D4341

Periodontal Scaling & Root Planing - CDT Code Guide

Periodontics/Non-Surgical Periodontal Service

Overview

CDT Code D4341 refers to periodontal scaling and root planing for four or more teeth per quadrant. This procedure is essential for patients diagnosed with periodontal disease, aiming to remove plaque and calculus from the crown and root surfaces. Unlike regular cleanings, this therapeutic procedure targets deeper gum pockets to eliminate bacteria and toxins that contribute to periodontal disease. It is often employed as a definitive treatment in certain stages of periodontal disease or as part of pre-surgical preparation. Dental professionals perform this procedure to improve gum health and prevent further periodontal damage.

When to Use This Code

  • Patients diagnosed with moderate to severe periodontal disease
  • Presence of periodontal pockets deeper than 4mm
  • Before periodontal surgery to reduce bacterial load
  • Patients with visible calculus deposits below the gum line
  • As part of a comprehensive periodontal treatment plan

Documentation Requirements

  • Detailed periodontal charting indicating pocket depths
  • Clinical notes on the presence of plaque and calculus
  • Patient's periodontal diagnosis and treatment plan
  • Pre- and post-treatment photographs if applicable
  • Patient consent for the procedure
  • Follow-up care instructions provided to the patient

Billing Considerations

D4341 is typically covered by dental insurance for patients with documented periodontal disease. It is important to note that this code should not be used for prophylactic cleanings. Frequency limitations may apply, often restricted to once every 24 months per quadrant. Common modifiers include those indicating which quadrant was treated. Ensure accurate documentation to support the medical necessity of the procedure.

Related CDT Codes

Frequently Asked Questions

D4341 involves deep cleaning below the gum line for periodontal disease, unlike regular cleanings which focus on above-gum plaque removal.

Source: CDT 2023 © American Dental Association

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