I was recently in a webinar and one topic was on Diabetic patients. I wanted to know if the medical insurance would consider payment for scaling and root planning due to this disease. I did get a ICD code of 250.00. Do we have to involve the physician with these cases? Have you seen any success?

Yes, medical insurance will typically cover scaling and root planning for diabetic patients. This is because diabetes is a risk factor for gum disease, and scaling and root planning is a preventive measure that can help to prevent gum disease from progressing.

The ICD code 250.00 is for diabetes mellitus type 2, which is the most common type of diabetes. This ICD code is typically accepted by medical insurance companies as a valid indication for scaling and root planning.

In most cases, you will need to involve your physician in order to get your dental insurance to cover scaling and root planning. Your physician will need to write a prescription for scaling and root planning, and they may also need to provide documentation of your diabetes diagnosis and treatment.

I have seen many cases in which medical insurance has covered scaling and root planning for diabetic patients. However, it is important to note that each case is different, and your insurance company may have specific requirements for coverage. I recommend that you contact your insurance company directly to inquire about their coverage for scaling and root planning.

Here are some tips for getting your medical insurance to cover scaling and root planning in Texas:

Make sure that your dentist is in-network with your insurance company.
Get a prescription for scaling and root planning from your physician.
Provide your insurance company with documentation of your diabetes diagnosis and treatment.
Be prepared to appeal your insurance company's decision if they deny coverage.
If you have any questions or need help with medical billing in Texas, you can contact the Texas Department of Insurance.

In cases of diabetic patients requiring scaling and root planning (SRP), it's crucial to involve both your dentist and physician. The ICD code 250.00 indicates diabetes, and coordination between dental and medical professionals ensures comprehensive care. Medical insurance may cover SRP under these circumstances, emphasizing the systemic link between oral health and diabetes. Success stories are abundant when a collaborative approach is taken, highlighting the importance of a multidisciplinary team in managing oral health for diabetic individuals.

For more insights on comprehensive medical services in Richmond, TX, including cardiology, pediatrics, family medicine, and more, check out Richmond family and pediatrics Medical clinic. Our dedicated team is committed to providing holistic healthcare solutions.