American Dental Coders Association | Dental Billing & Coding Certification Online
Certifying Dental Billing and Coding Professionals Nationwide
by Anonymous
| ♥ 0 | Is perio maintenance covered (4910) on a patient that has elevated probing depths, but has maintained good oral health, and does not have an SRP on record? SRP isn’t currently needed but in reality, this is a 4910 not a 1110 code.
Marked as spam
Posted by Alissa Asked on September 25, 2025 12:28 pm
Add comment |
✔ |
Private answer Nope D4910 will not be covered it has to be a history of SRP. Marked as spam
Posted by Anonymous Answered on September 26, 2025 6:56 am |
✔ |
Private answer I would recommend submitting a pre-auth with all periodontal charting, clinical notes, and x-rays attached. It depends on the insurance and the patient's benefits. Typically, D4910 is not covered if there is no history of SCRP, but if the Provider diagnoses that the cleaning is D4910 and not D1110, there is a possibility insurance could cover with proper documentation, but I would submit a pre-auth just to be sure Marked as spam
Posted by Austinida Answered on September 26, 2025 5:28 am |
American Dental Coders Association
9015 W Union Hills Dr Ste 107 #314
Peoria, AZ 85382
1-833-469-2322
