These two codes should be used only if bone graft is placed where a natural tooth exists.
(D4263)—Bone replacement: First site in quadrant
(D4264)—Bone replacement: Each additional
This code should be used only if performing peri-implant surgery on an existing implant.
(D6103)—Bone graft repair for peri-implant defect
This code should be used if placing an implant and on the same visit, and when bone grafting the exact area.
(D6104)—Bone graft at time of implant placement
If performing an extraction of either a natural tooth, or bone grafting after implant removal, this is the correct code.
(D7953)—Bone replacement graft for ridge preservation
Always keep in mind that it is recommended to send in a pre-treatment authorization, including radiographs and periodontal charting, to ensure a smooth claim determination process.
PREVIOUS CODING WITH KYLE ARTICLES:
What code to use for dental exam visit?
D4341 and D4342, scaling and root planing
D4249–clinical crown lengthening
About the Author

Kyle L. Summerford
With more than 22 years of experience in dental, Kyle L. Summerford has a unique approach to case presentation and patient acceptance. As an OM and financial dental consultant, he leverages his knowledge to assist new and struggling dental practices. Through his education programs, Kyle empowers staff members with effective patient education skills and persuasion techniques. He has lectured at CE events and academic institutions. His expertise is further recognized through his column, Dental Coding with Kyle. He’s the founder of the Dental Office Managers Community. Visit his website at kylesummerford.com.

