Oral Surgery Dental in Nature

Dental in Nature Oral Surgery Effective 01/01/2018

CDT PROCEDURE CPT Code PROCEDURE DESCRIPTION DESCRIPTION D3410 apicoectomy/periradicular No Code surgery - anterior

D3421 apicoectomy/periradicular No Code surgery – bicuspid (first root) D3425 apicoectomy/periradicular No Code surgery – molar (first root) D3426 apicoectomy/periradicular No Code surgery (each additional root) D3427 Periradicular surgery No Code without apicoectomy

D3428 Bone graft in conjunction No Code with periradicular surgery – per tooth, single si te D3429 Bone graft in conjunction No Code with periradicular surgery – each additional contiguous tooth in the sa m e surgical si te D3430 retrograde filling – per tooth No Code D3431 Biologic materi als to aid in No Code so ft and o sse o u s ti ssu e regeneration in conjunction with periradicular surgery D3432 Guided ti ssu e No Code regeneration, resorbable barrier, per site, in conjunction with periradicular surgery D3450 root amputation - per No Code root D3460 endodontic endosseous No Code implant D3470 intentional No Code rei mpl antation (including necessary splinting) D3920 hemisection (i ncludi ng No Code any root removal), not including root canal therapy

D4210 gingivectomy or 41820 41872 Gingivectomy, excision gingival, each quadrant gingivoplasty - four or more Gingivoplasty, each quadrant contiguous teeth or bounded teeth spaces per quadrant D4211 gingivectomy or 41820 41872 Gingivectomy, excision gingival, each quadrant gingivoplasty - one to three Gingivoplasty, each quadrant teeth, per quadrant

CDT PROCEDURE CPT Code PROCEDURE DESCRIPTION DESCRIPTION D4212 Gingivectomy or 41820 41872 Gingivectomy, excision gingival, each quadrant gingivoplasty to allow Gingivoplasty, each quadrant access for restorative procedure, per tooth

D4220 gingival curettage, surgical No Code – per quadrant, by report (Deleted 1/01/03)

D4240 gingival flap procedure, No Code including root planing - four or more contiguous teeth or bounded teeth spaces per quadrant D4241 gingival flap procedure, No Code including root planing - one to three teeth, per quadrant

D4245 apically positioned flap No Code D4260 osseous surgery (including 41874 Alveoloplasty, each quadrant (specify) flap entry and closure) - four or more contiguous teeth or bounded teeth spaces per quadrant

D4261 osseous surgery (including 41874 Alveoloplasty, each quadrant flap entry and closure) - one to three teeth, per quadrant D4263 bone replacement graft - No Code fi rst in quadrant D4264 bone replacement graft - No Code each additional si te in quadrant D4265 biologic materials to aid in No Code so ft and o sse o u s ti ssu e regeneration D4266 guided tissu e regeneration No Code - resorbable barrier, per si te D4267 guided tissu e regeneration No Code - nonresorbable barrier, per si te (includes membrane removal) D4268 surgical revision 41874 Alveoloplasty, each quadrant (specify) procedure, per tooth D4270 pedicle so ft ti ssu e graft 41870 Periodontal mucosal grafting procedure D4271 free so ft ti ssu e graft 41870 Periodontal mucosal grafting procedure (including donor si te surgery) D4273 subepithelial connective 41870 Periodontal mucosal grafting ti ssu e graft procedures D4274 distal or proximal wedge 41821 Operculectomy, excision of pericoronal ti ssu e s procedure (when not performed in conjunction with surgical procedures in the sa m e anatomical area)

D4275 so ft ti ssu e allograft 41870 Periodontal mucosal grafting

CDT PROCEDURE CPT Code PROCEDURE DESCRIPTION DESCRIPTION D4276 combined connective ti ssu e and 41870 Periodontal mucosal grafting double pedicle graft

D4277 free so ft ti ssu e graft procedure 41870 Periodontal mucosal grafting (including donor si te surgery), first tooth or edentulous tooth position in a graft

D4278 free so ft ti ssu e graft procedure 41870 Periodontal mucosal grafting (including donor si te surgery), each additional contiguous tooth or edentulous tooth position in a graft

D4283 autogenous connective ti ssu e graft 41870 Periodontal mucosal grafting procedure (including donor and recipient surgical sites) – each additional contiguous tooth, implant or edentulous tooth position in sa m e graft si te

