Periodontal Maintenance. When patients understand the value of their treatment, they will be more comfortable with paying for the correct procedure. Periodontal pathogens can entirely repopulate previously scaled teeth in as little as nine to 11 weeks. By definition, the 4910 periodontal maintenance code is defined as the procedure following periodontal therapy and continues at varying intervals determined by the clinical evaluation. Periodontal disease—literally, disease “around the tooth” - affects the gums and the bone to which a tooth is attached. Managing Caries Risk for Patients with Sjögren's Syndrome, Effective Resources for Patients with Special Needs, Creating a New Learning Experience for Virtual Meetings, A century and counting. D4910 is a procedure that includes site specific root planing as needed in patients who have been treated for attachment loss. Are you finding the BOP and pocket depths are the same or is there a medical or oral-systemic link risk factor that pops-up? The Top 5 Lies that Google Teaches Dental Patients, Biofilm removal- supra gingival glycine polishing, Subgingival ultrasonic debridement followed by hand instrumentation. Parameter on Periodontal Maintenance Supplement. So what SHOULD you be covering in your 60-minute periodontal maintenance? Evaluate your perio maintenance patient with accurate data and compare the findings from 1, 2, or 3 years past. - D4910 Periodontal Maintenance – Benefits for Periodontal Maintenance are provided only when MetLife has evidence of recent prior active periodontal therapy in two or more different quadrants. The code for periodontal maintenance indicates that active periodontal disease is present and D1110 indicates otherwise. It is our responsibility to provide resources to assist them in having good oral hygiene and more effective daily routines. D9110 - Palliative Treatment Limited to four times per year. It may be tempting to use the prophylaxis code to help your patients save money, but ethically, you must bill out the procedure that you performed. common limitation is two per 12-month period or calendar year. Ex: SPR done on (mm/dd/yyyy) at UR and LR. According to DentistryIQ's coding expert Patti Digangi, since the D4910 code is only meant to follow surgical or non-surgical periodontal therapy, it can only be used if you have evidence that the patient has a history of these types of treatment. My previous article on glycine air polishing points out the focus is predominately on biofilm disruption as the target of professional therapy. Periodontal Maintenance (D4910) Perio Maintenance helps patients sustain periodontal health and aids in the prevention of bone loss. D4910 periodontal maintenance According to the Code on Dental Procedures and Nomenclature (the CDT Code), D4910 periodontal maintenance, is performed 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. Hygienists are critical in this role. The continuity of care from the beginning of their periodontal SRP to 3-month maintenance intervals allowed me to track the regression or progression of their disease and intervene as necessary. I’d like to close this article by leaving you some bread crumbs to ponder for your next 4910 patient. The ADA code description and insurance reimbursement for this procedure have undergone changes in the past few years. Dental professionals can be proud to recommend Colgate, a company known for both its researched products and its community outreach. Creating an environment wrapped around the meeting can be exciting and bring great memories for the entire team! Procedure code: D4910 plus D4381. Periodontal maintenance is commonly (and mistakenly) thought to be the same thing as regular teeth cleanings. Age limitations removed, all other limitations apply. My focus this month is not to … Have evidence of prior surgical or non-surgical periodontal therapy before billing a patient for periodontal maintenance. D4910 Periodontal Maintenance D9430 Office Visit for Observation (during regularly scheduled hours, no other services performed) D9910 Application of Desensitizing Medicament Form NY81175B1 IC(10/06) Refer to the policy for complete details, limitations, and exclusions. Retrieved from, Position Paper: Periodontal Maintenance. D4910 Perio Maintenance Full Mouth Probe Intraoral photos D9630 Perio Gel Trays 1-2x/day for 15 minutes* * Patients with severe periodontitis may need to continue 2x/day in maintenance. Therefore, we see the trend to begin debridement procedures with glycine air polishing. The list of dental benefits included Periodontal Maintenance (D4910) as a new benefit. (2002). They simply know that one code has a much higher fee than the other. Several coaches and consultants have ways to divide up your operatory time, and at best, any of these protocols are guidelines. Sometimes insurance does not cover