D4267 — Guided tissue regeneration — non-resorbable membrane
D4267 uses a non-resorbable barrier for the same purpose, which then has to be taken out at a second operation.
This is one of five closely related periodontal grafting and regeneration codes. The treatment is explained in full in the periodontal grafting and regeneration guide — this page is about what makes this particular code different.
This page explains what that code number commits the office to, what it usually costs, how plans treat it, and — the part that causes most of the confusion — how it differs from the codes sitting immediately either side of it.
Where the line falls between D4267 and the rest
D4266 — Guided tissue regeneration — resorbable membrane: It is the same procedure with one word changed: resorbable rather than non-resorbable.
D4264 — Bone graft around a natural tooth (additional site): It is the each-additional line that follows it.
D4263 — Bone graft around a natural tooth (first site): It grafts bone into the defect around a natural tooth, and is billed for the first site treated.
D4273 — Connective tissue graft (gum graft): It takes connective tissue from the palate and grafts it over an exposed root to cover recession.
Those four codes and D4267 are the whole group — nothing else describes this procedure. The practical point: confirm which of these is going on the claim before treatment, not after. Corrections after submission mean a resubmission, a delay, and occasionally a fee you did not expect.
Every code in this group
These codes describe the same broad procedure and differ in one respect each. Each has its own page with its own fee range and coverage notes.
| Code | Procedure |
|---|---|
| D4267 | Guided tissue regeneration — non-resorbable membrane — this page |
| D4263 | Bone graft around a natural tooth (first site) |
| D4264 | Bone graft around a natural tooth (additional site) |
| D4266 | Guided tissue regeneration — resorbable membrane |
| D4273 | Connective tissue graft (gum graft) |
Questions about D4267
D4267 — what is it?
D4267 is shorthand for guided tissue regeneration, non-resorbable membrane — the same five characters every practice and every insurer in the country uses for it.
Is D4267 expensive?
Expect $700–$1,800. Ask for the number in writing, because the code carries no fee of its own and every practice sets its own.
Is D4267 a covered benefit?
It is generally a covered benefit in the major periodontal category, 0–50%. Frequency limits and waiting periods are the usual reasons a claim is refused.
What is the difference between D4267 and D4266?
D4266 is guided tissue regeneration, resorbable membrane: it is the same procedure with one word changed: resorbable rather than non-resorbable. The rest of the procedure is the same, which is why the two get substituted for one another on estimates.
Also known as: gum graft, bone graft, guided tissue regeneration, receding gums, connective tissue graft.