42300 PERIODONTAL SURGERY, GINGIVECTOMY

40000

PERIODONTICS
42000

PERIODONTAL SERVICES, SURGICAL
42300 PERIODONTAL SURGERY, GINGIVECTOMY
Additional Information: Add'l Info:

(The procedure by which gingival deformities are reshaped and reduced to create normal and
functional form, when the pocket is uncomplicated by extension into the underlying bone; does not
include limited re-contouring to facilitate restorative services).
42310

Gingivectomy, Uncomplicated
42320

Gingivectomy, Complicated
42330

Gingival Fiber Incision (supra crestal fibrotomy)
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