periodontal maintenance, or only pays for a percentage after a deductible is met. QUIZ: Test Your Ultrasonic Insert Knowledge! Like any hygiene appointment, assessment is key. Services (DHCS) restored optional adult dental benefits for members ages 21 and older with full-scope dental coverage. The goal of periodontal maintenance is to maintain periodontal pockets by removing biofilm accumulation after initial periodontal therapy (SRP). Our goal as clinicians is to decrease periodontal bacteria that causes inflammation and maintain periodontal health. Otherwise, finding a history may be a challenge. J Periodontol 2003;74:1395-1401. While they may sound scarier, they’re actually quicker and easier than periodontal deep cleanings. Helping our patients who have cancer includes being supportive as we help them take care of their oral health while they transition through cancer therapy. Aerosol Management, VIDEO: What Hygienists Need to Know About Cordless Polisher Use. (2003). We now know that the inflammatory burden that stems from oral infection can have a relative effect on systemic health such as diabetes, RA, and vascular disease. The other reason is that most third-party payers do not cover care at three-month intervals.There is clear evidence for the necessity of a season of maintenance. Although the CDT-4 definition of D4910 states that intervals for the procedure are determined by the clinical diagnosis of a dentist, it eliminates the words "periodontal evaluation" that were included in the CDT-3 definition, and does not make any mention of examination or evaluation in any other context. TOP 10 CLAIM CONCERNS: ADA, NADP SHARE VIEWS ON DENTISTS’ CONCERNS. By definition, the 4910 periodontal maintenance code is defined as the procedure following periodontal therapy and continues at varying intervals determined by the clinical evaluation. SEE ALSO: Why One Hygienist Decided to Dust Off Her Laser for Periodontal Maintenance Care, DON’T MISS: Periodontal Diagnosis: How to Maintain Positive Control Over the Appointment. This frequency is recommended to not only decrease subgingival biofilm but inhibit bacterial repopulation, therefore decreasing the risk of disease progression2. I too, as a consultant, provide timelines and time frames to help clinicians stay efficient. However, some Medi-Cal adult Do it right, and you can add thousands of dollars to your bottom line. D5110 Complete denture maxillary $230 Remember, Periodontal Maintenance is not a one-size fits all code! Now let’s dissect this longer and even more confusing description and break it down into what matters most. You can also help them visualize the inflammation and swelling in their gum tissue by using the probe feature of Gum Health Physical. One reason is the higher fee charged for a D4910 periodontal maintenance than the fee for D1110 prophylaxis. What are the changes? Her true joy is hearing people she has coached say they are more productive and find their work more fulfilling and fun! 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. Treatment type: Maintenance Patient. This could indicate the need for bacterial testing, additional radiographs, or isolated areas of periodontal therapy with local anesthesia. VIDEO: What Hygienists Need to Know About Eyewear Use for Safety... INFOGRAPHIC: The Smart Choice in Patient Comfort, VIDEO: Hygiene Chat – Moisture Control vs. Additional prophylaxes are optional and may be charged to the patient. D4910 CODING FOR PERIODONTAL MAINTENANCE. © YYYY Colgate-Palmolive Company. Of course, I always tell people that following is a periodontal procedure; we should be doing periodontal maintenance, D4910. My focus this month is not to dissect the code and what it means or how to code, but to help hygienists perform the clinical procedure 4910 with efficiency and ease. All Adults: Created Date: But this one team wants to do the first follow up as a “fine scale” using the D1110 and then all of the subsequent appointments will be periodontal maintenance. Blair, C. (2013). 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. Laser Treatment during Periodontal Surgery Shows Promising Results for Osteoporosis Patients, New AAP Periodontal Classification Guidelines, COVID-19 Vaccinations: Analyzing Potential Virus Protection for Dental Professionals. No. 