Can D7953 be used for multiple sites in a single visit?

Yes, but each site should be documented and billed separately as D7953 is a per-site code.

Do insurance companies typically cover D7953?

Coverage varies by insurance provider. It's recommended to check with the patient's insurance for specific coverage details and pre-authorization requirements.

Is a membrane always required with D7953?

No, a membrane is not always required. If used, it should be documented and billed separately.

What are the benefits of using D7953?

Using D7953 helps preserve the alveolar ridge, which is crucial for future implant placement and maintaining the structural integrity of the jawbone.

D7953

Bone Replacement Graft - CDT Code Guide

Oral & Maxillofacial Surgery/Other Repair Procedures

Overview

CDT Code D7953 pertains to the bone replacement graft for ridge preservation per site. This procedure is crucial in maintaining the alveolar ridge's integrity following tooth extraction or implant removal. It involves placing a graft material into the extraction site to preserve the bone structure, which is essential for future dental implant placement or other prosthetic reconstructions. The procedure does not cover the acquisition of the graft material itself, and if a membrane is used, it should be billed separately. This code is particularly relevant when the alveolar contour is critical to the planned prosthetic outcome, ensuring that the ridge remains intact for optimal functional and aesthetic results.

When to Use This Code

Following the extraction of a tooth to maintain the ridge for future implant placement.
After the removal of a failed dental implant to preserve the site for potential re-implantation.
In cases where the alveolar ridge contour is crucial for planned prosthetic reconstruction.
When there is a need to prevent bone resorption after tooth extraction.
To prepare the site for future dental procedures that require stable bone structure.

Documentation Requirements

Detailed clinical notes on the necessity of the graft for ridge preservation.
Documentation of the extraction or implant removal procedure.
Description of the graft material used and its placement.
If a membrane is used, separate documentation for its application.
Pre- and post-operative radiographs or images, if applicable.
Patient consent forms and treatment plans outlining the procedure.

Billing Considerations

When billing for D7953, it is important to note that the code does not include the cost of obtaining the graft material. Membranes used during the procedure should be billed separately. Be aware of any insurance-specific guidelines regarding the frequency of this procedure. Common modifiers may include those indicating the specific site or quadrant treated. Verify with insurance providers for coverage details, as some may require pre-authorization.

Related CDT Codes

D4266 D4267 D7950 D7951 D7952

Frequently Asked Questions

No, the cost of obtaining the graft material is not included in D7953 and should be billed separately.

Need help with dental coding?

Our AI-powered assistant can answer your CDT code questions instantly.

Try CDT Code Lookup Browse All CDT Codes