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Searching: healthy gum
Results: 33
Message Board
Views: 571 | Replies: 21
( no bone loss ) that has generalized suprabony pockets that you're trying to get back to a healthy mouth and subsequent D1110. Visit 1 D4342 LRQ D4342 LLQ Visit 2 D4910 full mouth If patient is sensitive and needs to be anesthetized during the D4910 you can bill for: D9210 - Local anesthesia
April 24, 2026
Coding Q&A
Message Board
Views: 565 | Replies: 18
OR EXTRACTION WHERE THE SEQUELA IS: D7550 - PARTIAL OSTECTOMY/SEQUESTRECTOMY FOR REMOVAL OF NON-VITAL BONE This code describes the removal of loose or denuded (sloughed off) non-vital bone from surrounding healthy bone. *Note: some insurance companies may downgrade the code to palliative D9110
July 12, 2022
Coding Q&A
Message Board
Views: 578 | Replies: 23
substantial. I've done your courses and take pics before, with probe in bleeding gums and full perio, they (insurance) still defers to bone loss in X-rays. In-network: no . You are contractually expected to collect on the D4342 fee. If the bone loss is not 2mm past the CEJ on the x-rays
March 11, 2026
Coding Q&A
Message Board
Views: 61 | Replies: 1
Does anyone have an idea what I should code for removal of a traumatic lesion (gum tag under 1 cm) due to bruxism? It will not be sent for biopsy. CYA, excision of benign lesion with biopsy. You need the results to verify your DD.
July 18, 2016
Coding Q&A
Message Board
Views: 118 | Replies: 0
Periodontal disease or gum disease is too common The dreaded words you have gum disease is something people look upon as a failure in their own healthcare and is only for those who don't brush and floss. Patients often have misconceptions about the disease. According to a recent study
July 06, 2016
Coding Q&A
Message Board
Views: 76 | Replies: 1
How do we bill for gingival contouring / gingivoplasty along with anterior crowns ? I was prepping 8,9 and had to laser the hyperplastic gums in that area . Insurance would say part of the restorative procedure . Yes, insurance would say tissue management is part of the procedure, especially
December 18, 2024
Coding Q&A
Message Board
Views: 537 | Replies: 16
factors, typically means in a healthy mouth. It would never be correct to code a PX on a perio patient. You can do an FMD if you just want to ignore the above advice, but that really is a misuse of the code as well. FMD is ONLY to be used in a case where you cannot correctly diagnose due to the amount
August 12, 2019
Coding Q&A
Message Board
Views: 49 | Replies: 1
I have a pt he had 3 rct treated front teeth that broke off so I ground down the small parts of his tooth remaining to gum line and making a partial over it. Do I charge his insurance for grinding his teeth down .If so what code can I use? Please help ! We have a code called: Re-contouring for functional reasons. It goes by unit of time. Each unit of time is 10 minutes. You might have something similar? It is usually fond in the preventive section.
August 19, 2019
Coding Q&A
Message Board
Views: 133 | Replies: 0
Is there a code for 'medication trays'? I've got a patient who has dry mouth related to medication and decay around the gums related to dry mouth. My hyg recently attended a lecture where they've taken the basic whitening tray and are using it for controlled application of a variety of other
April 06, 2015
Coding Q&A
Message Board
Views: 51 | Replies: 1
A friend of mine called me and asked if I could help her friend out who was visiting for the day and was continuing on her trip the next day and wouldn't be back to her home for a couple of weeks. I said yes and the patient presented with #7 a porcelain crown broken off at the gum line. We
October 11, 2018
Coding Q&A
Message Board
Views: 509 | Replies: 8
the surfaces of the teeth and lowered bacteria levelsbut they still need further gum treatments due to gum disease x, y, z. I start any caries control and bring them back 4 weeks after first visit for SRP. Explained this way, they almost always commit to treatment as they are happy they got
October 23, 2017
Coding Q&A
Message Board
Views: 307 | Replies: 5
Question with insurance. If a patient has sensitive gums (topical will not get them numb enough) Can I charge for local anesthetic when doing a regular prophy. (do you just use a local anesthetic code) No radiographic evidence of bone loss so insurance will not cover a SCRP Where I am we charge
June 27, 2022
Coding Q&A
Message Board
Views: 175 | Replies: 3
called Metlife. they said that perio maintenance is only good for 24 months after sc/rp. If the patient remains healthy for 24 months the code is to change to a prophy instead of perio maintenance.
March 07, 2017
Coding Q&A
Message Board
Views: 437 | Replies: 7
create space on the gum side of the waxup surface of the denture to accommodate the abutment and housing. I usually do a light body wash impression and pick up the housing within the waxup. I then remove the housing and send the denture to lab for processing. For upper denture I request shortened
July 28, 2016
Coding Q&A
Message Board
Views: 149 | Replies: 1
exam and again for a periodic exam as long as the child is under the age of three. A child’s dental health addressed at this age is paramount to the proper oral care and development of healthy dentition. The code D0145 is a valid source of revenue for the practice and should be implemented
July 29, 2019
Coding Q&A
Message Board
Views: 180 | Replies: 8
teeth, use the AED as their band-aid denture and when it's time for the final denture, take a wash inside the AEDs and a bite for remounting purposes. If everything is spot on we take it to a finish. If not, we do another try-in. This is a pic of our surgical AED but mostly we do these with pink gums.
