CDC Periodontal Procedures Coding 2 — Questions and Answers
Question 1: What CDT code is reported for osseous surgery involving four or more teeth per quadrant?
- D4261
- D4240
- D4260 (Correct answer)
- D4270
Correct answer: D4260
D4260 describes osseous surgery (bone reshaping and recontouring) when performed on four or more teeth per quadrant, while D4261 is used for one to three teeth.
Question 2: Which procedure is described by CDT code D4249?
- Pedicle soft tissue graft
- Gingivectomy involving one to three teeth
- Clinical crown lengthening — hard tissue (Correct answer)
- Guided tissue regeneration with resorbable barrier
Correct answer: Clinical crown lengthening — hard tissue
D4249 describes clinical crown lengthening involving hard tissue (bone removal), which is performed to expose sufficient tooth structure for restorative procedures.
Question 3: Which CDT code is used to report a free soft tissue graft procedure for the first tooth or edentulous area?
- D4270
- D4273
- D4271 (Correct answer)
- D4274
Correct answer: D4271
D4271 is used for a free soft tissue graft (harvested and completely detached from the donor site) for the first tooth, implant, or edentulous area treated.
Question 4: What CDT code describes the localized delivery of antimicrobial agents into periodontal pockets as an adjunct to scaling and root planing?
- D4341
- D4910
- D4381 (Correct answer)
- D4355
Correct answer: D4381
D4381 is the code for localized delivery of antimicrobial agents (such as chlorhexidine chip or doxycycline gel) into periodontal pockets as an adjunct to SRP.
Question 5: What does CDT code D4211 describe?
- Gingivectomy or gingivoplasty involving four or more teeth per quadrant (Correct answer)
- Osseous surgery for one to three teeth per quadrant
- Crown lengthening — soft tissue only
- Provisional extracoronal splinting
Correct answer: Gingivectomy or gingivoplasty involving four or more teeth per quadrant
D4211 is used for gingivectomy or gingivoplasty when performed on four or more teeth per quadrant; D4212 is used when one to three teeth are involved.
Question 6: Which CDT code describes guided tissue regeneration using a resorbable barrier membrane?
- D4267
- D4260
- D4268
- D4266 (Correct answer)
Correct answer: D4266
D4266 is used for guided tissue regeneration with a resorbable barrier, while D4267 is used when a non-resorbable barrier is placed and requires subsequent removal.
Question 7: Which CDT code is appropriate for reporting provisional intracoronal splinting of periodontally involved teeth?
- D4321
- D4320 (Correct answer)
- D4249
- D4274
Correct answer: D4320
D4320 is used for provisional intracoronal splinting, where stabilization involves preparation within the tooth structure, as opposed to D4321 which is extracoronal.
What CDT code is reported for osseous surgery involving four or more teeth per quadrant?