Distalwedge narrative

A Word narrative for D4274, distal wedge. It has blanks for the patient name, date, teeth, and pocket depths, with reasons such as moderate to severe inflammation, bleeding on probing, and sensitivity. A paragraph explains that the procedure removes tissue to allow debridement, close flap adaptation, and reduced pocket depths, and that regenerative materials may be placed in bony defects.

Edit it to match the patient’s chart and the materials actually used, then attach it to the claim with the periodontal charting and radiographs the template references. The doctor should review it before submission, and a copy should stay with the patient’s records.