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PMT for new pt?

I have a new pt at my practice who has had SRP before at his old office. I haven’t cleaned him yet. Can I bill out Perio Maintenance, or does he have to have SRP again first? I don’t want to bill out a prophy. He has many 4 mm+ probing depths. I feel it’s wrong to bill out a prophy now and then “reassess” in 6 months. I also feel it’s wrong to be PMT at one office but prophy at another. Once a Perio pt, always a Perio pt, even though ins and pts don’t always see it that way! I do plan on mentioning out of pocket costs for PMT. Thank you!

Also – pt was huge gagger – i tried FMX but I could only get BWX – my doctor suggested I get a PAN when pt returns. I hesitate bc a PAN usually won’t show sub calculus. What do you think?



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2 Answers

If the patient has had SRPs in the past, you should be able to bill perio maint. You may want to call the patient’s insurance provider to verify previous SRPs and coverage of PM though.

Did you try salt on the patient’s tongue combined with nose breathing for the gagging? It’s always worth a try! You could take a pano, but like you said, it may not show bone levels or radiographic calculus really well. It really depends on how clear your pano machine takes images.

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Look into sending the patient to an outside radiology lab. We do that at one of my offices for patients who have a hard time with x-rays & we always get a full set back! I have no idea how they do it, but they do!

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