Is osseous surgery covered by insurance?

Yes, most dental insurance plans cover osseous surgery when deemed medically necessary, but pre-authorization may be required.

Can D4260 be performed in conjunction with other periodontal procedures?

Yes, D4260 can be performed alongside other procedures, but each must be billed with its unique code.

How long is the recovery period after osseous surgery?

Recovery typically takes a few weeks, with most patients returning to normal activities within a week, following post-operative care instructions.

What are the potential risks of osseous surgery?

Risks include infection, bleeding, and changes in tooth sensitivity, but these are minimized with proper care and technique.

D4260

Osseous Surgery - CDT Code Guide

Periodontics/Surgical Services (Including Usual Postoperative Care)

Overview

CDT code D4260 refers to osseous surgery, a periodontal procedure that involves reshaping the alveolar bone around the teeth to achieve a more natural and healthy bone contour. This surgery is typically performed when periodontal disease has caused significant bone loss or deformation. The procedure includes the elevation of a full thickness flap, removal of supporting (ostectomy) and/or non-supporting bone (osteoplasty), and closure. It is commonly used in cases where periodontal pockets are deep and not responsive to non-surgical treatments. This procedure helps in reducing pocket depths, controlling infection, and preserving the teeth's supporting structures.

When to Use This Code

When periodontal pockets are greater than 5mm and non-surgical treatments have failed
In cases of advanced periodontitis with bone defects
To prepare the bone for dental implants or other restorative procedures
When there is a need to reshape the bone for better oral hygiene access
In conjunction with other periodontal surgeries to enhance outcomes

Documentation Requirements

Detailed periodontal charting showing pocket depths
Radiographic evidence of bone loss and defects
Comprehensive treatment plan outlining the need for surgery
Informed consent from the patient
Post-operative care instructions and follow-up plan

Billing Considerations

Osseous surgery under code D4260 is typically covered by dental insurance when medically necessary. It is important to check with the patient's insurance for frequency limitations and pre-authorization requirements. Common modifiers may include those indicating the quadrant of treatment. Ensure all related procedures are billed with their respective codes to avoid bundling issues.

Related CDT Codes

D4261 D4210 D4240 D4341 D0180

Frequently Asked Questions

D4260 is used for osseous surgery on four or more teeth per quadrant, while D4261 is for one to three teeth per quadrant.

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