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Code
Type
Clinical Procedure
Unit
42821
- PERIODONTICS, Surgical
- Misc, Post Surgical Perio TX
- One Unit
42822
- PERIODONTICS, Surgical
- Misc, Post Surgical Perio TX
- Two Units
42823
- PERIODONTICS, Surgical
- Misc, Post Surgical Perio TX
- Three Units
42829
- PERIODONTICS, Surgical
- Misc, Post Surgical Perio TX
- Each Addt'l Unit
42831
- PERIODONTICS, Surgical
- Misc, PerioAbsc/Pericoronitis
- One Unit
To be used in emergency situations to treat localized infections such as periodontal abscesses or pericoronitis. It is inappropriate to use this code when the intent of treatment is disinfection of periodontal pockets performed as an adjunctive antimicrobial therapy with scaling and root planning.
42832
- PERIODONTICS, Surgical
- Misc, PerioAbsc/Pericoronitis
- Two Units
42833
- PERIODONTICS, Surgical
- Misc, PerioAbsc/Pericoronitis
- Three Units
42834
- PERIODONTICS, Surgical
- Misc, PerioAbsc/Pericoronitis
- Four Units
42839
- PERIODONTICS, Surgical
- Misc, PerioAbsc/Pericoronitis
- Each Addt'l Unit
43111
- Adjunctive, PERIODONTICS
- Splinting or Ligation
- 'A' Splint / joint
43211
- Adjunctive, PERIODONTICS
- Splinting or Ligation
- Bonded Joint Restor. / joint
NOT appropriate to use this code for extra-coronal periodontal splint codes to describe orthodontic retention. Instead use 83101 for maxillary retention and 83102 for mandibular.
43221
- Adjunctive, PERIODONTICS
- Splinting or Ligation
- Bonded, InterproxEnamelSpl /jnt
43231
- Adjunctive, PERIODONTICS
- Splinting or Ligation
- Wire Ligation / joint
43241
- Adjunctive, PERIODONTICS
- Splinting or Ligation
- Wire Lig/Rest Mat'l Cov / joint
43271
- Adjunctive, PERIODONTICS
- Splinting or Ligation
- Cast/Sold/Cer/PolyGlass, SplBond
43281
- Adjunctive, PERIODONTICS
- Splinting or Ligation
- Removal Fixed Splints 1U
43289
- Adjunctive, PERIODONTICS
- Splinting or Ligation
- Removal Fixed Splints EAU
43421
- Adjunctive, PERIODONTICS
- Root Planing
- One Unit
43422
- Adjunctive, PERIODONTICS
- Root Planing
- Two Units
43423
- Adjunctive, PERIODONTICS
- Root Planing
- Three Units