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How to bill 6-week tissue check following SRP

This is a follow-up question from a previous question about the coworker who doesn’t scale thoroughly. I’m wondering how to bill someone who at the 6-week tissue check after 4 quads of scaling the patient needs further scaling. How can you code that? Are there sextants that could be billed? It might be a nightmare to go back and rebill that. Otherwise, you’re left charging a perio maintenance at 2 mo recall. I haven’t done anything yet about this coworker and I welcome lots of input from everyone- it’s keeping me up at night

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1 Answer

There isn’t really a code for the interim visit following SRP. Your office could not bill the patient for this appointment and include it as part of the initial SRP treatment. This is what the majority of offices I’ve worked for do.
Periodontal Treatment Protocol (PTP) for the General Dental Practice from the Journal of Dental Hygiene recommends using D4999 Unspecified Periodontal Procedure, by Report. They state, “In the absence of a specific ADA code for complete periodontal re-assessment following definitive periodontal therapy, this procedure code is being utilized to determine healing response and future treatment recommendations.”
Also, here is a link to a very similar question with more feedback: http://www.dentalhygieneanswers.com/srp-follow-up-appointments/

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