NMDA Journal Spring 2020

nmdental.org 21 Findings Upon Evaluation Treatment Rendered/Planned Gingiva Attachment/Bone Procedure Code Generally healthy, if present gingival inflammation is localized Healthy – No attachment or bone loss D1110 Generalized moderate to severe gingivitis Healthy – No attachment or bone loss D4346 (No D1110) Localized gingivitis Localized bone loss D1110 + SRP as applicable (D4341, D4342) + other treatment as needed* Generalized gingivitis Localized or generalized bone loss D1110 + SRP as applicable (D4341, D4342) + other treatment as needed* *Note: This guide does not address other treatments for periodontitis (e.g. osseous surgery, bone graft, etc.) that may be planned to treat the disease. Snapshot of Differences Between Procedure Codes Attribute Procedure Nomenclature Prophylaxis – Adult Prophylaxis – Child Scaling in the presence of generalized moderate or severe gingival inflammation – full mouth after oral evaluation Periodontal scaling and root planing – four or more (or one to three) teeth per quadrant Periodontal Maintenance CDT Code D1110 D1120 D4346 D4341 D4342 D4910 Precursor Procedure(s) Oral Evaluation Oral Evaluation Diagnostic Image(s) Oral Evaluation Diagnostic image(s) including radiographs Active periodontal therapy (following SRP, gingival flap, or osseous surgery) Procedure Features Scaling and Polishing Sub-gingival (pseudo- pockets) scaling and polishing Sub-gingival (pockets with loss of attachments) scaling and polishing Scaling, polishing, and root planing (site specific) Clinical Condition Localized gingival inflammation, if any Generalized moderate to severe gingival inflammation Periodontal disease including loss of attachment Ongoing therapy to treat periodontal disease Copyright © 2018 American Dental Association. All rights reserved. Reprinted with permission. Copyright © 2018 American Dental Association. All rights reserved. Reprinted with permission.