D4285 Non-autogenous 41870 Periodontal mucosal grafting connective tissue graft procedure (including recipient surgical si te and donor materi al) – each additional contiguous

D6100 Implant removal, by report No code

D6101 Debridement of a periimplant defect No code and surface cleaning of exposed implant surfaces, i ncludi ng flap entry and closure

D6102 Debridement and osseous contouring No code of a periimplant defect; includes surface cleaning of exposed i mplant surfaces and flap entry and cl osu re

D6103 Bone graft for repair of periimplant No code defect – not including fl ap entry and closure or, when indicated, placement of a barrier membrane or biologic materials to aid i n osseous regeneration

D6104 Bone graft at time of i mplant No code placement D7210 surgical removal of erupted tooth No Code requiring el evati on of mucoperiosteal flap and removal of bone and/or section of tooth.

D7220 removal of impacted tooth - so ft ti ssu e No Code D7230 removal of impacted tooth - partially No Code bony D7240 removal of impacted tooth - compl etely No Code bony

CDT PROCEDURE CPT Code PROCEDURE DESCRIPTION DESCRIPTION D7241 removal of impacted tooth - No Code completely bony, with unusual surgical complications. D7250 surgical removal of No Code residual tooth roots (cutting procedure) D7251 Coronectomy - i ntentional No Code partial tooth removal

D7260 oroantral fistula closure 30580 Repair fistula, oromaxillary (combine with 31030 if antroto included) D7261 primary closure of a sinus 30580 Repair fistula, oromaxillary (combine with 31030 perforation if antroto included) D7272 tooth transplantation No Code (includes rei mplantation from one si te to another and splinting and/or stabilization) D7280 surgical access of an No Code unerupted tooth

D7282 mobilization of erupted or malpositioned tooth to aid eruption D7290 surgical repositioning of No Code teeth D7291 transseptal No Code fiberotomy/supra cre stal fiberotomy, by report

D7310 alveoloplasty in 41874 Alveoloplasty, each quadrant conjunction with extractions - per quadrant

D7311 alveoloplasty in 41874 - 52 conjunction with extractions – one to three teeth or tooth spaces, per quadrant

D7320 alveoloplasty not in 41874 Alveoloplasty, each quadrant conjunction with extractions - per quadrant D7321 alveoloplasty not in conjunction with extractions – one to three teeth or tooth spaces, per quadrant

D7340 vestibuloplasty – ri dge 40840 Vestibuloplasty; anterior extension (secondary 40842 40843 Vestibuloplasty; posterior, epithelialization) 40844 Vestibuloplasty; unilateral/posterior, Vestibuloplasty; bilateral/entire arch D7350 vestibuloplasty - ridge 40845 Vestibuloplasty, complex (i ncluding ridge extension (including so ft extension, m u scl e repositioning) ti ssu e grafts, m u scl e reattachment, revision of so ft ti ssu e attachment and management of hypertrophied and hyperplastic tissu e )

CDT PROCEDURE CPT Code PROCEDURE DESCRIPTION DESCRIPTION

D7471 removal of lateral exostosis 41823 Excision of osseous tuberosities, dentoalveolar (maxilla and mandible) structure

D7472 removal of torus palatinus 21032 Excision of maxillary torus palatinus

D7473 removal of torus 21031 Excision of torus mandibular mandibularis

D7485 surgical reduction of 41823 Excision of osseous tuberosities, dentoalveolar osseous tuberosity structure D7953 bone replacement graft No Code for ridge preservation – per si te

D7960 Frenulectomy (frenectomy 40806, Incision of labial frenum (frenotomy) or frenotomy) - separate 40819, Excision of frenum, labial or buccal procedure (frenumectomy, frenulectomy, frenectomy) 41010, Incision of l ingual frenum (frenotomy) 41115, Excision of lingual frenum (frenectomy)

D7963 frenuloplasty 41520 Frenoplasty (surgical revision of frenum, e.g., with Z-plasty)

D7970 excision of hyperplastic 41828 Excision of hyperplastic al veol ar mucosa, each ti ssu e - per arch quadrant

D7971 excision of peri coronal 41821 Operculectomy, excision of pericoronal ti ssu e s gingiva D7972 surgical reduction of 41822 Excision of fibrous tuberosities, dentoalveolar fibrous tuberosity structures