D4212 Dental Code
D4212 Dental Code is the dental procedure for Gingivectomy Or Gingivoplasty -To Allow Access For Restorative Procedure, Per Tooth.
The D4212 Dental Code refers to the dental procedure code for Gingivectomy or Gingivoplasty – to Allow Access for Restorative Procedure, Per Tooth. This CDT (Current Dental Terminology) code is used specifically when soft tissue is surgically reshaped or removed to improve visibility and access during restorative dental work. It is typically performed on a per-tooth basis when gingival contouring is necessary to facilitate the placement of dental restorations such as crowns, fillings, or other prosthetic restorations.
When using the D4212 Dental Code for dental billing or insurance claims, it is critical to ensure that this code most accurately reflects the actual clinical procedure performed. Dentists and dental billing professionals should always review related or similar CDT codes to confirm that D4212 is the most appropriate match. There are other gingivectomy and gingivoplasty codes, such as D4210 and D4211, which apply to broader areas rather than per-tooth procedures, so accurate code selection can significantly impact claim approvals and reimbursement accuracy.
Always consult the most recent CDT codebook, ADA guidance, and payer-specific documentation policies before submitting claims with D4212. This will help you avoid delays, denials, or reimbursement discrepancies. Choosing the right CDT code not only ensures compliance but also helps maintain accurate dental records and streamlined billing processes.
For more detailed explanations, up-to-date code revisions, or assistance comparing the D4212 code to other periodontal surgery or restorative procedure codes, feel free to reach out through our contact form or visit our CDT code directory for additional support.
D4212 Dental Code Definition
What is D4212 Dental Code?
The D4212 Dental Code is a Current Dental Terminology (CDT) code that specifically refers to the dental procedure known as Gingivectomy or Gingivoplasty to Allow Access for Restorative Procedure, Per Tooth. This code is used when a dentist performs surgical reshaping or removal of gum tissue around a single tooth to provide better access and visibility during a restorative dental treatment. The procedure may be necessary before placing crowns, bridges, fillings, or other dental restorations that require a clear and unobstructed margin.
CDT Code D4212 is vital for situations where excess or overgrown gingival tissue prevents proper restoration placement or compromises the integrity of a dental procedure. By using this code, dental professionals can document and bill the procedure correctly, ensuring accurate reimbursement and maintaining compliance with dental insurance providers.
Before assigning the D4212 code, practitioners should carefully review the clinical necessity, make sure the soft tissue removal is directly related to a restorative treatment plan, and ensure that the documentation supports the procedure. Using the correct CDT code not only improves the accuracy of claims but also reduces the likelihood of denials from insurance companies.
D4212 Dental Code & CDT Codes Explained
What are CDT Codes (Current Dental Terminology)?
The D4212 Dental Code is part of the standardized set of CDT Codes, or Current Dental Terminology codes, which are published and maintained by the American Dental Association (ADA). These procedural codes are used nationwide by dental professionals, insurance providers, and billing specialists to document, report, and bill for dental services in a consistent and accurate way. Every CDT code, including D4212, corresponds to a specific dental treatment, allowing clear communication between providers and payers.
CDT Codes serve as the official coding system for dental procedures in the United States and are updated annually by the ADA. These updates reflect changes in technology, emerging clinical practices, and the need for better clarity in dental billing and coding. Each code has a unique five-character format (typically starting with “D”), a descriptive title, and a procedural definition.
The D4212 CDT Code, in particular, is used for Gingivectomy or Gingivoplasty to Allow Access for Restorative Procedure, Per Tooth. This is a very specific soft tissue surgical procedure performed when gum overgrowth or gum tissue impedes proper restorative work, such as the placement of a crown or bridge. The D4212 code is essential for accurate documentation and billing of such procedures on a per-tooth basis.
Understanding how CDT codes work is essential for both dental professionals and administrative staff. Proper CDT coding ensures claim accuracy, speeds up reimbursement from insurance carriers, reduces the risk of claim denials, and helps maintain regulatory compliance. Many dental insurance providers and third-party payers rely exclusively on CDT codes when processing dental claims, making their correct usage vital to a successful dental practice.
