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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.




    This periodontist said, “You may want to add in your articles that this code is ‘full mouth’ not by quadrants.”

    Read more: Will this insurance move put an end to solo practices?

    Knowing both the actual nomenclature/name of the code as well as the description is the first step:

    D4346  scaling in presence of generalized moderate or severe gingival inflammation – full mouth, after oral evaluation.

    The removal of plaque, calculus and stains from supra- and sub-gingival tooth surfaces when there is generalized moderate or severe gingival inflammation in the absence of periodontitis. It is indicated for patients who have swollen, inflamed gingiva, generalized suprabony pockets, and moderate to severe bleeding on probing. Should not be reported in conjunction with prophylaxis, scaling and root planing, or debridement procedures.

    To make it simple, here are eight major focus points to consider when implementing D4346.

    • Oral evaluation before care

    • Therapeutic not preventive

    • Not age-based

    • All patients must have a perio chart and current radiographs

    • Gingival inflammation must be > than 30 percent

    • Diagnosis documented

    • Full mouth/no other scaling codes same date

    • D4910 does not follow this care

    A plastic credit-card sized chairside safe reminder card with these eight focus points is available for free on DentalCodeology.com.

    The difference makes a difference

    We can finally treat gingivitis after decades of merely dumping gingival inflammation into the same category as health. This new code can potentially close the loop and elevate our standard of care. With increasing research pointing to the connection between oral disease and medical conditions, the timing is perfect. Early recognition ensures earlier intervention, disease prevention, working more successfully together and boosts the bottom line.


    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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