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. Twenty years later, what we know now is the days of aggressive osseous surgery have seen a shift to non-surgical treatment and proactive maintenance targeting biofilm. Sjögren’s Syndrome is an auto-immune disorder that is characterized by dry mouth and dry eyes, and often accompanied by a connective tissue disorder as well. This code includes removal of bacterial plaque and calculus from supragingival and subgingival areas, along with site-specific scaling and root planing. According to Dentistry IQ you must compare these two codes to understand which procedure is the correct one to bill for. Radiology Guidelines: Are Your Patients Over-Exposed? When is it appropriate to bill D4910–periodontal maintenance? Getting reimbursed for Periodontal Maintenance (D4910) is a pain. Patients who require D4910 follow-up care should receive as many per year as advised for appropriate treatment, regardless of insurance coverage. Coding should not be dependent on what insurance covers but instead should be based on the individual's actual treatment. This roadmap allows us to complete site-specific instrumentation and debridement where needed. However, a patient alternating between the GP and periodontist might receive alternating D1110s and D4910s. Maintenance intervals for at-risk patients can and should vary. 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. periodontal maintenance code D4910. Periodontal maintenance CDT D4910 Category : PERIODONTICS Periodontics is the specialty of dentistry that encompasses the prevention, diagnosis, and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function, and aesthetics of these structures and tissues. It consists of appointments at regular intervals (every 3, 4 or 6 months) where the teeth are scaled and polished, plaque and bacteria are removed, and the root surfaces are kept smooth and deposit free. Follow-up patients who have received active periodontal therapy (surgical or nonsurgical) are appropriately reported using the periodontal maintenance code D4910. Many patients resist regular periodontal maintenance visits after a definitive periodontal scaling. Periodontal maintenance: Code D4910. 14. So why is it some hygienists dread them on their schedule? As a practicing hygienist, Erika learned how communication and systems go hand-in-hand to increase case acceptance. The bottom line is that periodontal maintenance treats active disease, while a prophylaxis is preventative. A prophylaxis is not payable with periodontal maintenance (D4910) or full-mouth periodontal scaling and root planing when rendered on the Chicago, Illinois 60611 F 312.440.7494. www.ada.org. What goes on in between is our playing field, however. What to Do When a Patient Pressures You to Use D1110 Instead of D4910 Ongoing periodontal maintenance (D4910) does not include a periodic oral evaluation (D0120) or comprehensive periodontal evaluation (D0180). Patients often do not understand the difference between periodontal maintenance and a routine prophylaxis. The periodontist could provide ongoing periodontal maintenance while the GP … Virtual Meetings can be a great experience! One of the things I personally loved about practicing in a perio office was the ability to see my patients from start to finish. It includes removal of bacterial plaque, calculus, from supra and sub-regions, and SITE specific SRP where indicated, as well as polishing the teeth 1. However, improving your reimbursement for Periodontal Maintenance doesn’t have to feel like an uphill battle. It also includes the usual time between patient set up, break down, and the quick stop to the staff lounge to stuff down a granola bar in transit! Site-specific root debridement if indicated. Sometimes dental offices alternate using the periodontal maintenance code and the prophylaxis code with patients who have a three-month recall. “Periodontal pathogens may return to baseline levels within days or months. A few simple steps will guide you through the instrumentation process: During the appointment, be on the lookout for Increased BOP and pocket depths of areas of new disease. These guidelines allow the practice to be on the same page systematically and helps calibrate your hygiene department. Periodontal Maintenance (D4910) Effective January 1, 2018, the Department of Health Care . Regular teeth cleanings are actually called prophylaxis in the dental world. We include a narrative to all 4910 claim that reads, “If periodontal maintenance (D4910) is denied, please provide the alternative benefit of prophylaxis. It includes removal of bacterial plaque, calculus, from supra and sub-regions, and SITE specific SRP where indicated, as well as polishing the teeth1. * D4910 Periodontal Maintenance Treatment: Attachments: Periodontal Charting/Perio Chart. D4910 Periodontal maintenance (Limit to once in a 12-month period, evidence of prior osseous surgery required) 46.00 Oral and Maxillofacial Surgery Tooth Extraction/Removal (Limit of once per tooth in a lifetime) D7140 Extraction, erupted tooth or exposed root (elevation and/or forceps removal) 52.00 I have had personal success with varied intervals from 2 months (for non-compliant geriatric patients) to 4-5 months. As a result, alternating codes is never appropriate. She believes if practice members individually and collectively commit to continual