CDT codes like D4212 are also used for analytics, audits, treatment planning, and communication with public health agencies. Staying updated with the latest CDT revisions, ADA code edits, and insurance carrier policies is crucial in a field where billing and compliance standards evolve regularly.
What professionals use D4212 Dental Code and Other CDT Codes?
The D4212 Dental Code, along with all other CDT Codes (Current Dental Terminology), is widely used by a broad range of dental professionals and organizations involved in patient care, dental treatment documentation, billing, and insurance claims. These standardized codes are an essential part of the dental industry’s administrative and clinical infrastructure and are updated annually by the American Dental Association (ADA).
Dentists, including general practitioners and specialists such as periodontists, prosthodontists, and oral surgeons, regularly use CDT codes like D4212 to document specific dental procedures accurately in patient records. The D4212 CDT code is particularly relevant for professionals who perform soft tissue surgeries, such as gingivectomy or gingivoplasty, to enable access for restorative dental treatments. Correct coding ensures accurate clinical documentation and helps maintain continuity of care.
Dental hygienists and dental assistants may also interact with CDT codes as part of treatment planning and charting procedures under the supervision of a licensed dentist. They contribute to ensuring that each treatment is correctly identified using the appropriate CDT code and that the clinical notes match the services rendered.
Dental billing specialists, administrative coordinators, and office managers use CDT codes, including D4212, for preparing and submitting claims to insurance companies. Accurate coding is critical for reducing claim denials, securing timely reimbursements, and maintaining compliance with dental insurance carrier policies.
Dental insurance companies and third-party payers rely exclusively on CDT codes when processing dental claims and determining coverage eligibility. Codes like D4212 help define the scope and necessity of a procedure, which in turn affects claim outcomes and reimbursement levels.
In addition, dental software providers, EHR (Electronic Health Record) systems, and practice management platforms integrate CDT codes such as D4212 to support clinical documentation, billing workflows, and compliance tracking across dental practices and organizations.
The Code on Dental Procedures and Nomenclature, known as CDT, is considered the national standard for dental coding and is accepted by virtually all dental professionals, facilities, and insurers throughout the United States. Whether it’s for documentation, billing, compliance audits, or patient communication, professionals across the dental industry depend on CDT codes to operate efficiently and accurately.
Do you need expert help with the D4212 Dental Code or any other CDT Codes (Current Dental Terminology Codes)? If so, you’ve come to the right place. At CDT-Codes.com, our knowledgeable and highly experienced team is here to support you with any questions or issues related to dental procedure codes. Whether you’re a dentist, billing specialist, office manager, or dental student, we’re happy to assist you with accurate, up-to-date information on CDT codes used for billing, insurance claims, and clinical documentation.
If you have specific questions about how to properly use D4212, which is the CDT code for Gingivectomy or Gingivoplasty – to Allow Access for Restorative Procedure, Per Tooth, our professional team can help guide you through its correct application. You can easily reach out to us through the contact us form or by using the comments section below. We strive to respond quickly and thoroughly to every inquiry we receive.
CDT-Codes.com is a trusted and leading online resource dedicated to providing the most current and reliable information on all CDT codes, including the D4212 Dental Code. Our platform is designed to assist dental professionals, coding experts, and administrative staff in navigating the complexities of dental billing codes. From routine procedures to more advanced periodontal surgeries, we cover it all to ensure you have the guidance you need for accurate coding and optimal reimbursement.
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If you’re seeking reliable and easy-to-understand explanations for D4212 or any other CDT dental procedure code, we’re here to help. Start exploring our database today or contact us directly for personalized assistance.
Additional CDT Codes (Code on Dental Procedures and Nomenclature)
D4230 Dental Code
D4231 Dental Code
D4240 Dental Code
D4241 Dental Code
D4245 Dental Code
D4249 Dental Code
D4260 Dental Code
D4261 Dental Code
D4263 Dental Code
D4264 Dental Code