Can D4277 be used for multiple teeth in the same quadrant?

No, D4277 is used for the first tooth, implant, or edentulous site. Additional sites in the same quadrant should be billed with a different code, such as D4278.

Is patient consent required for a free soft tissue graft?

Yes, obtaining informed consent from the patient is essential before performing the procedure.

Are there any post-operative care instructions for patients?

Yes, patients should receive detailed post-operative care instructions, including oral hygiene practices and dietary recommendations.

What should be documented to support the use of D4277?

Clinical notes, photographs, patient consent, and a description of the donor and recipient sites should be documented to support the procedure.

D4277

Free Soft Tissue Graft - CDT Code Guide

Periodontics/Surgical Services (Including Usual Postoperative Care)

Overview

The CDT code D4277 refers to the free soft tissue graft procedure, which is a periodontal surgical service. This procedure involves harvesting soft tissue from a donor site, usually the patient's palate, and grafting it onto a recipient site. It is commonly used to address gum recession, enhance the thickness of the gum tissue around teeth or implants, and improve the overall esthetics and function of the gingival tissue. This procedure is essential for patients with significant gum recession or those preparing for dental implants, as it helps ensure adequate soft tissue coverage and support. Dental professionals utilize this code when performing the first graft in a specific area, whether it involves a tooth, an implant, or an edentulous site.

When to Use This Code

When there is significant gum recession around a tooth or implant.
To prepare an edentulous site for future implant placement.
To enhance the thickness of the gingival tissue for better esthetics and function.
When a patient experiences sensitivity due to exposed tooth roots.
To improve the prognosis of teeth with compromised periodontal support.

Documentation Requirements

Detailed clinical notes describing the need for the graft.
Pre-operative and post-operative photographs of the surgical sites.
Description of the donor and recipient sites in the patient's chart.
Documentation of patient consent for the procedure.
Post-operative care instructions provided to the patient.
Record of any complications or additional procedures performed.

Billing Considerations

When billing for D4277, it is important to note that this code is used for the first tooth, implant, or edentulous site in a grafting procedure. Frequency limitations may apply, and it is crucial to verify with the patient's insurance provider regarding coverage specifics. Common modifiers, such as those indicating multiple procedures or bilateral services, may be necessary. Ensure that the documentation supports the medical necessity of the procedure to avoid claim denials.

Related CDT Codes

D4278 D4263 D4266 D4267 D4240

Frequently Asked Questions

The primary purpose is to increase the thickness of the gum tissue, cover exposed roots, and improve the esthetics and function of the gingival tissue.

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