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Endodontic retreatment <br />D3346 Retreatment of previous root canal therapy — anterior <br />D3347 Retreatment of previous root canal therapy — bicuspid <br />D3348 Retreatment of previous root canal therapy — molar <br />Apexification /recalcification procedures <br />D3351 Apexification /recalcif!cation — initial visit (apical closure /calcific repair of perforations, <br />root resorption, etc.) <br />D3352 Apexification /recalcif!cation — interim medication replacement (apical closure /calcific <br />repair of perforations, root resorption, pulpal space disinfection, etc.) <br />D3353 Apex! fication /recal cif! cation — final visit (includes completed root canal therapy — <br />apical closure /calcific repair of perforations, root resorption, etc.) <br />Apicoectomy /periradicular services <br />D3410 Apicoectomy — anterior <br />D3421 Apicoectomy — bicuspid (first root) <br />D3425 Apicoectomy — molar (first root) <br />D3426 Apicoectomy (each additional root) <br />D3427 Periadicular surgery without apicoectomy <br />D3430 Retrograde filling — per root <br />D3450 Root amputation — per root <br />D3460 Endodontic endosseous implant <br />D3470 Intentional reimplantation (including necessary splinting) <br />Other endodontic procedures <br />D3910 Surgical procedure for isolation of tooth with rubber dam <br />D3920 Hemisection (including any root removal), not including root canal therapy <br />D3950 Canal preparation and fitting of preformed dowel or post <br />D3999 Unspecified endodontic procedure, by report <br />D4000 - D4999 PERIODONTICS <br />Surgical services (including usual post - operative care) <br />D4210 Gingivectomy or gingivoplasty — four or more contiguous teeth or bounded teeth <br />spaces per quadrant <br />D4211 Gingivectomy or gingivoplasty — one to three contiguous teeth or bounded teeth <br />spaces per quadrant <br />D4212 Gingivectomy or gingivoplasty - to allow access for restorative procedure, per tooth <br />D4230 Anatomical crown exposure - four or more contiguous teeth per quadrant <br />D4231 Anatomical crown exposure - one to three teeth per quadrant <br />D4240 Gingival flap procedure, including root planing — four or more contiguous teeth or <br />bounded teeth spaces per quadrant <br />D4241 Gingival flap procedure, including root planing — one to three contiguous teeth or <br />bounded teeth spaces per quadrant <br />D4245 Apically positioned flap <br />D4249 Clinical crown lengthening — hard tissue <br />D4260 Osseous surgery (including elevation of a full thickness flap and closure) — four or <br />more contiguous teeth or tooth bounded spaces per quadrant <br />D4261 Osseous surgery (including elevation of a full thickness flap and closure) — one to <br />three contiguous teeth or tooth bounded spaces per quadrant <br />D4263 Bone replacement graft — first site in quadrant <br />D4264 Bone replacement graft — each additional site in quadrant <br />D4265 Biologic materials to aid in soft and osseous tissue regeneration <br />D4266 Guided tissue regeneration — resorbable barrier, per site <br />D4267 Guided tissue regeneration — nonresorbable barrier, per site (includes membrane <br />removal) <br />D4268 Surgical revision procedure, per tooth <br />CDT2015 (Eff. 01- 01 -15) <br />