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    4 benefits of using gingival inflammation code D4346

    Using this code can enhance your patient care as well as boost your practice's bottom line.

    A periodontist recently wrote to me and said:

    Gingival inflammation code"I just used this D4346 code and submitted to Delta Dental of New Jersey. The patient was an 18-year-old male. No radiographic bone loss. I took photos that I submitted with the claim showing the gingival inflammation and hyperplasia. Now, I presumed that this code was what we had been asking for, that is scaling that is done when there is no bone loss but gingival inflammation. ... I was mistaken and anesthetized and did four quadrants of 'scaling.' Delta paid about what they would pay for a prophy, $96."

    Sometimes there is a lag time between the CDT authorizing new codes and the insurance companies “getting the memo.” It has been one year since the D4346 gingival inflammation code was added to CDT 2017. This code was intended to close the well-known gap in periodontal care coding.

    More from the author: Understanding gingival inflammation code D4346

    This periodontist put into writing the feelings and thoughts of many professionals. Dealing with dental benefits carriers regarding codes and coverage has once again lead to frustration and a feeling of helplessness.

    New codes are often misunderstood and not covered under current contracts, and the fees are rarely covered at the level we would like to see. From a practice management and business point of view, the thought often becomes, “Why bother?”

    There are many reasons to bother.

    Click through the slides to find out four benefits of using the D4346 code.


    Patti DiGangi, RDH, BS
    Patti DiGangi, RDH, BS is a certified Health Information Technology trainer through the Office of the National Coordinator for ...


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