Policy No: 33
Originally Created: 01/01/2000
Last Reviewed: 01/01/2019
Last Revised: 01/01/2018
Apically positioned flap (D4245)
Procedure is used to preserve keratinized gingiva in conjunction with osseous resection and second stage implant procedure. Procedure may also be used to preserve keratinized/attached gingiva during surgical exposure of labially impacted teeth, and may be used during treatment of peri-implantitis.
Procedure is in accordance with generally accepted standards of dental practice.
Procedure is considered inclusive of D4240, D4260, D4261 or D7280.
Process to contract benefits.
CDT - D4000-D4999 - see above
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