Narrative for flap procedure

A Word narrative for D4240, periodontal flap procedure. Blanks cover the patient name, date, and teeth treated, with reasons such as moderate to severe inflammation, bleeding on probing, pocket depths in millimeters, sensitivity, Case Type III periodontal disease, and furcation defects. A paragraph explains that the flap gives the doctor a full view of the root surfaces for removing plaque and calculus, and that regenerative materials may also be placed.

Edit it in Word to reflect the patient’s charting and the materials actually used, then attach it to the claim with periodontal charting and radiographs. The doctor should confirm the clinical details before the billing team submits it.