How to Bill for PROGINICIN^TM

Can I bill for PROGINICIN™?  Yes

As with most dental procedures, administration of antimicrobial agents, such as PROGINICIN, has its own designated CDT code: D4381 (Local delivery of antimicrobial agent, per tooth by report).  D4381 should be accompanied by another periodontal code:

• D4341 Scaling and Root Planing (4 or more teeth per quadrant)
• D4342 Scaling and Root Planing (1 or 2 teeth per quadrant)
• D4910 Periodontal Maintenance

How Do I Bill? Per Tooth, By Report

"Per tooth by report" refers to combining the treatment cost for the total number of pockets treated around a single tooth on one line of a claim form.
Example:
PROGINICIN^TM suggested retail value per vile = $30
Tooth #1 had 2 sites treated with PROGINICIN^TM = $60
Tooth #2 had 4 sites treated with PROGINICIN^TM = $120

Always Remember to...

1. Bill using the proper codes for services performed
2. Include a note in the comment section if the following information is applicable.

• The patient is bleeding on probing
• The patient has periodontal disease
• The patient has a medical history of risk factors, such as diabetes, cardiovascular disease, stroke, high blood pressure, or elevated cholesterol levels.
  
  
  

Accessing Billing Codes

To help you work as efficiently as possible, below are step-by-step instructions for accurately coding your use of PROGINICIN® within each of the 5 widely used practice management software systems.  Remember, because PROGINICIN® is an adjunctive therapy, it can never be administered or billed alone.  Think Perio Code + PROGINICIN® code.

SoftDent

1. Go to Reports, then Practice Management, then Production Reports, then by ADA Code.
2. Set Dates
   
3. Set Codes 4341 thru 4910 (need 4341, 4342, 4381, 4910)
4. Assign to one producer, will then give data for that producer and for the group as a whole.
5. Subsequently, run report for 1110.  Assign to one provider; it will then give data for the whole group (this saves paper!.

Practice Works

1. File
2. Print
3. Periodic Reports
4. Change Dates
5. Production Summary

Dentrix

1. Go to Office Manager, click on Analysis, click on Practice, click on Reports.
2. Click on Production Summary (make sure that no other buttons are checked, like by category)
3. Put in the appropriate data (data fields and producers) - Dates Batch
4. Click OK (this will allow you to either print or view the report on the screen).

Old Version of Eaglesoft

1. Go to Reports
2. Services (then hit "Process" button to right
3. Service Type Product-Detailed Button. Enter the dates.

New Version of Eaglesoft

1. Go to Reports
2. Services (then hit "Process" button to right)
3. Services History (must enter each code separately then enter dates)