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billing acute gingivitis

How should I address acute gingivitis,bleeding with pockets no deeper than 3mm and get the pts insurance to cover treatment?

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1 Answer

Full mouth debridement (initial perio/gingivitis therapy) then 2 weeks later prophy 1110. After initial tx start pt on chx until you see them again for fine scale 1110. Place on a 3 month schedule to make sure their home care has improved and then if improved place on 6 month recall. Insurance usually covers debridement at basic coverage after deductible applied. The first 1110 will be covered at 100% UCR and the three month 1110 they may have to pay out of pocket unless their insurance covers 1110 twice in a year, but they will owe one extra if the next six month doesn’t go into the follow year.

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