{1 - 24} GreyGrey
{25 - 49} GreenGreen
{50 - 499} BlueBlue
{500 - 4999} OrangeOrange
{5000 - 24999} RedRed
{25000+} BlackBlack

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SRP follow-up appointments

I was just curious as to how you bill out for the 4-6 week recall of fine scale following 4 quads SRP? My office bills out for Periodontal Maintenance but I wasn’t sure if there was another more specific code we should be using.



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The 6-8 week re-eval is a 4910. I tell pt that insurance usually does not cover the first perio maintenance re-eval appt. This appt you will be able to tell how well they are doing at home with their oral hygiene and decide if the pt should be on a 3 or 4 month 4910 continued care interval.

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The computer system we use in my office has an option titled “fine scale and polish” that we use for the 4-6 week re evaluation appointment and it is coded as D4999. We don’t charge anything for this visit so there is no issues with insurance not paying.

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My office bills out for Perio Maint. Some insurances have a 90 day waiting period following SRP tx but some do not. My office manager is good about checking with insurance to find out if they will pay for the follow up appt or not.

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We use “D0170” which is a re-eval code.

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We do perio re-evaluation and do not charge patient. This is to see how the tissues are responding and to polish all the teeth incase they are getting any stain buildup from the periogaurd (we give a bottle to patient and instruct to use nightly after any SRP or FMD when gingival infection is present- pretty much everytime).

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We do 3-4 week perio re-evaluation and do not charge patient. This is to see how the tissues are responding and to polish all the teeth incase they are getting any stain buildup from the periogaurd (we give a bottle to patient and instruct to use nightly after any SRP or FMD when gingival infection is present- pretty much everytime). I will cavitron/hand scale if any left over is found or if any new plaque has built up and stress OH again.

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In my office, after SRP we will have them back in 6-8 weeks for a re-eval and we will bill out for a D4310 – a perio maintenance 1. At that appointment, we recheck perio measurements, ultrasonic, handscale, polish and floss. They go through another cleaning to make sure anything that has built up is removed. We will then determine the frequency based on how the home care is. We never bill out for a fine scale. I have not personally had to bill out for FMD at my current office since it is only indicated for a cleaning due to such heavy buildup that an exam is not able to be preformed.

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