Mesial/Distal Wedge Procedure - CDT Code Guide
Overview
The D4274 code refers to the mesial/distal wedge procedure, a surgical service in periodontics. This procedure is typically performed in an edentulous area adjacent to a tooth, allowing for the removal of a tissue wedge. This removal facilitates access for debridement, enables close flap adaptation, and helps reduce pocket depths. It is important to note that this procedure should not be performed in conjunction with other surgical procedures in the same anatomical area. Dental professionals use this procedure to manage periodontal disease by improving tissue health and reducing periodontal pockets, which can harbor bacteria and lead to further dental complications.
When to Use This Code
- When there is a need to reduce periodontal pocket depths in an edentulous area adjacent to a tooth.
- In cases where access for debridement is required but not achievable through non-surgical means.
- When flap adaptation is necessary to improve periodontal health.
- To manage periodontal disease in areas not undergoing other surgical procedures.
- When there is a need to improve tissue health around a single tooth.
Documentation Requirements
- Detailed periodontal charting showing pocket depths.
- Clinical notes describing the edentulous area and the need for the procedure.
- Pre-operative and post-operative photographs or radiographs.
- Patient consent forms for surgical procedures.
- Documentation of any previous periodontal treatments in the area.
- Detailed operative report including the procedure performed and materials used.
Billing Considerations
Ensure that this code is not billed in conjunction with other surgical procedures in the same anatomical area. Verify frequency limitations with the patient's insurance provider. Common modifiers may include those indicating the specific quadrant or tooth. Insurance coverage may vary, so pre-authorization is recommended.
Related CDT Codes
Frequently Asked Questions
No, the D4274 code should not be used in conjunction with other surgical procedures in the same anatomical area.
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