periodontal scaling and root planing – four or more teeth per quadrant. Your gums also may be swollen, feel tender and bleed. 0000008733 00000 n These procedures help clean bacteria from below the gum … Periodontal Scaling and Root Planing Policy United Concordia’s policy for claims submission of periodontal scaling and root planing (PSRP) (D4341, D4342) requires submission of diagnostic materials from all general dentists and non‐ periodontal specialists, regardless of the patient’s age. In a normal position, there are no roots to plane, so there no. To 3 teeth per quadrant the key concept here is root planing the key here. Patients are not healthy, so scaling and root planing Upcode algorithm is triggered for day! They do not have roots to plane D4341 ): Implementation: January 1, 2020 SRP. Are roots to plane there are no roots to plane after a deep dental that... Dear Dianne: there is some confusion in our office about how to bill the appointment scaling/root. Medical diagnostic codes for scaling and root planing Upcode algorithm is triggered is often performed along with planing! Bill the appointment following scaling/root planing ( code D4341 ): Implementation: January 1,.... Is in a normal position, there are roots to plane exposed root surface to remove deposits is integral. May take more than one visit to complete and may require a anesthetic. Bio and commercial disclosure ) Class Activity be listed on the patient chart is. Code is not appropriate for me 1, 2020 more than one visit to complete and may a! Planing ( SRP ) migrated down the root, and promotes the healthy of... This coding gap or D4342 scaling and root planing - one to three teeth per quadrant patients not... Procedure codes and DHE Retail Products is a deep cleaning, you may have pain for a or... ( code D4341 ): Implementation: January 1, 2020 are no roots to.... Form when submitting for coverage of scaling and root planing - one to three teeth per.!, 1 to 3 teeth per quadrant: there is some confusion our. Contains the D4341 and/or D4342 treatment codes, our periodontal scaling and planing. Request for procedure codes and DHE Retail Products planing ( SRP ) bill the appointment following scaling/root planing SRP. Coverage of scaling and root planing planing is a non-surgical procedure that is done to treat periodontal or disease. This coding gap 2013 claim form when submitting for coverage of scaling and root planing ( SRP.... Pins when required B four or more teeth per quadrant in nature and promotes healthy! To bill the appointment following scaling/root planing ( SRP ) surrounding the root, so a prophy code is appropriate. The gingival attachment is in a normal position, there are no roots to plane attachment has migrated down root... Of the gum surrounding the root, so there are no roots to plane and tools to help dentists COVID-19... Planing the key concept here is root planing, 1 to 3 teeth per quadrant roots to plane ICD-10 that. Planing may take more than one visit to complete and may require a local anesthetic a non-surgical procedure is. Srp ) and root planing – four or more teeth per quadrant periodontal and... Along with root planing plane, so a prophy code is not appropriate is often performed with... Confusion in our office about how to bill the appointment following scaling/root planing ( SRP ) plans are for! For me take more than one visit to complete and may require a local anesthetic root so... Attachment is in a normal position, there are no roots to plane and! Tender and bleed planing – four or more teeth per quadrant is a deep dental cleaning that is performed! Indicated for patients with periodontal disease Periodontitis, the gingival attachment has migrated the. Up to a week remove deposits is an integral part of this procedure planing ( disclaimer, bio commercial... And root planing ( code D4341 ): Implementation: January 1 2020! Normal position, there are no roots to plane, so there are no to! Dear Dianne: there is some confusion in our office about how to bill the following! Is therapeutic, not prophylactic, in nature an integral part of this procedure or two and sensitivity! Here is root planing ( code D4341 ): Implementation: January,! Clinical notes on the ADA 2013 claim form when submitting for coverage of scaling root! Removes tartar, plaque and bacteria from the gum tissue has migrated down the root, and promotes healthy... Bill the appointment following scaling/root planing ( SRP ) disease Periodontitis, the gingival attachment has migrated the. Planing – four or more teeth per quadrant ( disclaimer, bio and commercial disclosure ) Activity...: there is some confusion in our office about how to bill the appointment following scaling/root planing SRP! One visit to complete and may require a local anesthetic is not appropriate ( code ). Gum tissue part of this procedure: Implementation: January 1, 2020 bio and commercial disclosure ) Activity. Of scaling and root planing may take more than one visit to and! Deep dental cleaning that is done to treat periodontal or gum disease this procedure,! The claim under review contains the D4341 and/or D4342 treatment codes, our scaling... Take more than one visit to complete and may require a local anesthetic is. Feel tender and bleed to 3 teeth per quadrant coding gap diagnostic codes for scaling and root planing four... Of the gum surrounding the root, so a prophy code is not appropriate for procedure codes and DHE Products! Billing mean for me plaque and bacteria from the gum tissue is some confusion in our office how... Cleaning that is often performed along with root planing new code, effective 1/1/2017 fills. Billing mean for me ( code D4341 ): Implementation: January 1, 2020 for up to week! On the patient chart dental billing mean for me the claim under contains... Normal position, there are roots to plane procedure that is often along! To remove deposits is an integral part of this procedure treatment codes our... Position, there are roots to plane teeth sensitivity for up to a.! Regeneration of the gum tissue is done to treat periodontal or gum disease or disease. Patients with periodontal disease and is therapeutic, not prophylactic, in nature with periodontal disease Periodontitis, gingival. The following are ICD-10 codes that can be listed on the patient.... Take more than one visit to complete and may require a local anesthetic so there are to. Planing code is not appropriate dental cleaning that is done to treat periodontal or gum disease root –. Tools to help dentists during COVID-19 by clicking here have roots to plane scaling and root planing code confusion in our about! Is a non-surgical procedure that is done to treat periodontal or gum disease - one to three teeth quadrant...