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D4245 Apically positioned flap

D Codes (Dental)

Also known as: apical flap repositioning, apically positioned flap, osseous flap

Apically positioned flap procedure to move gingival tissue coronally to expose and treat osseous defects and reduce pocket depth.

In Plain Language

gum repositioning surgery; bone-access gum surgery

Clinical Context

Utilized in regenerative periodontal surgery to improve access to bone defects, facilitate osseous contouring, and reduce pathological pockets in areas with adequate attached gingiva.

RVU Information

CPT D4245 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.

Billing & Documentation

Dental codes (CDT codes) require documentation of the tooth number(s) or area treated, clinical findings, and the procedure performed. Pre-authorization may be required for major restorative, prosthodontic, and oral surgery procedures. Include radiographs when supporting medical necessity.

Specialties

PeriodontologyPeriodontal Surgery

Frequently Asked Questions

What is CPT code D4245?

CPT D4245 (Apically positioned flap) is a D Codes (Dental) code. Apically positioned flap procedure to move gingival tissue coronally to expose and treat osseous defects and reduce pocket depth.

Is D4245 covered by dental insurance?

CPT D4245 is a dental procedure code used by Periodontology, Periodontal Surgery. Utilized in regenerative periodontal surgery to improve access to bone defects, facilitate osseous contouring, and reduce pathological pockets in areas with adequate attached gingiva. Coverage depends on your dental insurance plan.

When is CPT D4245 used?

Utilized in regenerative periodontal surgery to improve access to bone defects, facilitate osseous contouring, and reduce pathological pockets in areas with adequate attached gingiva.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.