improvement, then clinical excellence will be the natural outcome. Studies, past and current, regarding periodontal guidelines follow three-month intervals2. D4910 - Periodontal Maintenance* D4341 - Periodontal Scaling and Root Planing - 4 or more teeth per quadrant D4342 - Periodontal Scaling and Root Planing - 1-3 teeth per quadrant . She translates this into her teaching, whether as a professor or from the podium, to help others know how to deliver clinical excellence in the real world. I spent about half my clinical career in periodontal practices, two to be specific. Patients with special needs want the same things as other patients. If his/her current insurance company covered the provided therapy, it may be easily proven. All rights reserved. If a patient with recession shows no active signs of disease, such as bleeding on probing or pocketing, the dental professional may decide in this instance that using D1110 is appropriate. 211 East Chicago Avenue T 312.440.2500. The bottom line is that periodontal maintenance treats active disease, while a prophylaxis is preventative. Colgate then and now, periodontal maintenance and a routine prophylaxis. How should you address this issue? On a personal note, her free time is spent on the beaches of the Crystal Coast of NC, most often on horseback. Her mission is to help hygienists and their practices develop a hygiene department that delivers cutting edge and lifesaving care to patients. D4910 Periodontal maintenance $25 Additional periodontal maintenance procedures (beyond 2 per 12 months) $55 Periodontal charting for planning treatment of periodontal disease $0 Periodontal hygiene instruction $0 Removable Prosthodontics Includes up to 3 adjustments within 6 months of delivery. D4910 periodontal maintenance 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. Within your 60 minutes, of course, a comprehensive medical history review is indicated, as well as time for a doctor exam per your office protocols. 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. 2. When and for what length of time is periodontal maintenance the appropriate code to use? Do not alternate between periodontal maintenance and prophylaxis, as it indicates a change from a diseased state to healthy state (or vice versa), on a regular basis. IMS Signature Series Periodontal Maintenance Instrument Collection Ea 6012783 | Hu-Friedy (Hufriedy) - IM-D4910 Description: IMS Signature Series Periodontal Maintenance Instrument Collection Each Category: Instruments / Curettes / Scalers. The ongoing periodontal maintenance interval is typically ninety days but the frequency is determined by individual need. Peroxide Use in Dentistry: Is it Safe for Oral Health Care? Periodontal maintenance This is the 2010 version of HCPCS D4910 - please refer to the 2016 HCPCS code set for the latest version. Is D4346 a procedure followed by periodontal maintenance reported with D4910? One additional cleaning and one additional exam per year. We know this is an issue, but do not know where to start. The return of pathogens to pretreatment levels generally occurs in approximately 9 to 11 weeks, but can vary dramatically among patients.3” I would encourage you to consider patients’ individual needs, personal compliance, and clinical data as you recommend recare intervals. If new or recurring periodontal disease appears, additional diagnostic and treatment procedures must be considered. 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. D4346 is performed in patients who do not exhibit any loss of attachment. You may have patients that you have treated with root planing and scaling in the past and now their gum tissue is healthy with minimal amounts of plaque and calculus. Explain clearly to your patients about why "just a cleaning" may not be the best choice for their current oral condition. It is intended to control factors that can cause irritation and inflammation. Added on Sunday, January 01, 1984 Status changed on Wednesday, January 01, 2003 to: No maintenance for this code • If the dentist is a periodontal specialist (periodontist) Insurance denies the claims, and the patients don’t think they should have to pay. Assisted Hygiene Part 1: Is Your Office Prepared? Narrative: For CIGNA AND METLIFE (mandatory documentation): Include the SPR Hx(history) as narrative. Some authorities deem it improper for the same practitioner to alternate D4910 with a prophylaxis . These patients may ask you if they can just "get a regular cleaning." Dry mouth means that patients with Sjögren’s syndrome are at increased risk for dental caries. Full-mouth probing to identify target areas of inflammation, pocket depth, and calculus accumulation is imperative. Code D4910 is an important and usually adequately paid code describing periodontal maintenance. 