The laser has continually evolved into becoming one of the most powerful operative tools available to dentistry. Its many variations and flexibilities allow for today’s clinician to not only simplify, but also streamline most facets of specialty and general dentistry. It’s a hot topic of late as more dentists are considering the purchasing of lasers but yet are wondering, “Where do I go from here?” This is a broad question that when broken down really asks, “What is the best way to bill and see a return on my investment, AKA the laser?”
How is changing a bunch of definitions going to simplify and streamline the overall reimbursement process? Answer – it won’t. We have got to understand that insurance companies and third party administrators pay, by contract, toward the overall costs for completed procedures.
Now why is the reincarnation of D4346 merely a symptom of a greater problem? Let’s look at the actual sub components of its ancestors and see if the solution does not automatically appear…
On May 17th of this year, the American Dental Association (ADA) released a 10-page publication entitled “A Guide to Reporting D4346 – A resource guide from the ADA developed to educate dentists and others in the dental community on the newly approved scaling code for CDT-2017 that will be effective Jan 1, 2017.”
Although well intended, the document lacks specificity if, in fact, its intent was to guide the reader in the anticipated appropriate use of this newly re-resurrected procedure code. Its failure is as simple as the definition of insanity whereby again doing the same action in anticipation of a different result.