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Coding with Kyle: Bone graft codes

May 12, 2022
This column from Kyle Summerford is designed to guide office managers through the tricky world of dental coding. This month he covers codes related to bone grafts.
Kyle L. Summerford, Editorial Director

Not all codes related to bone grafts are created equal. You must be aware of when to report the correct code for a bone graft, and knowing which code to use is entirely dependent upon the primary procedure being performed at the same visit. 

Bone grafts for live/natural teeth

D4263: Retained natural tooth first site – usually reported in conjunction with periodontal surgery 

D4264: Reported for each additional bone graft tooth 

Bone grafts for peri-implantitis surgery

D6103: Bone graft for repair of peri-implant defect – usually reported when a patient is suffering from an implant with bone loss and infection. 

D6102: Would be reported together with D6103 if treatment includes debridement or osseous contouring of the infected implant

Bone graft during implant placement

D6104: Bone graft at time of implant placement – reported only when an implant (D6010) is being placed in the same tooth number on the same visit.

Bone graft during an extraction of a natural/live tooth or dental implant

D7953: Bone replacement graft for ridge preservation – reported on the same visit as a tooth extraction (D7140/D7210) or the removal of a dental implant (D6100)

The codes above do not include tissue regeneration or placement of such materials. A narrative with x-rays can be helpful in facilitating claim payment—tooth number, treatment performed, and why the treatment was necessary should be documented in the patient's chart and narrative.

You should always send in a pretreatment authorization, including radiographs and periodontal charting, to ensure a smooth claim determination process.

Happy coding!

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