42610 Grafts, Osseous, Autograft (Including Flap Entry, Closure and Donor Site)
| 40000 | PERIODONTICS |
||
| 42000 | PERIODONTAL SERVICES, SURGICAL |
||
| 42600 | PERIODONTAL SURGERY, FLAPS, GRAFTS, OSSEOUS TISSUE |
||
| 42610 | Grafts, Osseous, Autograft (Including Flap Entry, Closure and Donor Site) | ||
| 42611 | Per site |
1111.75 | 1111.75 |