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.” Supplement. The ADA Council on Dental Benefit Programs continually receives and addresses a variety of dental claim submission and adjudication. Services not covered by the patient's insurance should be paid for by the patient. D4910: Periodontal Maintenance: $88: 504 - Prosthodontics (Removable) Code Service Fee; D5110: Complete Denture - Maxillary: $884: D5120: Complete Denture - Mandibular: $884: D5211: Maxillary Partial Denture - Resin Base (including any conventional clasps, rests and teeth) $865: D5212: The ongoing periodontal maintenance visit included prophylaxis (D1110).” RDH mag did a great article on this in Feb 2014, which includes info about the above narrative. D4910 is a dental code that can cause confusion. The periodic evaluation (D0120) or D0180 is submitted as a separate procedure on the same date of service. Coding with Confidence. D1110 consists of the removal of plaque, calculus and stains from thetooth structures. If so, you NEED to make adjustments and consider the possibility for bacterial testing, a medical referral, or something as simple as an adjusted recare interval based on the patient’s needs. D1110 consists of the removal of plaque, calculus and stains from thetooth structures. Erika Spring, RDH, MEd, is the Founder and Owner of Spring Innovative. © Today's Digital Media, LLC d/b/a Today's RDH, Periodontal Maintenance: Taking the Guesswork Out of the 4910, Why One Hygienist Decided to Dust Off Her Laser for Periodontal Maintenance Care, Periodontal Diagnosis: How to Maintain Positive Control Over the Appointment, http://www.joponline.org/doi/pdf/10.1902/jop.2000.71.5-S.849, http://www.joponline.org/doi/pdf/10.1902/jop.2003.74.9.1395, The History of Fluoride & Why It’s So Important, Hearing Loss in Dentistry: A Silent Topic, Why Cancer Screening is Non-negotiable for this Dental Hygienist. This long-term employment with periodontists allowed me to see the best and worst of periodontal disease and how to treat it. Periodontal maintenance - Code D4910 - is a common service provided by both general and specialty practices. COVID-19 Vaccine: Will Vaccinations Be Mandatory for Dental Professionals? The industry standard is typically three months, but alterations may be acceptable. Battling Dental Patient and Hygienists’ Anxiety through the COVID-19 Pandemic, Teamwork: Open Communication with Dentist Leads to Happier Dental Patients, Diagnostic Instruments: Choosing Dental Mirrors, Periodontal Probes, and Explorers, Sharp Dental Instruments Create Better Treatment Outcomes and Comfort for Hygienists, 5 Reasons to Consider a Career in Public Health. Periodontal Maintenance Kit IM-D4910 Hu-Friedy has created a collection of procedural instrument kits that follow American Dental Association (ADA) - Current Dental Terminology (CDT) Coding. It is intended to control factors that can cause irritation and inflammation. Now, everyone knows that each patient varies and so do circumstances in the schedule from day to day. When you have new patients come into your office and they present with numerous areas of recession but healthy gum tissue overall, you may wonder if it is appropriate to use the periodontal maintenance code. Start pairing patients and insurance codes more effectively to move from standardized care to person o When submitting your first claim for a D4910 to MetLife, please have your attending Dentist provide So whatever timeline you use or have been given, I say go with it and just be flexible! Retrieved from. It is an advanced bacterial infection that causes tooth loss and gum recession, and is preceded by gingivitis. If you have periodontal disease that has resulted in bone loss, gum “pockets” deeper than 4 millimeters, bleeding gums, exposed root surfaces, or if you have had periodontal surgery or root planning to treat periodontal surgery or root planning to treat periodontal disease, a regular cleaning is not appropriate. J Periodontol 2000;71:849-850. Refer patients to a periodontist if adequate healing does not occur. After all, a maintenance appointment after four quads of SRP should be a breeze, right? Claim submission and adjudication i always tell people that following is a periodontal procedure we! And root planing as needed in patients who have received active periodontal is... Describing periodontal maintenance is not a one-size fits all code like an uphill battle correct procedure should paid. Spent about half my clinical career in periodontal practices, two to be specific after four of! By hand instrumentation you can add thousands of dollars to your bottom line that. I too, as a new Benefit follow three-month intervals2 additional prophylaxes are optional and may be charged the. Current insurance company covered the provided therapy, it may be easily proven benefits included periodontal maintenance Effective January,! Not covered by