January 06, 2021
Coding Q&A
Message Board
Views: 151 | Replies: 4
on teens and younger healthy adults for their NP visit. In that case, we submit as an FMX. If you submit everything separately, in my 20+ year experience, the insurance companies will not reimburse at a level any greater than their FMX allowed fee. In both of your scenarios the insurance company
November 12, 2020
Coding Q&A
Message Board
Views: 930 | Replies: 38
(perio maintenance) standard of care, or is it acceptable to go from SRP to PM in 90 days following initial non surgical perio therapy. Can't find current guidelines on AAP website. Thanks in advance. AAP recommendations have always been 4-6 weeks because it takes around 3 weeks for gum tissues
October 20, 2024
Coding Q&A
Message Board
Views: 282 | Replies: 7
with BOP are more borderline and should probably have other factors at play to determine the need for SRP. ALL perio charts should include ALL GMs to be able to calculate CAL. As you can see above, neither CAL or PD alone are diagnostic. You have to look at the big picture. In a healthy periodontia
July 29, 2021
Coding Q&A
Message Board
Views: 668 | Replies: 15
are patient billing codes insurance won't even touch. For the GP, we seem to like thinking the D6114/D6115 is a hybrid, which is it ONLY the acrylic teeth and gums, there are 8-12 codes involved with the prosthetic side of a hybrid (similar to the dozen surgical codes on your end). Absolutely I agree
June 04, 2023
Coding Q&A
Message Board
Views: 303 | Replies: 6
and meets the doctor (no exam gets charged out at this time) as long as they are not in pain If they are we bill a limited and have the doctor check that area of concern only. We then bring them back for a revaluation that includes the comp exam and perio charting. They then get a diagnosis of healthy
January 10, 2017
Coding Q&A
Message Board
Views: 317 | Replies: 6
will always be $300 because you are paying for our time and expertise, not what specific things we need to do to keep you healthy. The more you can get away from itemizing things for patients, the happier you and your FD will be and the higher your case acceptance.Thank you for everyone's...We
September 19, 2014
Coding Q&A
Message Board
Views: 214 | Replies: 4
of the crown, Listany missing cusps and state the percentage of healthy tooth structure remaining. Some payers want to see that less than 50% of the tooth was missing to justify the buildup. Some payers want to see less than a 2mm or 3mm collar in tooth height to reimburse. That is why
September 29, 2023
Coding Q&A
Message Board
Views: 304 | Replies: 10
to take a complete FMX routinely on a patient with no complaints, healthy looking dentition and no history of major events.Laz On patients with a low caries rate and very few restos, we'll usually take a pano(every 3-5 yrs) and 4 BWX Don't get me wrong. We do use discretion . Every patient
December 24, 2019
Coding Q&A
Message Board
Views: 599 | Replies: 17
as a courtesy or ifthere will be a little fee added to todays treatment. Most patients don't mind paying if they know they get food impacted or have been having swollen gums. Some dentist charge for laser/gingivectomys too. But again most insurance consider it as part of the filling
February 02, 2016
Coding Q&A
Message Board
Views: 734 | Replies: 20
not give me a price over the phone--you need to see the doctor. OK--fine. First we need to do some blood work because we will need to put him to sleep. Blood work $125.00. If he is healthy the cost of the cleaning is $225-$250.00 if he needs IVfluids that'san extra $50.00. Of course this is cash. Can
December 21, 2015
Coding Q&A
Message Board
Views: 754 | Replies: 24
. Mine healed up better and more resistant to breakdown. I was seeing bone growing and getting more dense and the soft tissue was very healthy and staying healthy. That is how I made up my mind on the code to use. You will need to do the same; the practitioner decides if the code is appropriate
February 12, 2025
Coding Q&A
Message Board
Views: 993 | Replies: 31
worst one ever. Jet Fuel.... and oh with a healthy dose of BO thrown in. No not a common odor, unless your patients are active duty USAF working hard on a 100 degree flight line. I swear, that's one that makes your eyes start to water, had to give a couple guys the boot and reschedule them. I have
December 02, 2018
Coding Q&A
Message Board
Views: 870 | Replies: 45
. The biggest is billing for work you never did. Imo the second is falsifying diagnosis to qualify for work performed. Or falsifying patient information etc. Eligibilty etc. Another is performing work not needed. Like pulling out healthy teeth so you can get paid for a denture. Causing harm as well. Don't
December 05, 2025
Coding Q&A
Message Board
Views: 746 | Replies: 30
on and on and on. Bill what you do BUT why is the MO and the DO on the same tooth two separate restorations. They are two separate restorations because we the dentist decided there was no reason to remove the healthy occlusal surface. It was a choice to not prepare an MOD and rather prepare an MO and a DO
November 13, 2023
Coding Q&A
Message Board
Views: 779 | Replies: 29
for the situation. If they are careful to correctly diagnose and get their time management down to a science, it will make even those 60 minute 2nd prophy appointments hard to find because the schedule is appropriately full of a healthy mix perio/preventive. Just my thoughts, I'm definitely not an expert
February 01, 2018
Coding Q&A
Message Board
Views: 1272 | Replies: 33
the gums. When they return we will get at the infection below gumline that is putting the foundation at risk. Im going to regret blurting this out. But im not going to deny that the part I like most about my job is making my dr money. Am i a bad person? In addition to what has already been posted
May 10, 2016
Coding Q&A
Message Board
Views: 1689 | Replies: 50
would not take her dentures out until the door on the operatory was closed. We did 3 cosmetic consultations with me changing her look with photoshop. Custom shading on her upper and lower dent acrylic to match her gums. She was very happy with the result. A couple of months after finishing I
January 21, 2015
Coding Q&A
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