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{25 - 49} GreenGreen
{50 - 499} BlueBlue
{500 - 4999} OrangeOrange
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{25000+} BlackBlack

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When to re-SRP a perio maintenance patient

At what point do YOU decide to SRP a perio maintenance patient? I know perio maintenance includes some scaling and root planing but when does one decide that it’s time to Re-treat w/ SRP’s?



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That’s a great question because the PM code includes S/RP at every appt. One would think if you are current on PM and the pt is faithful then why must it be repeated? Some offices do it when insurance dictates you can. Ie: every 2 years etc. I feel if the pt is non-compliant with 3-4 month PM intervals and home care is horrible and infection is present then it should be done again. If they are compliant and home care is great then why need to do it again? That’s my thought. I’d like to hear more ideas and reasons so I can change my thought process if needed.

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What I meant by S/RP can be done at the PM 4910 appt is not charge extra or add selective code with the 4910 code. During 4910 you always clean to the base of every pocket number recorded that day. If you are scaling subgingival then you are scaling and root planing……. Please correct me if I’m wrong.

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I agree. When she says SRP is included at PM appointments, she means PM is essentially a “touch up” SRP appointment. You cant just forget about those pockets. They are still there and if the patient is compliant and they are thoroughly cleaned q 3-4 months, they are less likely to deepen.

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I agree with Hygenius and I also follow perio numbers pretty closely. Many times only localized areas will need retreatment.

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I agree, usually localized areas are needed on perio main patients at some point. Monitoring probing depths at perio main appointments is crucial and treating active infection as needed. I didn’t know SRP is included with 4910 and with some insurance plans our production is as low as $40 🙁 Some insurances will allow localized treatment and perio main same appointment. These days in private practice so much emphasis is placed on meeting production goals…don’t give it away!

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