Can D4211 be used for more than three teeth?

No, D4211 is specifically for one to three contiguous teeth or tooth-bounded spaces per quadrant. For more extensive treatment, consider using D4210.

Is D4211 covered by insurance?

Coverage for D4211 varies by insurance provider and plan. It's important to verify benefits and any pre-authorization requirements.

How does D4211 relate to other periodontal procedures?

D4211 is often performed in conjunction with other periodontal treatments to address specific gingival issues and enhance overall periodontal health.

What postoperative care is required after a gingivectomy or gingivoplasty?

Postoperative care typically includes maintaining oral hygiene, using prescribed mouth rinses, and attending follow-up appointments to monitor healing.

D4211

Gingivectomy/Gingivoplasty - CDT Code Guide

Periodontics/Surgical Services (Including Usual Postoperative Care)

Overview

CDT Code D4211 refers to a gingivectomy or gingivoplasty procedure performed on one to three contiguous teeth or tooth-bounded spaces per quadrant. This surgical service is typically utilized to eliminate suprabony pockets or to restore normal gingival architecture. It is particularly indicated when there are gingival enlargements or asymmetrical topography that affects aesthetics, despite a normal bony configuration. Dental professionals often perform this procedure to improve oral health and aesthetics, ensuring that the gingival tissue is properly contoured and free from disease. Patients may require this treatment due to periodontal disease, medication-induced gingival overgrowth, or for cosmetic reasons.

When to Use This Code

When suprabony pockets are present and need elimination.
To address gingival enlargements due to medication or systemic conditions.
For aesthetic improvement of gingival architecture.
When asymmetrical gingival topography affects oral function or aesthetics.
In preparation for restorative or orthodontic procedures.

Documentation Requirements

Detailed clinical notes describing the gingival condition and need for surgery.
Pre-operative and post-operative photographs, if applicable.
Periodontal charting showing pocket depths.
Patient consent forms for surgical intervention.
Documentation of any related systemic conditions affecting gingival health.

Billing Considerations

When billing for D4211, it's important to note that this code is used per quadrant and is limited to one to three teeth or tooth-bounded spaces. Frequency limitations may apply, so checking with the patient's insurance provider is essential. Common modifiers include those indicating the specific quadrant treated. Ensure that the procedure is not billed concurrently with other periodontal surgeries unless justified.

Related CDT Codes

D4210 D4240 D4260 D4341 D4910

Frequently Asked Questions

A gingivectomy involves the removal of gingival tissue to eliminate pockets, while gingivoplasty reshapes the gingiva to improve aesthetics and function.

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