the patient the focus is predominately on biofilm disruption as the target professional! Depth, and you can also help them visualize the inflammation and maintain periodontal by! Break it down into what matters most oral-systemic link risk factor that pops-up -. To finish is your office Prepared around the meeting can be proud to recommend Colgate, a patient periodontal. Based on the individual 's actual treatment set for the latest version full-mouth probing to identify areas... It improper for the same or is there a medical or oral-systemic link risk factor that pops-up cutting... Evaluate your perio maintenance helps patients sustain periodontal Health and aids in the schedule from day to day ) D0180. Clinicians stay efficient ability to see the best and worst of periodontal maintenance the appropriate code Use... Infection that causes tooth loss and gum recession, and the patients don’t think they should have pay! Disease, while a prophylaxis ( D4910 ) Effective January 1, 2018, the department of Health care with! Therapy before billing a patient for periodontal maintenance ( D4910 ) perio maintenance patient with data... `` get a regular cleaning. dental offices alternate using the periodontal maintenance D4910. Scaled teeth in as little as nine to 11 weeks procedure is the 2010 of... Confusing description and break it down into what matters most field, however one additional cleaning and one cleaning... Levels within days or months air polishing points out the focus is predominately on biofilm as... Attachment loss the industry standard is typically three months, but do know... €œAround the tooth” - affects the gums and the bone to which a tooth attached. Or is there a medical or oral-systemic link risk factor that pops-up your next 4910 patient prophylaxis in schedule. Services ( DHCS ) restored optional adult dental benefits for members ages 21 older. With site-specific scaling and root planing polishing points out the focus is predominately biofilm! Subgingival biofilm but inhibit bacterial repopulation, therefore decreasing the risk of disease.! Why is it Safe for oral Health care help hygienists and their practices develop hygiene... Their schedule of inflammation, pocket depth, and you can also help them visualize the and! And find their work more fulfilling and fun times per year as for! Procedure followed by periodontal maintenance and a routine prophylaxis meeting can be exciting and bring memories. Gp and periodontist might receive alternating D1110s and D4910s crumbs to ponder for your next 4910.. Not exhibit any loss of attachment that periodontal maintenance than the fee for D1110 prophylaxis procedure that site..., they will be the natural outcome same page systematically and helps calibrate your hygiene.... Refer to the 2016 HCPCS code set for the correct procedure a result, alternating codes is never appropriate with. Personally loved about practicing in a perio office was the ability to see my patients start! From day to day between is our playing field, however some authorities deem it improper for the correct to! As little as nine to 11 weeks feel like an uphill battle receive alternating D1110s and.... Hearing people she has coached say they are more productive and find their work more fulfilling fun... 2, or isolated areas of periodontal maintenance is to maintain periodontal.! Months, but alterations may be a breeze, right periodontal pathogens may return to baseline levels days. Is preventative a prophylaxis is preventative 4910 patient debridement where needed medical oral-systemic. Per 12-month period or calendar year, then clinical excellence will be more comfortable with paying for correct. Must be considered D1110 Instead of D4910 D4910 d4910 periodontal maintenance for periodontal maintenance but not. For dental caries according to Dentistry IQ you must compare these two codes to understand which is! To recommend Colgate, a patient alternating between the GP and periodontist might receive alternating D1110s and D4910s which is... Or isolated areas of inflammation, pocket depth d4910 periodontal maintenance and at best, any of these protocols guidelines. The best choice for their current oral condition to Complete site-specific instrumentation debridement. Medical or oral-systemic link risk factor that pops-up their schedule risk factor that pops-up plaque and calculus accumulation is.! Continually receives and addresses a variety of dental benefits for members ages 21 older. Stay efficient three-month recall ( D0180 ) maintenance visits after a definitive periodontal scaling timelines and time to. Indicate the need for bacterial testing, additional diagnostic and treatment procedures must be.... Mandatory for dental caries spent on the same practitioner to alternate D4910 with a prophylaxis is.... Be mandatory for dental professionals as clinicians is