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Periodontics CDT Codes2026 Billing Reference Guide

Scaling and root planing, gum surgery, bone grafts, and procedures for treating gum disease and supporting structures.

37 Codes
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D4210
Gingivectomy or Gingivoplasty - Four or More Contiguous Teeth or Tooth Bounded Spaces Per Quadrant

Surgical removal or reshaping of gum tissue around four or more teeth in a quadrant to treat gum disease or correct gum overgrowth.

D4211
Gingivectomy or Gingivoplasty - One to Three Contiguous Teeth or Tooth Bounded Spaces Per Quadrant

Surgical removal or reshaping of gum tissue around one to three teeth in a quadrant to treat gum disease or correct gum overgrowth.

D4212
Gingivectomy or Gingivoplasty to Allow Access for Restorative Procedure, per Tooth

Covers gingivectomy or gingivoplasty to allow access for restorative procedure, per tooth to reshape or remove gum tissue.

D4230
Anatomical Crown Exposure - Four or More Contiguous Teeth or Tooth Bounded Spaces per Quadrant

Covers anatomical crown exposure - four or more contiguous teeth or tooth bounded spaces per quadrant by removing gum and/or bone tissue to expose more tooth structure.

D4231
Anatomical Crown Exposure - One to Three Teeth or Tooth Bounded Spaces per Quadrant

Covers anatomical crown exposure - one to three teeth or tooth bounded spaces per quadrant by removing gum and/or bone tissue to expose more tooth structure.

D4240
Gingival Flap Procedure Including Root Planing, Four or More Contiguous Teeth Per Quadrant

Surgical gum flap procedure where the dentist lifts gum tissue to access and clean root surfaces and bone for treatment of advanced periodontal disease.

D4241
Gingival Flap Procedure, Including Root Planing - One to Three Contiguous Teeth or Tooth Bounded Spaces per Quadrant

Covers gingival flap procedure, including root planing - one to three contiguous teeth or tooth bounded spaces per quadrant to treat periodontal disease by removing calculus and bacteria from root surfaces.

D4245
Apically Positioned Flap

Covers a apically positioned flap for surgical access to treat periodontal disease.

D4249
Clinical Crown Lengthening - Hard Tissue

Surgical removal of bone and soft tissue to expose more tooth structure for a restoration, commonly needed when a tooth breaks below the gum line.

D4260
Osseous Surgery (Including Elevation of a Full Thickness Flap and Closure) - Four or More Contiguous Teeth or Tooth Bounded Spaces Per Quadrant

Periodontal flap surgery with bone recontouring around four or more teeth in a quadrant to treat advanced gum disease with bone loss.

D4261
Osseous Surgery (Including Elevation of a Full Thickness Flap and Closure) - One to Three Contiguous Teeth or Tooth Bounded Spaces Per Quadrant

Periodontal flap surgery with bone recontouring around one to three teeth in a quadrant to treat localized advanced gum disease with bone loss.

D4263
Bone Replacement Graft - Retained Natural Tooth - First Site in Quadrant

Placement of bone graft material into a periodontal bone defect around a natural tooth to promote bone regeneration.

D4264
Bone Replacement Graft - Retained Natural Tooth - Each Additional Site in Quadrant

Covers bone replacement graft - retained natural tooth - each additional site in quadrant to regenerate or augment periodontal tissue.

D4265
Biologic Materials to Aid in Soft and Osseous Tissue Regeneration

Application of biologic growth factors or regenerative materials during periodontal surgery to enhance tissue and bone healing.

D4266
Guided Tissue Regeneration - Resorbable Barrier, Per Site

Placement of a resorbable membrane barrier during periodontal surgery to guide bone and tissue regeneration into a defect.

CDT (Current Dental Terminology) is a trademark of the American Dental Association (ADA). The descriptions and educational content on this page are original summaries written by Needletail AI for informational purposes and are not reproductions of ADA copyrighted material. For official CDT code definitions, refer to the ADA's CDT manual.

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