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ASC Surgical · CPT/HCPCS

HCPCS D4211

Gingivectomy/plasty 1 to 3

HCPCS D4211 at a glance

Code
D4211
Code type
CPT/HCPCS
Short descriptor
Gingivectomy/plasty 1 to 3
Category
ASC Surgical
ASC eligibility
ASC-eligible (surgical)
Typical setting
Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
Medicare ASC rate
$1,480.50 national · 2026Q2

What is HCPCS code D4211?

HCPCS D4211 is a CPT/HCPCS procedure code. Its official short descriptor is "Gingivectomy/plasty 1 to 3". In the ASC context it is grouped under ASC Surgical.

Is HCPCS D4211 eligible in an ambulatory surgery center (ASC)?

HCPCS D4211 can be performed in a certified ambulatory surgery center.

Where is HCPCS D4211 typically performed?

Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).

What is the Medicare ASC payment rate for HCPCS D4211?

The national Medicare ASC payment rate for HCPCS D4211 is $1,480.50 (CMS ASC Payment System, 2026Q2). This is the national, unadjusted amount published by CMS; the amount an individual ambulatory surgery center is paid is adjusted for local wage index and may differ. It reflects Medicare's facility payment only and does not include the surgeon's professional fee.

Reference information about ASC eligibility and typical procedure setting. Codes, descriptors, and ASC-eligibility status change over time. This is a coding reference, not billing, coding, or legal advice. Always verify against current guidance and individual payer policy before scheduling or billing. CPT is a registered trademark of the American Medical Association.

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