Insurance Claims Submission for Treatment Using ATRIDOX®

Indication for Treatment: Chronic Adult Periodontitis
Procedure Code: D4381
CDT-4 Description: Localized delivery of chemotherapeutic agents via a controlled release vehicle into diseased crevicular tissue, per tooth, by report.
Use: To report treatment with ATRIDOX
When: Possibly on same visit as periodontal maintenance D4910

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