Narrative for crown lengthening

A Word narrative for D4249, clinical crown lengthening, hard tissue. It has blanks for the patient name, date, and teeth, and states that the procedure was needed to allow a restoration on a given tooth. Checklist items confirm a full thickness flap, bone removal for full coverage of the restoration, no other related procedure that day, and that it was not done for cosmetic reasons. It asks for an alternate benefit if crown lengthening is not covered.

Send it with the claim and fill in the number of weeks until the final restoration. Billing staff should adapt each line to the patient’s chart and attach the periodontal charting and radiographs.