D4268 Dental Code
D4268 Dental Code is the dental procedure for Surgical revision procedure, per tooth.
The D4268 dental code is a designated CDT (Current Dental Terminology) procedure code used for billing surgical revision procedures on a per-tooth basis. This code is typically applied when a previously treated site within the mouth requires corrective surgical intervention. Reasons for surgical revision may include issues with healing, tissue complications, or the need to adjust or enhance the outcome of an earlier dental surgery.
When using D4268 for dental procedure billing, accuracy is crucial. This code represents a highly specific type of periodontal treatment, and dental professionals should ensure that it precisely reflects the procedure performed. Misuse of CDT codes can lead to claim delays, denials, or reduced reimbursements, so it is essential that D4268 is only used when a true surgical revision has been carried out on a specific tooth.
Proper documentation and clear procedural notes are key when submitting insurance claims that include CDT Code D4268. This helps dental insurance carriers understand the necessity of the revision and verify the service provided. Using the correct CDT code like D4268 also supports compliance with dental billing standards and helps maintain the integrity of patient records.
D4268 Dental Code Definition
What is D4268 Dental Code?
The D4268 dental code is an official CDT (Current Dental Terminology) code used to represent a surgical revision procedure performed on a per-tooth basis. This procedure code is applied when a previously completed dental surgery requires correction, adjustment, or further surgical intervention. The goal of the surgical revision is to improve the outcome of the original procedure, address healing complications, or correct tissue-related issues that may have arisen post-treatment.
So, what is D4268 dental code exactly? In simple terms, D4268 is used by dental professionals to document and bill for a follow-up periodontal surgical procedure that targets a single tooth. The revision could be necessary due to persistent infection, unsatisfactory healing, or other medical concerns that require surgical correction to achieve optimal periodontal health.
Understanding the definition of D4268 dental code is crucial for both dental billing professionals and healthcare providers. Accurate coding ensures that insurance claims are processed smoothly, prevents delays in reimbursement, and maintains compliance with dental coding standards. This code must only be used when a surgical revision has been clinically justified and clearly documented in the patient’s treatment record.
D4268 Dental Code & CDT Codes Explained
What are CDT Codes (Current Dental Terminology)?
CDT Codes, short for Current Dental Terminology codes, are a standardized set of procedure codes developed and maintained by the American Dental Association (ADA). These codes are used by dental professionals across the United States to accurately document and bill for dental services and procedures. Each code, including the D4268 dental code, corresponds to a specific dental treatment and helps ensure consistency in clinical records, insurance claims, and patient billing.
The D4268 CDT code specifically refers to a surgical revision procedure, per tooth. This code is applied when a dentist must perform corrective surgery on a tooth that has previously undergone a periodontal surgical treatment. It is important for accurate insurance billing and clinical documentation that this code is used precisely when such a revision is necessary due to healing issues or complications from prior treatments.
CDT codes are updated annually to reflect changes in the dental profession, including new treatment methods, emerging technologies, and updated definitions. These revisions may also include ADA edits, deletions, and additions to ensure that the code set remains accurate and comprehensive. Staying current with CDT updates helps dental providers comply with industry standards and avoid costly claim denials due to incorrect or outdated coding.
Dental insurance carriers, billing software platforms, and third-party administrators rely heavily on the CDT coding system to process claims and determine benefit eligibility. Accurate use of codes like D4268 ensures streamlined reimbursement, better communication between providers and payers, and proper recordkeeping for every patient encounter.
What professionals use D4268 Dental Code and Other CDT Codes?
The D4268 dental code, along with all other CDT codes (Current Dental Terminology), is an essential part of the dental billing and documentation process used by a wide range of dental professionals and healthcare-related entities. These standardized procedure codes are published annually by the American Dental Association (ADA) and are universally recognized throughout the dental industry. They are used to accurately describe and report dental treatments and services, including the D4268 surgical revision procedure, per tooth.
Dentists, including general practitioners, periodontists, oral surgeons, and prosthodontists, frequently rely on CDT codes such as D4268 to record treatment details in patient records and submit claims for insurance reimbursement. These codes allow dental providers to communicate clearly with insurance carriers, ensuring transparency and consistency in the billing process.
Dental hygienists, dental assistants, and office administrators also utilize CDT codes on a daily basis for purposes such as scheduling procedures, tracking clinical services, updating electronic health records (EHR), and preparing documentation for insurance claims. Understanding and applying the correct CDT codes—like D4268—is crucial for maintaining accurate treatment histories and avoiding billing errors.
In addition, dental billing specialists and insurance coordinators use codes like D4268 to process dental claims, verify coverage, and appeal denied procedures. CDT codes serve as the foundation for evaluating treatment necessity, calculating reimbursement rates, and confirming whether procedures are eligible under a patient’s dental benefits plan.
Beyond dental offices, insurance companies, third-party payers, and government agencies also rely on CDT codes. These organizations accept the CDT code set, including D4268, as the industry standard for dental procedure nomenclature and claim processing. The universal acceptance of these codes supports standardized dental recordkeeping, claims accuracy, and compliance with healthcare regulations.
Do you need expert assistance with the D4268 Dental Code or have questions about any other CDT Codes (Current Dental Terminology)? Our dedicated and knowledgeable team is here to help you. Whether you’re unsure about how to apply D4268 in your dental billing process or need clarification on its definition and usage, we are ready to assist with any dental procedure code–related matter. To get in touch with us, simply use the contact form on our website or leave your inquiry in the comments section below—we’re always here to support your dental coding needs.
At CDT-Codes.com, we are proud to be a trusted online resource for comprehensive and accurate information on dental procedure codes. We specialize in offering the most up-to-date insights into the D4268 Dental Code, a surgical revision procedure performed per tooth, and hundreds of other CDT dental codes commonly used by dentists, dental assistants, office managers, insurance coordinators, and billing professionals across the country. Our platform is designed to support your dental practice with the latest coding standards to help ensure correct usage, accurate billing, and improved claim approvals.
We are constantly monitoring changes in the CDT coding system to ensure our content reflects the latest updates, including new procedures, code edits, and terminology revisions published by the American Dental Association (ADA). Our team works hard to provide well-researched, clear, and reliable content so that your dental practice can maintain compliance and billing accuracy when using the D4268 dental code or any other code from the official CDT code set.
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Additional CDT Codes (Code on Dental Procedures and Nomenclature)
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D4271 Dental Code
D4273 Dental Code
D4274 Dental Code
D4275 Dental Code
D4276 Dental Code
D4277 Dental Code
D4278 Dental Code
D4283 Dental Code
D4285 Dental Code