Is it common to bill a patient as D1110 after D4341 and D4910? I read the previous posting related to this topic, but I’m looking for an answer regarding D1110. Our new hygienist has recently seen a patient who has had D4341 and many subsequent D4910’s, and charted the visit as D1110. Her notes state that the patient has deep pockets and heavy generalized plaque and stain. I was taught once a perio patient always a perio patient. If this is not correct, please explain why and if the visit should be billed out as D1110. If not, then D4910? Thank you!
If the patient has deep pockets and has undergone previous perio treatment the more appropriate code would be D4910 as these patients are not seen as a typical routine cleaning.