Is tooth transplantation covered by insurance?

Coverage depends on the patient's insurance plan and the clinical necessity of the procedure. It's important to verify with the insurance provider beforehand.

How long does the stabilization period last after transplantation?

The stabilization period can vary but typically lasts several weeks to a few months, depending on the healing process and the surgeon's recommendations.

Can any tooth be used for transplantation?

Not all teeth are suitable for transplantation. The donor tooth must be healthy and structurally sound, and the recipient site must be prepared to accept the transplant.

What are the risks associated with tooth transplantation?

Risks include failure of the transplant, infection, and damage to surrounding teeth or structures. These risks can be mitigated with proper surgical technique and post-operative care.

D7272

Tooth Transplantation - CDT Code Guide

Oral & Maxillofacial Surgery/Other Surgical Procedures

Overview

CDT Code D7272 refers to the procedure of tooth transplantation, which involves the re-implantation of a tooth from one site to another within the same oral cavity. This procedure is typically performed by an oral and maxillofacial surgeon and may include splinting or stabilization to ensure proper healing and integration of the transplanted tooth. Tooth transplantation is often considered in cases where a tooth is lost due to trauma or disease, and a suitable donor tooth is available within the patient's mouth. The procedure requires careful planning and execution to ensure the success of the transplant and the long-term health of the surrounding oral structures.

When to Use This Code

Transplanting a tooth from one site to another due to trauma or disease.
Re-implantation of a tooth that has been avulsed and cannot be placed back in its original socket.
Stabilizing a transplanted tooth to ensure proper healing.
Cases where a donor tooth is available within the patient's mouth.
When alternative restorative options are not viable or preferred.

Documentation Requirements

Detailed clinical notes describing the need for transplantation.
Radiographic evidence supporting the procedure.
Pre- and post-operative photographs, if applicable.
Patient consent forms acknowledging understanding of the procedure.
Documentation of splinting or stabilization methods used.

Billing Considerations

When billing for D7272, ensure that the procedure is justified by clinical necessity and documented thoroughly. Be aware of any frequency limitations set by insurance providers. Common modifiers may include those indicating the specific quadrant or arch involved. Verify with the patient's insurance for coverage details, as some plans may have specific criteria for covering tooth transplantation procedures.

Related CDT Codes

D7280 D7210 D7250 D7410 D7471

Frequently Asked Questions

The success rate can vary based on factors like the patient's oral health and the skill of the surgeon, but generally, it is considered a viable option with proper case selection.

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