Scaling & Root Planing - CDT Code Guide
Overview
CDT Code D4342 refers to periodontal scaling and root planing for one to three teeth per quadrant. This non-surgical periodontal procedure is essential for patients diagnosed with periodontal disease. It involves the thorough cleaning of the crown and root surfaces to remove plaque and calculus. Unlike a regular cleaning, this procedure is therapeutic, aiming to treat existing periodontal disease rather than prevent it. It is particularly beneficial in removing rough cementum and dentin that may harbor harmful toxins or microorganisms. This procedure can serve as a definitive treatment in certain stages of periodontal disease or as a preparatory step before surgical interventions.
When to Use This Code
- Patients diagnosed with early to moderate periodontal disease affecting one to three teeth in a quadrant.
- As part of a comprehensive periodontal treatment plan before surgical intervention.
- When periodontal pockets are present and scaling and root planing are necessary to reduce pocket depth.
- For patients showing signs of gingival inflammation and attachment loss in localized areas.
- In cases where localized scaling and root planing are needed to manage periodontal disease progression.
Documentation Requirements
- Detailed periodontal charting indicating pocket depths and areas of concern.
- Clinical notes describing the presence of plaque, calculus, and periodontal disease.
- Radiographs supporting the diagnosis of periodontal disease.
- Patient consent for the procedure, acknowledging the therapeutic nature of the treatment.
- Documentation of the specific teeth and quadrants treated during the procedure.
Billing Considerations
When billing for D4342, it's important to note that this code is typically used for localized treatment involving one to three teeth per quadrant. Frequency limitations may apply, and it's crucial to verify with the patient's insurance provider. Common modifiers may include those indicating the specific quadrant treated. Ensure that the procedure is not billed as a prophylactic cleaning, as it is therapeutic in nature.
Related CDT Codes
Frequently Asked Questions
D4342 is used for scaling and root planing of one to three teeth per quadrant, while D4341 is for four or more teeth per quadrant.
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