Insurance Narrative for Soft Tissue Crown Lengthening

A short insurance narrative in Word format for code D4230, anatomical crown exposure, four or more teeth. It includes blanks for the patient’s name, date, chief complaint, the laser used, and the teeth treated, along with reasons for necessity such as gingival hyperplasia in millimeters, inflammation, sensitivity, and bleeding on probing. It states that no other surgical procedure was or will be performed and that charting and radiographs are attached.

Related: Dental coding with Kyle: D4250—Therapeutic clinical crown lengthening, hard tissue modification

Because it is a Word file, the billing team can edit it directly before attaching it to the claim. Fill it in from the doctor’s clinical notes, delete the reasons that do not apply, and send it with the periodontal charting and x-rays it references.