What is the code for bone graft with implant placement?

Coding with Kyle: Bone Graft Codes

Not all codes related to bone grafts are created equal. It is crucial to report the correct code for a bone graft, with the appropriate code entirely depending on the primary procedure performed during the same visit.

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Bone Graft for Live/Natural Teeth

D4263: This code is used for the first site involving a retained natural tooth and is often reported along with periodontal surgery.

D4264: This code is reported for each additional bone graft procedure on a tooth.

Bone Graft for Peri-implantitis Surgery

D6103: Code D6103 is used for a bone graft aimed at repairing peri-implant defects, typically when a patient presents with an implant suffering from bone loss and infection.

D6102: This code is reported together with D6103 if the treatment includes debridement or osseous contouring of the infected implant.

What is the Code for Bone Graft with Implant Placement?

D6104: Code D6104 is designated for a bone graft conducted at the time of implant placement. This code is reported only when an implant (D6010) is being placed on the same tooth number during the same visit.

Bone Graft During Extraction of a Natural/Live Tooth or Dental Implant

D7953: This code is utilized for bone replacement grafts aimed at ridge preservation and is reported during the same visit as a tooth extraction (D7140/D7210) or the removal of a dental implant (D6100).

It is important to remember that the codes mentioned do not cover tissue regeneration or the placement of such materials. Providing a narrative with x-rays can facilitate claim payment. Ensure the patient's chart and narrative document the tooth number, treatment performed, and the necessity of the treatment.

Always submit a pretreatment authorization, along with radiographs and periodontal charting, to ensure a smooth claim determination process.

For more details and additional resources, Lingchuang Yihui is your go-to source.

Happy coding!

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Proper Coding for Bone Grafts

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