Can D4285 be used for non-contiguous teeth?

No, D4285 is specifically for additional contiguous teeth or implants within the same graft site.

Is patient consent required for using non-autogenous materials?

Yes, obtaining patient consent is essential when using non-autogenous donor materials.

Are there any specific insurance considerations for D4285?

Insurance coverage for D4285 may vary, so it's important to verify with the patient's provider and understand any specific requirements or limitations.

Can D4285 be used in conjunction with other periodontal procedures?

Yes, D4285 can be used alongside other periodontal procedures, but ensure proper documentation and billing practices are followed.

D4285

Connective Tissue Graft - CDT Code Guide

Periodontics/Surgical Services (Including Usual Postoperative Care)

Overview

CDT code D4285 refers to the non-autogenous connective tissue graft procedure, which is used to enhance the periodontal structure around teeth or implants. This procedure involves the transplantation of connective tissue to a recipient surgical site, using donor material that is not harvested from the patient. It is typically performed to address issues such as gum recession or to improve the aesthetic and functional outcomes of dental implants. The procedure is often used in conjunction with D4275, which involves the initial grafting process. Dental professionals may recommend this procedure to patients experiencing periodontal disease or those requiring additional support for dental implants.

When to Use This Code

When performing a connective tissue graft on multiple contiguous teeth or implants.
In cases where additional support is needed for dental implants due to insufficient gum tissue.
To improve the aesthetic appearance of the gum line in patients with gum recession.
When enhancing periodontal stability around teeth affected by periodontal disease.
In conjunction with D4275 for comprehensive grafting procedures.

Documentation Requirements

Detailed clinical notes describing the necessity of the graft.
Documentation of the recipient and donor sites involved in the procedure.
Pre-operative and post-operative photographs, if applicable.
Patient consent forms for the use of non-autogenous materials.
A detailed report of the materials used and the surgical technique employed.

Billing Considerations

When billing for D4285, it's important to note that this code is used for each additional contiguous tooth, implant, or edentulous position in the same graft site. Ensure that D4275 is also billed for the initial graft procedure. Be aware of any frequency limitations imposed by insurance providers and consider using modifiers if multiple procedures are performed in a single visit. Verify coverage with the patient's insurance plan as some providers may have specific requirements for grafting procedures.

Related CDT Codes

D4275 D4265 D4266 D4267 D4210

Frequently Asked Questions

D4275 is used for the initial connective tissue graft procedure, while D4285 is used for each additional contiguous tooth or implant in the same graft site.

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