Bone Grafts and CDT Codes

Home , Barrier membrane, Bone grafting, Graft (surgery), Sinus lift

Bone Graft for Endo/Periradicular Defects Bone Graft for Periimplant Defects • D3428, Bone Graft in Conjunction With Periradicu- • D6103, Bone Graft for Repair of Periimplant Defect. lar Surgery – per tooth, single site. – Does not include flap entry and closure. Place- – CDT descriptor: “Includes non-autogenous ment of a barrier membrane or biologic materi- graft material.” als to aid in osseous regeneration are reported • D3429, Bone Graft in Conjunction With Periradic- separately. ular Surgery – each add’l contiguous tooth in same – This is for grafting a bone defect around an surgical site. existing implant. – CDT descriptor: “Includes non-autogenous graft material.” Bone Graft When Placing Implant • D6104, Bone Graft at Time of Implant Placement Bone Graft for Periodontal Defects – Placement of a barrier membrane, or biologic • D4263, Bone Replacement Graft – first site in quad- materials to aid in osseous regeneration are rant. reported separately. – CDT descriptor: “This procedure involves the – This is for bone grafting around an implant at use of grafts to stimulate periodontal regen- the same time the implant is placed. eration when the disease process has led to a deformity of the bone. This procedure does Bone Graft for Ridge Augmentation in Edentu- not include flap entry and closure, wound de- lous Site bridement, osseous contouring, or the place- • D7950, Osseous, Osteoperiosteal, or Cartilage ment of biologic materials to aid in osseous Graft of the Mandible or Maxilla - Autogenous or tissue regeneration or barrier membranes. Oth- Nonautogenous, By Report. er separate procedures delivered concurrently – CDT descriptor: “This code may be used for are documented with their own codes.” ridge augmentation or reconstruction to in- • D4264, Bone Replacement Graft – each additional crease height, width and/or volume of residual site in quadrant. alveolar ridge. It includes obtaining autograft – CDT descriptor: “This procedure involves the and/or allograft material. Placement of a use of grafts to stimulate periodontal regen- barrier membrane, if used, should be reported eration when the disease process has led to separately.” a deformity of the bone. This procedure does – This is not a graft done in an extraction site or not include flap entry and closure, wound de- implant removal site. bridement, osseous contouring, or the placement of biologic materials to aid in osseous Bone Graft for Ridge Preservation in Ex- tissue regeneration or barrier membranes. This procedure is performed concurrently with one traction Socket • D7953, Bone Replacement Graft for Ridge Preser- or more bone replacement grafts to document vation the number of sites involved.” – CDT descriptor: “Osseous autograft, allograft • Note: These are not grafts in extraction sites, grafts for or non-osseous graft is placed in an extraction ridge preservation, grafts in endo/periradicular sites, or implant removal site at the time of the ex- grafts in implant removal sites, grafts done in implant traction or removal to preserve ridge integrity placement sites, or grafts to enhance an edentulous (e.g., clinically indicated in preparation for im- sites. plant reconstruction or where alveolar contour is critical to planned prosthetic reconstruction). Membrane, if used should be reported separately.” – This is for a graft to fill in the hole where the tooth or implant was just removed.

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Bone Graft in Sinus Barrier Membranes • D7951, Sinus Augmentation With Bone or Bone • D3432, Guided Tissue Regeneration - resorbable Substitutes Via a Lateral Open Approach. barrier, per site, in conjunction with periradicular sur- – CDT descriptor: “The augmentation of the gery. sinus cavity to increase alveolar height for • D4266, Guided Tissue Regeneration - Resorbable reconstruction of edentulous portions of the Barrier, Per Site maxilla. This procedure is performed via a – CDT descriptor: “This procedure does not in- lateral open approach. This includes obtaining clude flap entry and closure, or, when indicat- the bone or bone substitutes. Placement of a ed, wound debridement, osseous contouring, barrier membrane if used should be reported bone replacement grafts, and placement of separately.” biologic materials to aid in osseous regenera- – This is also referred to as a sinus lift. tion. This procedure can be used for periodon- • D7952, Sinus Augmentation Via a Vertical Approach tal and peri-implant defects.” – CDT descriptor: “The augmentation of the • D4267, Guided Tissue Regeneration - Non-Resorb- sinus to increase alveolar height by vertical able Barrier, Per Site access through the ridge crest by raising the – CDT descriptor: “This procedure does not in- floor of the sinus and grafting as necessary. clude flap entry and closure, or, when indicat- This includes obtaining the bone or bone sub- ed, wound debridement, osseous contouring, stitutes.” bone replacement grafts, and placement of – This is also referred to as a sinus lift. biologic materials to aid in osseous regeneration. This procedure can be used for periodon- Bone Graft for Congenital, Traumatic, or Sur- tal and peri-implant defects.” gical Defects of Facial Bones – Includes membrane removal. • D7955, Repair of Maxillofacial Soft Tissue and/or Hard Tissue Defect Biologic Materials • D7295, Harvest of Bone for Use in Autogenous • D3431, Biologic Materials To Aid in Soft and Osse- Grafting Procedures ous Tissue Regeneration in conjunction with periradicular surgery. • D4265, Biologic Materials To Aid in Soft and Osse- ous Tissue Regeneration – CDT descriptor: “Biologic materials may be used alone or with other regenerative substrates such as bone and barrier membranes, depending upon their formulation and the presentation of the periodontal defect. This procedure does not include surgical entry and closure, wound debridement, osseous contouring, or the placement of graft materials and/or barrier membranes. Other separate procedures may be required concurrent to D4265 and should be reported using their own unique codes.”

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