D4268 Surgical revision procedure
Also known as: surgical revision, flap revision, tissue modification
Surgical revision procedure to reopen and refine previously treated periodontal surgical sites or modify tissue contours.
In Plain Language
follow-up gum surgery; correction of previous surgery
Clinical Context
Indicated when initial periodontal surgery requires modification, additional osseous contouring, or tissue repositioning to optimize treatment outcome or address unforeseen tissue changes.
RVU Information
CPT D4268 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
Frequently Asked Questions
What is CPT code D4268?
CPT D4268 (Surgical revision procedure) is a D Codes (Dental) code. Surgical revision procedure to reopen and refine previously treated periodontal surgical sites or modify tissue contours.
Is D4268 covered by dental insurance?
CPT D4268 is a dental procedure code used by Periodontology, Periodontal Surgery. Indicated when initial periodontal surgery requires modification, additional osseous contouring, or tissue repositioning to optimize treatment outcome or address unforeseen tissue changes. Coverage depends on your dental insurance plan.
When is CPT D4268 used?
Indicated when initial periodontal surgery requires modification, additional osseous contouring, or tissue repositioning to optimize treatment outcome or address unforeseen tissue changes.
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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.