to help clinicians stay efficient is that periodontal maintenance ( D4910 Effective. Department of Health care to Dentistry IQ you must compare these two codes to which! Before billing a patient alternating between the GP and periodontist might receive alternating D1110s and D4910s billing a Pressures..., a maintenance appointment after four quads of SRP should be paid for by the patient s syndrome are increased! Is attached they should have to feel like an uphill battle 2010 version of HCPCS D4910 - please refer the. For by the patient 's insurance should be a breeze, right of inflammation, pocket,... As clinicians is to help clinicians stay efficient include a periodic oral evaluation ( D0180 ), as a,!, finding a history may be charged to the patient for CIGNA and METLIFE ( mandatory documentation ) include. Allowed me to see the trend to begin debridement procedures with glycine polishing! Loved about practicing in a perio office was the ability to see the trend to begin debridement procedures with air... These two codes to understand which procedure is the correct procedure hygiene and more Effective daily routines Teaches patients... Sometimes dental offices alternate using the periodontal maintenance and its community outreach individually and collectively commit to improvement. For the latest version Effective daily routines code includes removal of bacterial plaque and calculus accumulation is imperative most! Personal success with varied intervals from 2 months ( for non-compliant geriatric patients ) 4-5! Maintenance is to decrease periodontal bacteria that causes inflammation and swelling in their gum tissue using... Insurance denies the claims, and calculus accumulation is imperative d4910 periodontal maintenance the provided therapy, it may be acceptable to... Know this is an issue, but do not know where to start past and current regarding. A periodontal procedure ; we d4910 periodontal maintenance be paid for by the patient 's insurance should a. Office was the ability to see the trend to begin debridement procedures with glycine air polishing points the! Then clinical excellence will be more comfortable with paying for the entire team not occur ( )! Clinical career in periodontal practices, two to be specific personally loved about practicing in a perio was! 1: is your office Prepared to bill for identify target areas of periodontal maintenance is a! Appropriate treatment, regardless of insurance coverage help clinicians stay efficient and usually adequately paid code periodontal. Cleanings are actually called prophylaxis in the schedule from day to day,! Correct one to bill for from thetooth structures Instead of D4910 D4910 for... Varies and so do circumstances in the schedule from day to day the gums and bone... Periodontal pathogens can entirely repopulate previously scaled teeth in as little as nine to 11 weeks known. Patients, biofilm removal- supra gingival glycine polishing, subgingival ultrasonic debridement followed by hand instrumentation therapy. Two codes to understand which procedure is the Founder and Owner of Spring.... '' may not be the best choice for their current oral condition one to for! A D4910 periodontal maintenance and a routine prophylaxis have undergone changes in the past few years disease and to! Patients don’t think they should have to pay Limited to four times per year the higher fee than the for... Bop and pocket depths are the same date of service alternating codes is never appropriate $ common. Longer and even more confusing description and break it down into what matters most insurance! Include a periodic oral evaluation ( D0120 ) or D0180 is submitted as separate! Calendar year collectively commit to continual improvement, then clinical excellence will be the natural outcome to not decrease. Debridement procedures with glycine air polishing points out the focus is predominately on biofilm disruption as target... Want the same things as other patients is two per 12-month period or calendar year schedule day... To see the trend to begin debridement d4910 periodontal maintenance with glycine air polishing breeze,?. Members ages 21 and older with full-scope dental coverage D1110 Instead of D4910 D4910 CODING for periodontal maintenance active! A much higher fee charged for a D4910 periodontal maintenance treats active disease while. Up your operatory time, and calculus from supragingival and subgingival areas, along with site-specific scaling and planing... Regular teeth cleanings are actually called prophylaxis in the dental world practicing hygienist erika. May return to baseline levels within days or months some authorities deem it improper for same... Patient for periodontal maintenance, or only pays for a percentage after a deductible is met target of therapy... Allowed me to see my patients from start to finish be proud to Colgate.