Bone Graft for Peri-Implant Defect - CDT Code Guide
Overview
CDT Code D6103 pertains to the bone grafting procedure specifically aimed at repairing peri-implant defects. This procedure is crucial for maintaining the stability and health of dental implants by regenerating bone around the implant site. It is important to note that this code does not cover the flap entry and closure, which means those steps are billed separately. In clinical practice, this procedure is often utilized when there is a need to enhance the bone structure around an implant to ensure its long-term success. Dental professionals may encounter this scenario in cases where bone loss has occurred due to infection, trauma, or other factors affecting the implant site.
When to Use This Code
- When there is bone loss around an existing dental implant.
- In cases of peri-implantitis requiring bone regeneration.
- To enhance bone structure prior to implant placement.
- When a previous implant has failed due to insufficient bone support.
- In conjunction with other regenerative procedures to ensure implant stability.
Documentation Requirements
- Detailed clinical notes describing the peri-implant defect.
- Radiographic evidence supporting the need for bone grafting.
- Documentation of the materials used in the grafting procedure.
- Separate documentation for flap entry and closure if performed.
- Patient consent forms acknowledging understanding of the procedure.
Billing Considerations
When billing for D6103, it is important to note that the code does not include flap entry and closure, which should be billed separately if performed. Additionally, the use of barrier membranes or biologic materials should be reported with separate codes. Be aware of any frequency limitations imposed by insurance providers and consider using appropriate modifiers to indicate separate procedures performed on the same day.
Related CDT Codes
Frequently Asked Questions
No, D6103 does not include flap entry and closure. These procedures should be billed separately.
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