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D4346 Dental Code Scaling for Severe Gingival Inflammation – A Comprehensive Guide

Learn about D4346 dental code, its indications, procedure, and billing. Understand scaling for severe gingival inflammation without bone loss.

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D4346 Dental Code Scaling for Severe Gingival Inflammation – A Comprehensive Guide

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  1. D4346 Dental Code: Scaling for Severe Gingival Inflammation Subtitle:A Comprehensive Guide Website:www.mydentalrevenue.com Email:info@mydentalrevenue.com

  2. Introduction to D4346 Dental Code • What is D4346? • A dental procedure code D4346 for scaling in cases of generalized severe gingival inflammation. • Purpose: • Used when there is inflammation but no attachment loss (i.e., no periodontitis). • When is it applied? • When inflammation is present in more than 30% of the patient’s teeth.

  3. Indications & Eligibility • Who qualifies for D4346? • Patients with generalized moderate to severe gingival inflammation. • No bone loss or periodontal disease (no pocketing beyond 3mm). • Key Symptoms: • Red, swollen, bleeding gums • Gingival pockets due to inflammation • Exclusion Criteria: • Patients with periodontitis (should use other periodontal codes like D4341/D4342).

  4. Procedure & Documentation • Steps in D4346 Procedure: • Comprehensive oral exam and diagnosis • Scaling of all affected teeth • Plaque and calculus removal • Post-procedure oral hygiene instructions • Documentation Requirements: • Chart notes with gingival assessment • Full-mouth probing and documentation of no attachment loss

  5. Insurance & Billing Considerations • D4346 vs. Other Codes: • Different from prophylaxis (D1110) and periodontal scaling (D4341, D4342). • Insurance Considerations: • Some plans may require clinical notes to approve coverage. • Can be billed alongside a comprehensive exam (D0150) or periodic exam (D0120).

  6. Conclusion & Key Takeaways • D4346 is specifically for severe gingival inflammation without bone loss. • Proper diagnosis and documentation are critical for successful claims. • Educate patients on the importance of oral hygiene post-treatment. • Ensure accurate billing to avoid insurance denials.

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