D4274 Mesial/distal wedge procedure
Also known as: wedge procedure, mesio-distal wedge, distal wedge
Mesial-distal wedge procedure involving surgical removal of a triangular tissue wedge from the line angle of teeth to treat periodontal disease.
In Plain Language
corner tissue removal surgery; line angle gum surgery
Clinical Context
Performed to eliminate distal pockets, reduce osseous ledges, or facilitate improved maintenance in areas with specific anatomic compromises, often in extraction sites or terminal teeth.
RVU Information
CPT D4274 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 D4274?
CPT D4274 (Mesial/distal wedge procedure) is a D Codes (Dental) code. Mesial-distal wedge procedure involving surgical removal of a triangular tissue wedge from the line angle of teeth to treat periodontal disease.
Is D4274 covered by dental insurance?
CPT D4274 is a dental procedure code used by Periodontology, Periodontal Surgery. Performed to eliminate distal pockets, reduce osseous ledges, or facilitate improved maintenance in areas with specific anatomic compromises, often in extraction sites or terminal teeth. Coverage depends on your dental insurance plan.
When is CPT D4274 used?
Performed to eliminate distal pockets, reduce osseous ledges, or facilitate improved maintenance in areas with specific anatomic compromises, often in extraction sites or terminal teeth.
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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.