Insiders Q+A

I practice Dental Hygiene in Wisconsin and recently learned about CDT code D0191 - Dental Hygiene Assessment. Do you see many offices using this code and if so, are they using it for documentation purposes only or might an insurance company sometimes pay towards it?

Question: Will you please assist on the correct code for dental implant maintenance.  I get numerous question for pt#1,  5 point assessment completed (type I) #9 implant. Does the Provider render D4910, D6080, D1110?

Question: Is the D4346 code filed under preventive or perio for insurance coverage?

Question: We have received the CLIA waiver and we are formulating our policy for HbA1c test (CDT D0411) and casual glucose testing. Is there a CDT code for casual glucose testing with a glucometer at point of care?

If a patient presents with prophy combined with 1‐3 teeth that we perform SRP would recall be D1110 or D4910?

Question: Will you please assist on the correct code for dental implant maintenance.  I get numerous questions for pt #1, 5 point assessment completed (type I) #9 implant.  Does the Provider render D4910, D6080, D1110? 

Does D4346 code allow for more than 2 prophy's / year and receive payment?

Question: I am considering getting into myofunctional therapy with a remote component.  What I'm wondering is, would those codes fall under medical codes, or dental codes?

Question: We have been taught that once someone is perio maintenance they are always perio maintenance and can't switch from perio maintenance to prophy. However, recently we are finding insurance companies are telling us to bill perio maintenance then prophy then perio maintenance then prophy in order to see them every 3 months. What is your knowledge on this?