Sinus Augmentation Vertical Approach - CDT Code Guide
Overview
CDT Code D7952 refers to the sinus augmentation procedure performed via a vertical approach. This procedure is essential for increasing the alveolar height by accessing the sinus through the ridge crest. It involves raising the sinus floor and grafting bone or bone substitutes as needed. This surgical intervention is typically necessary when there is insufficient bone height in the upper jaw, often in preparation for dental implants. Dental professionals may encounter this procedure in cases where patients have experienced bone loss due to periodontal disease, trauma, or long-term tooth loss. The vertical approach allows for precise augmentation, ensuring adequate support for future dental restorations.
When to Use This Code
- When preparing a patient for dental implants in the upper jaw with insufficient bone height.
- In cases of significant bone loss due to periodontal disease affecting the maxillary sinus area.
- For patients requiring reconstruction of the alveolar ridge to support prosthetic devices.
- When previous sinus augmentation procedures have failed or need revision.
- In scenarios where trauma has resulted in maxillary bone loss impacting the sinus area.
Documentation Requirements
- Detailed clinical notes outlining the necessity for sinus augmentation.
- Radiographic evidence supporting the need for increased alveolar height.
- Documentation of the patient's medical history and any previous related procedures.
- A comprehensive treatment plan including the type of graft material used.
- Informed consent signed by the patient, acknowledging understanding of the procedure.
- Post-operative notes detailing the outcome and any complications encountered.
Billing Considerations
When billing for D7952, ensure that the procedure is not performed more frequently than necessary, as insurance may have limitations on coverage frequency. Common modifiers such as -22 for unusual procedural services may apply if the procedure is more complex than typical. Verify with the patient's insurance provider regarding coverage for bone graft materials, as these may not always be included.
Related CDT Codes
Frequently Asked Questions
The primary purpose is to increase the alveolar height to support dental implants in the upper jaw.
Need help with dental coding?
Our AI-powered assistant can answer your CDT code questions instantly.