Bone Graft at Implant Placement - CDT Code Guide
Overview
CDT Code D6104 refers to the procedure of performing a bone graft at the time of dental implant placement. This procedure is crucial when there is insufficient bone to support an implant, ensuring the stability and success of the dental implant. During this procedure, bone graft material is placed into the area where the implant will be positioned to promote bone growth and integration. It's important to note that the use of a barrier membrane or biologic materials to aid in osseous regeneration is reported separately. This code is typically used in cases where patients have experienced bone loss due to periodontal disease, trauma, or long-term tooth loss.
When to Use This Code
- When placing a dental implant in an area with insufficient bone density.
- In cases of bone loss due to periodontal disease requiring implant placement.
- During implant placement in patients with a history of trauma to the jaw.
- When immediate implant placement is planned after tooth extraction with inadequate bone support.
- In scenarios where bone augmentation is necessary for implant stability.
Documentation Requirements
- Detailed patient history indicating the need for a bone graft.
- Radiographic evidence showing insufficient bone density.
- Clinical notes describing the procedure and materials used.
- Documentation of patient consent for the bone graft procedure.
- Separate documentation for any barrier membranes or biologic materials used.
- Post-operative notes detailing patient recovery and follow-up care.
Billing Considerations
When billing for D6104, it's important to note that this code is used specifically for bone grafts performed at the time of implant placement. Barrier membranes or biologic materials should be billed separately. Frequency limitations may apply based on the patient's insurance plan, and common modifiers such as -50 for bilateral procedures may be used. Always verify with the patient's insurance for coverage details and pre-authorization requirements.
Related CDT Codes
Frequently Asked Questions
No, barrier membranes or biologic materials are reported separately from D6104.
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