Scaling in Gingival Inflammation - CDT Code Guide
Overview
CDT Code D4346 is specifically designed for the scaling procedure in the presence of generalized moderate or severe gingival inflammation, but without periodontitis. This procedure involves the thorough removal of plaque, calculus, and stains from both above and below the gum line. It is typically performed when a patient exhibits swollen, inflamed gums, generalized suprabony pockets, and moderate to severe bleeding upon probing. Unlike other periodontal procedures, D4346 is not to be used in conjunction with prophylaxis, scaling and root planing, or debridement procedures, making it unique for specific clinical situations where inflammation is present without the deeper periodontal disease.
When to Use This Code
- Patient presents with generalized moderate gingival inflammation without periodontitis.
- Patient has swollen, inflamed gums with generalized suprabony pockets.
- Moderate to severe bleeding on probing is observed in the absence of periodontitis.
- After an oral evaluation determines the absence of periodontitis but presence of inflammation.
- When a full-mouth scaling is needed due to severe gingival inflammation.
Documentation Requirements
- Detailed clinical notes confirming the absence of periodontitis.
- Documentation of generalized moderate or severe gingival inflammation.
- Records of oral evaluation prior to the procedure.
- Evidence of suprabony pockets and bleeding on probing.
- Patient's periodontal charting showing inflammation without periodontitis.
- Photographic evidence or radiographs supporting the clinical findings.
Billing Considerations
D4346 should not be billed alongside prophylaxis, scaling and root planing, or debridement. It is crucial to document the absence of periodontitis clearly. Frequency limitations may apply based on insurance policies, and it is important to verify patient benefits prior to treatment. Common modifiers may not apply, but always check with the specific insurance provider for any unique billing requirements.
Related CDT Codes
Frequently Asked Questions
No, D4346 is specifically for cases without periodontitis. Use appropriate codes for periodontitis treatment.
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